oalib
Search Results: 1 - 10 of 100 matches for " "
All listed articles are free for downloading (OA Articles)
Page 1 /100
Display every page Item
The Impact of Accreditation on Patient Safety and Quality of Care as Perceived by Nursing Staff in a University Hospital in Saudi Arabia
B. Al Awa,A. Al Mazrooa,H.S. Habib,O. Rayes,K. Al Noury,T. Elhati,B. El Deek,I. Devreux
Research Journal of Medical Sciences , 2012, DOI: 10.3923/rjmsci.2010.319.323
Abstract: Accreditation is an internationally recognized evaluation process used to assess, promote and guarantee efficient and effective quality of patient care and patient safety. This study provides valuable information as to the impact of accreditation in a unique multicultural, multi-language competitive environment at King Abdul-Aziz University Hospital in Saudi Arabia. To achieve an unbiased assessment of the impact of accreditation on quality of patient care and patient safety as perceived by nursing staff. A cross-sectional surveys were conducted pre and post accreditation. A total of 870 registered nurses of 8 different cultural backgrounds from 22 hospital units participated in an electronic accessed surveys. A 5 point Likert scale was used. For comparison, the pre and post-survey results were statistically analyzed using the McNemar test for testing the significance. A total of 721 nurses answered the survey questionnaire, 675 met the survey criteria. The comparison of percentages of those who answered agree and strongly agree pre and post-accreditation items showed post-accreditation improved perception on the quality of patient care and patient safety and promoted good safety practices. Accreditation has an overall statistically highly significant perceived improvement on quality of patient care and patient safety (p<0.001).
Comparison of Patient Safety and Quality of Care Indicators Between Pre and Post Accreditation Periods in King Abdulaziz University Hospital
B. Al Awa,A. Jacquery,A. Almazrooa,H. Habib,K. Al-Noury,B. El Deek,T. El Hati,I. Devreux
Research Journal of Medical Sciences , 2012, DOI: 10.3923/rjmsci.2011.61.66
Abstract: Accreditation is an internationally recognized evaluation process used to assess, promote and guarantee efficient and effective quality of patient care and patient safety. This study provides valuable information as to the impact of accreditation in a unique multicultural, multi-language competitive environment at King Abdul-Aziz University Hospital in Saudi Arabia. To achieve an unbiased assessment of the impact of accreditation on quality of patient care and patient safety as perceived by nursing staff. A cross-sectional surveys were conducted pre and post accreditation. A total of 870 registered nurses of 8 different cultural backgrounds from 22 hospital units participated in an electronic accessed surveys. A five point Likert scale was used. For comparison, the pre and post-survey results were statistically analyzed using the McNemar test for testing the significance. A total of 721 nurses answered the survey questionnaire, 675 met the survey criteria. The comparison of percentages of those who answered Agree and Strongly agree pre and post-accreditation items showed post-accreditation improved perception on the quality of patient care and patient safety and promoted good safety practices. Accreditation has an overall statistically highly significant perceived improvement on quality of patient care and patient safety (p<0.001).
The Impact of Accreditation on Patient Safety and Quality of Care Indicators at King Abdulaziz University Hospital in Saudi Arabia
B. Al Awa,A. De Wever,A. Almazrooa,H. Habib,K. Al-Noury,B. El Deek,T. El Hati,I. Devreux
Research Journal of Medical Sciences , 2012, DOI: 10.3923/rjmsci.2011.43.51
Abstract: This study aimed to determine if the accreditation process has a positive impact on patient safety and quality of care. A 4 year retrospective and prospective study design was used. A total of 119 performance indicators were collected through various processes and were lately transformed into 81 patient safety and quality indicators. The numbers and rates of hospital mortality, Healthcare-Associated Infections (HAI), medication errors, cardiopulmonary resucutation codes, surgeries and invasive procedures, blood transfusion reaction and adverse events were the main outcome measures. The following areas had the corresponding number of indicators that were found to be sensitive to Canadian accreditation and that significantly improved post-accreditation: Four indicators of perioperative mortality and rates of neonatal mortality per 100 NICU admissions (p≤0.05). Healthcare-associated Infections: sixteen out of twenty-six measured indicators (p≤0.05). Blood utilization: one out of two measured indicators, i.e., total number of blood transfusion reactions (p≤0.05). Surgeries and invasive procedure: two out of seven measured indicators, i.e., total number of unplanned returns to surgery within 48 h and rate of unplanned returns to surgery per 100 operations (p≤0.05). Two out of eight measured indicators, i.e., total number of patients who survived after the first CPR and rate of survival after first CPR per 100 coded patients (p≤0.05). Two out of eighteen measured indicators, i.e., rate of pressure ulcers per 1000 admissions and total number of the occurrence variance reports (p≤0.05). Accreditation has a positive impact on patient safety and quality of care indicators.
The Impact of Hospital Accreditation System: Perspective of Organizational Learning  [PDF]
Yu H. Yan, Chih M. Kung
Health (Health) , 2015, DOI: 10.4236/health.2015.79123
Abstract: Objectives: Organizational learning is used to being a very important topic about hospital management and even is identified as the source of a hospital’s competitive strength. The study tries to explore the correlation between organizational learning and hospital accreditation awareness from the medical institution operation management’s point of view. Methods: We designed the questionnaire based on the cross-section survey, which included a total of 498 hospitals through-out Taiwan as the subjects (1922 copies of questionnaire were distributed, 4 copies per hospital). As a result, 306 returned the questionnaire (995 copies of valid questionnaire), a valid response rate was 49.94%. Then, we conducted the multiple regression analysis. Results: The factors critical to the operations management accreditation awareness include age, hospital ownership, hospital lever and team learning (p < 0.001). The factors critical to the medical care accreditation awareness include age, education level and team learning (p < 0.001). The team learning will produce positive effect to the hospital accreditation awareness. Conclusions: The organizational continuous learning may enhance the team learning through hospital accreditation operations to ensure that the medical treatment system may provide safe, valid and reliable healthcare and found the hospitals’ competitive strength.
Nursing in the hospital accreditation process: practice and implications in the work quotidian
Manzo, Bruna Figueiredo;Ribeiro, Helen Cristiny Teodoro Couto;Brito, Maria José Menezes;Alves, Marília;
Revista Latino-Americana de Enfermagem , 2012, DOI: 10.1590/S0104-11692012000100020
Abstract: the aim of this study was to investigate the role and influence of nursing in the hospital accreditation process. it is a qualitative study, conducted in a private hospital of belo horizonte. the study subjects were nine nurses and 15 nursing technicians. data collection was through semi-structured interviews, which were subjected to content analysis. the results showed that the role of the nursing team in the accreditation involves care, administrative, educational and research issues. the study subjects presented different perceptions regarding the influence of the accreditation process in their work. the positive aspects of personal growth and valorization of the curriculum were highlighted as well as negative aspects such as stress and little professional valorization. therefore, it is necessary that the professionals understand the logic of the process and act with a view to the interdisciplinarity and overcoming the fragmentation of care, thus achieving integral healthcare and the quality of care desired.
Excellence and equity in eye care
Nick Astbury
Community Eye Health Journal , 2009,
Abstract: The theme of the 8th General Assembly was ‘Excellence and equity in eye care’ - superlative sound bites perhaps, but when those words are considered in the context of VISION 2020, they take on a meaning that should define all our efforts to combat avoidable blindness.
Main criteria for models of excellence in health care  [PDF]
Teki? Jasmina,Majstorovi? Vidosav D.,Markovi? Dejan,Nikodijevi? Angelina
Stomatolo?ki Glasnik Srbije , 2011, DOI: 10.2298/sgs1103147t
Abstract: Business excellence models have a long history of development of sixty years. Today, the business excellence model can be essentially classified as world’s most famous models/awards for excellence (Japanese, American and European), the most popular national models of excellence (the Australian, British, German, French), as well as models of excellence companies (Siemens, Philips, Toyota). In the world today there are about 120 models of excellence. The best way to improve quality of health organizations that have systems of quality management is by application of the concept of total quality (TQM). This approach ensures the improvement of overall performance of health organizations, primarily the internal organization including management, resources, processes and human resources, health services and performance of business results. The market requires high quality products and services to improve the quality of life, or TQM excellence models in all areas of social subjects operations. It is a process that never ends, and knowing the nature of man who was never satisfied with achieved, that is main driving force for social development. We are witnesses today that some countries are introducing awards to organizations which succeeded in implementation of TQM and models of excellence for quality achievement. The development of a model of business excellence (BE) for dental health care is the main subject of the current study. The aim of this study is to present and analyze the existing criteria for product excellence and based on that, to define criteria for models of excellence for dental health care in Serbia.
Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology
Cornelia Sack, Peter Lütkes, Wolfram Günther, Raimund Erbel, Karl-Heinz J?ckel, Gerald J Holtmann
BMC Health Services Research , 2010, DOI: 10.1186/1472-6963-10-120
Abstract: Consecutive patients discharged from 25 cardiology units received a validated patient satisfaction questionnaire. Data from 3,037 patients (response rate > 55%) became available for analysis. Recommendation rate was used as primary endpoint. Different control variables such as staffing level were considered.The 15 accredited units did not differ significantly from the 10 non-accredited units regarding main hospital (i.e. staffing levels, no. of beds) and patient (age, gender) characteristics. The primary endpoint "recommendation rate of a given hospital" for accredited hospitals (65.6%, 95% Confidence Interval (CI) 63.4 - 67.8%) and hospitals without accreditation (65.8%, 95% CI 63.1 - 68.5%) was not significantly different.Our results support the notion that - at least in the field of cardiology - successful accreditation is not linked with measurable better quality of care as perceived by the patient and reflected by the recommendation rate of a given institution. Hospital accreditation may represent a step towards quality management, but does not seem to improve overall patient satisfaction.A key parameter that is believed to measure quality of care in a hospital setting is patient satisfaction [1-3]. Patient satisfaction is as equally important as traditional outcome parameters such as mortality or functional status. As a result health care organizations perceive patient satisfaction as an important factor that plays a pivotal role in a competitive health care market.Patient satisfaction can be measured utilizing standardized questionnaires or interviews [4]. While there are published data comparing patient satisfaction of different health care providers, doctors and hospital managers operating in a competitive market are constantly pressured to implement changes to improve patient satisfaction. A number of factors are believed to influence patient satisfaction including staffing levels, infrastructure, or discharge information [5-7], which are also important to
Performance Evaluation of Sadoghi Hospital Based on EFQM Organizational Excellence Model
M Younesi far,A Shahin,A Sanayeei
Journal of Shahid Sadoughi University of Medical Sciences , 2013,
Abstract: Introduction: Realm of health care that organizations have faced in recent years has been described with high level of dynamism and development. To survive in such conditions, performance evaluation can have an effective role in satisfying proper quality for services. This study aimed to evaluate the performance of Shahid Sadoghi Yazd hospital through EFQM approach. Methods: This was a descriptive cross-sectional study. Data collection instrument was EFQM organization Excellence Model questionnaire which was completed by all the managers. The research data was gathered from a sample of 302 patients, staff, personnel and medical staff working in different parts of the hospital. Random stratified samples were selected and descriptive statistics were utilized in order to analyze the data. Results: The results revealed that Shahid Sadoughi hospital acquired 185.41 points out of the total 500 points considered in the model EFQM. In other words, the rating reflects the fact that regarding the defined desired position, the hospital has not achieved the desired rating. Conclusion: Since the hospital performance is posited in a low-middle class, much more attention is required in regard to therapeutic management in this hospital. Therefore, codifying an efficient and effective program to improve the hospital performance is necessary. Furthermore, it seems that EFQM model can be considered as a comprehensive model for performance evaluation in hospitals.
Using Baldrige Performance Excellence Program Approaches in the Pursuit of Radiation Oncology Quality Care, Patient Satisfaction, and Workforce Commitment  [PDF]
Edward S. Sternick
Frontiers in Oncology , 2011, DOI: 10.3389/fonc.2011.00009
Abstract: The Malcolm Baldrige National Quality Improvement Act was signed into law in 1987 to advance US business competitiveness and economic growth. Administered by the National Institute of Standards and Technology, the Act created the Baldrige National Quality Program, recently renamed the Baldrige Performance Excellence Program. The comprehensive analytical approaches referred to as the Baldrige Healthcare Criteria, are very well-suited for the evaluation and sustainable improvement of radiation oncology management and operations. A multidisciplinary self-assessment approach is used for radiotherapy program evaluation and development in order to generate a fact-based, knowledge-driven system for improving quality of care, increasing patient satisfaction, enhancing leadership effectiveness, building employee engagement, and boosting organizational innovation. This methodology also provides a valuable framework for benchmarking an individual radiation oncology practice’s operations and results against guidelines defined by accreditation and professional organizations and regulatory agencies.
Page 1 /100
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.