The impact of Saudi hospital accreditation on quality of care: a mixed methods study

Almasabi, Mohammed; Thomas, Samantha

doi:10.1002/hpm.2373

Cited by 39 publications

(63 citation statements)

References 33 publications

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“…We found that leaders in the inspected organisations were crucial in determining how their organisations prepared for an announced inspection. This finding is in line with previous research indicating that leader engagement during inspections can provide direction to the improvement process and facilitate the involvement of other staff members [29,30] and that leader engagement is associated with perceived improvement results [31,32].…”

Section: Comparison With Existing Literaturesupporting

confidence: 92%

Inspecting teams’ and organisations’ expectations regarding external inspections in health care: a qualitative study

Hovlid

Теиг

Halvorsen

et al. 2020

BMC Health Serv Res

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Background: There is a gap in the literature regarding what takes place between the announcement of a regulatory intervention, such as an external inspection of a health care organisation, and the inspecting body's site visit. This study aimed to explore inspecting bodies' expectations of how inspected organisations should prepare before an external inspection and to elucidate how inspected health care organisations prepare before site visits. Methods: This qualitative study was based on data from 17 group interviews with a total of 75 participants representing inspection teams, organisation leaders and clinicians in inspected health care organisations. The data were analysed using a qualitative content analysis method. Results: We identified two approaches to how the inspection teams expected that the inspected organisations should prepare before site visits. In the first approach the inspection teams did not expect any improvement activities to be initiated during this period and focused on identifying inadequacies that the inspected organisations should subsequently improve. In the second approach the inspection teams expected organisations to review their own practices and begin improvement activities if necessary. The inspected organisations responded in different ways to an upcoming site visit, and the organisations' leaders were important in determining which activities would be initiated. Organisations in which leaders involved clinicians in assessing care delivery tended to initiate action to improve and expected inspection teams to assess their ongoing improvement work and provide guidance on further improvements. Leaders who did not involve clinicians in assessing the quality of care tended to perceive the current quality of care as adequate on the basis of reviewing written guidelines. They did not initiate action to improve care delivery apart from updating written guidelines describing how care should be delivered, and they expected the inspection team to confirm that their current practices were in line with the guidelines and external standards. Conclusions: To promote anticipatory effects in inspected organisations, inspecting bodies should stress the importance of assessing clinical practice and involving frontline clinical staff and leaders in the assessment and in improvement work before the site visit.

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Section: Comparison With Existing Literaturesupporting

confidence: 92%

Inspecting teams’ and organisations’ expectations regarding external inspections in health care: a qualitative study

Hovlid

Теиг

Halvorsen

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Participants mentioned the compulsory quality accreditation by the Central Board for Accreditation of Healthcare Institutions (CBAHI) as a motive for adopting quality improvement principles. The accreditation promotes quality principles, such as being patient-centric and understanding the needs and expectations of patients [29]. This is consistent with the results in the UK, where legislation was one of the factors that facilitated the adoption of simulation as an improvement tool [25].…”

Section: Figure 3: Operational Key Performance Indicators (Kpis) In Hsupporting

confidence: 79%

Simulation in Saudi Healthcare: An Empirical Study Revealing the Current Status and Future Prospects

Alrabghi¹

2020

SAJIE

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Providing efficient healthcare is more important today than ever before. Simulation is a well-established technique that has been used to understand and improve systems in various applications. It seems that simulation implementation in the healthcare industry is surrounded by a number of issues. Research on the subject has been mostly restricted to the analysis of academic literature, with a few industrial surveys. This empirical study contributes to our understanding of simulation application in Saudi healthcare services. The findings include an analysis of performance improvement methodologies currently in use, as well as simulation applications, barriers, and potential.

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“…The third identified major code was training problems of the accreditation model, with 2 subcodes: (1) absence of proper training and (2) incoordination of training and evaluation. Adequate and complete training is the administrative requirement of each quality improvement system [ 29 ]. Soh et al mentioned that training provided to Malaysian hospitals prior to hospital accreditation led to a significant reduction in hospital infection after accreditation [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges of implementing the accreditation model in military and university hospitals in Iran: a qualitative study

Vali

Mehrolhasani

Mirzaei

et al. 2020

BMC Health Serv Res

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Background The aim of this study was to present challenges of implementing the accreditation model in university and military hospitals in Iran. Methods In this qualitative study, purposive sampling was used to select hospital managers and implementers of the model working in 3 hospitals affiliated to Kerman University of Medical Sciences and in 3 military hospitals in Kerman, Iran. A total of 39 participants were interviewed, and semi-structured questionnaires and thematic analysis were used for data collection and analysis, respectively. Results In this study, 5 major codes and 17 subcodes were identified: (1) perspectives on accreditation model with 5 subcodes: a difficult and time-consuming model, less attention to the patient, accreditation as a way of money acquisition, not being cost-effective, and accreditation means incorrect documentation; (2) absence of appropriate executive policy, with 3 subcodes: lack of financial funds and personnel, disregarding local conditions in implementation and evaluation, and absence of the principle of unity of command; (3) training problems of the accreditation model, with 2 subcodes: absence of proper training and incoordination of training and evaluation; (4) human resources problems, with 3 subcodes: no profit for nonphysician personnel, heavy workload of the personnel, and physicians’ nonparticipation; (5) evaluation problems, with 4 subcodes: no precise and comprehensive evaluation, inconformity of authorities’ perspectives on evaluation, considerable change in evaluation criteria, and excessive reliance on certificates. Conclusions This study provided useful data on the challenges of implementing hospitals’ accreditation, which can be used by health policymakers to revise and modify accreditation procedures in Iran and other countries with similar conditions. The accreditation model is comprehensive and has been implemented to improve the quality of services and patients’ safety. The basic philosophy of hospital accreditation did not fully comply with the underlying conditions of the hospitals. The hospital staff considered accreditation as the ultimate goal rather than a means for achieving quality of service. The Ministry of Health and Medical Education performed accreditation hastily for all Iranian hospitals, while the hospitals were not prepared and equipped to implement the accreditation model.

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The impact of Saudi hospital accreditation on quality of care: a mixed methods study

Cited by 39 publications

References 33 publications

Inspecting teams’ and organisations’ expectations regarding external inspections in health care: a qualitative study

Inspecting teams’ and organisations’ expectations regarding external inspections in health care: a qualitative study

Simulation in Saudi Healthcare: An Empirical Study Revealing the Current Status and Future Prospects

Challenges of implementing the accreditation model in military and university hospitals in Iran: a qualitative study

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