Defining Emergency Department Necessary Policies Based on Clinical Governance Accreditation Scores
Iranian Journal of Emergency Medicine,
Vol. 2 No. 2 (2015),
23 May 2015
,
Page 70-75
https://doi.org/10.22037/ijem.v2i2.8940
Abstract
Introduction: The role of accreditation scheme in quality improvement of emergency departments (ED) has not been thoroughly evaluated in studies. Therefore, this study was designed to appraise the effects of policies defined based on clinical governance accreditation scores, on improvement of the procedures in ED. Methods: The present cohort study was carried out in the ED of Alzahra University Hospital, Isfahan, Iran in 2012-2013. In 2012 the deficiencies in ED of this hospital was determined based on clinical governance indicators. Then the deficiencies were classified based on their importance and changes were made in the ED. Finally, the effects of the changes were evaluated in August 2013. Results: The evaluation made in 2012 showed that 23 clinical and non-clinical procedures were carried out with deficiencies. Over the mentioned period, 6 (26.1%) procedures were not done at all, while 17 (73.9%) were done without a policy and irregularly. The overall score for clinical and non-clinical procedures in the ED before carrying out the accreditation scheme was 43 / 230 (18.7% of the maximum possible score). The score was raised to 222 equal to 96.5% of the maximum possible score after carrying out the scheme. This increase was statistically significant (p < 0.001). Conclusion: The findings of the present study showed that defining policies for improving the procedures carried out in ED based on accreditation scheme leads to improvement of medical services in ED.- خدمات اورژانس؛ بیمارستان؛ بهبود کیفی؛ کیفیت خدمات بهداشتی-درمانی
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References
Benor DE. Faculty development, teacher training and teacher accreditation in medical education: twenty years from now. Med Teach. 2000;22(5):503-12.
Joint Commission International aJCoAoHO. Joint Commission International Accreditation Standards for Hospitals. New York: Joint Commission Resources; 2010. p. 17.
Hashemi B, Baratloo A, Rahmati F, et al. Emergency Department Performance Indexes Before and After Establishment of Emergency Medicine. Emergency. 2013;1(1):20-3.
Baratloo A, Rahmati F, Forouzanfar MM, Hashemi B, Motamedi M, Safari S. Evaluation of Performance Indexes of Emergency Department. Iran J Emerg Med. 2015;2(1):2-10. [Persian].
Donahue KT, Vanostenberg P. Joint Commission International accreditation: relationship to four models of evaluation. Int J Qual Health Care. 2000;12(3):243-6.
Day SW, McKeon LM, Garcia J, et al. Use of joint commission international standards to evaluate and improve pediatric oncology nursing care in Guatemala. Pediatr Blood Cancer. 2013;60(5):810-5.
Rahmati F, Shahrami A, Baratloo A, et al. Failure Mode and Effect Analysis in Increasing the Revenue of Emergency Department. Iran J Emerg Med. 2015;2(1):20-7. [Persian].
Hashemi B, Motamedi M, Etemad M, Rahmati F, Forouzanfar MM, Kaghazchi F. An Audit of Emergency Department Accreditation Based on Joint Commission International Standards (JCI). Emergency. 2014;2(3):130-3.
Shahrami A, Rahmati F, Kariman H, et al. Utilization of Failure Mode and Effects Analysis (FMEA) Method in Increasing the Revenue of Emergency Department; a Prospective Cohort Study. Emergency. 2013;1(1):1-6.
Jaafaripooyan E, Agrizzi D, Akbari-Haghighi F. Healthcare accreditation systems: further perspectives on performance measures. Int J Qual Health Care. 2011;23(6):645-56.
Hatamabadi H, Alimohammadi H. Reasons for long-stay admission in a typical overcrowded emergency of a teaching hospital in Tehran capital city. Pajoohandeh J. 2008;13(1):71-5. [Persian].
Kariman H, Joorabian J, Shahrami A, Alimohammadi H, Noori Z, Safari S. Accuracy of emergency severity index of triage in Imam Hossein hospital-Tehran, Iran (2011). J Gorgan University Med Sci. 2013;15(1):115-20. [Persian].
Karimi S, Gholipour K, Kordi A, Bahmanziari N, Shokri A. Impact Of Hospitals Accreditation On Service Delivery From The Perspective Views Of Experts: A Qualitative Study. Payavard Salamat. 2013;7(4):337-53. [Persian].
Saadati M, Yarifard K, Azami-Agdash S, Tabrizi JS. Challenges and Potential Drivers of Accreditation in the Iranian Hospitals. Int J Hospital Res. 2015;4(1):1-7.
El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. Int J Qual Health Care. 2008;20(5):363-71.
Greenfield D, Pawsey M, Hinchcliff R, Moldovan M, Braithwaite J. The standard of healthcare accreditation standards: a review of empirical research underpinning their development and impact. BMC Health Serv Res. 2012;12(1):329-37.
Shaw C, Groene O, Mora N, Sunol R. Accreditation and ISO certification: do they explain differences in quality management in European hospitals? Int J Qual Health Care. 2010;22(6):445-51.
Tabibi S, Maleki M, Movahednia S, Gohari M. Relationship between Hospitals Ownership and Performance Assessment Score of Emergency Departments in the Hospitals Affiliated to Iran University of Medical Sciences 2007. Journal of Health Administration. 2009;12(36):25-32. [Persian].
mohammad karim Bahadori hr, shahram tofighi,ramin ravangard. Accreditation of hospitals covered by performance indicators in Lorestan University of Medical Sciences Hospital (Rio J). 2008;7(1):11-5.
Lynch BP. Accreditation in North America, A unique Quality Assurance Program. Quality Assurance in LIS Education: Springer; 2015. p. 187-96.
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