[Home ] [Archive]   [ فارسی ]  
:: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 3, Issue 3 (Autumn 2017) ::
hbrj 2017, 3(3): 277-295 Back to browse issues page
The Impact of Accreditation on the Performance of Hospital Emergency Departments
Abolghasem Pourreza , Ali Mohammad Mosadeghrad , Parsa Zoleikani
Abstract:   (808 Views)

The Impact of Accreditation on the Performance of Hospital Emergency Departments
 
Pourreza Abolghasem1, Mosadeghrad Ali Mohammad2, Zoleikani Parsa3*
 

1. Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

2. Associate Professor, Department of Health Management and Economics, School of Public Health, Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
3. MSc, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
*Correspondence: School of Public Health, Tehran University of Medical Sciences, Enghelab Square, Tehran, Iran
Tel: 00982142933006                                               Email: parsa_zoleikani@yahoo.com

Abstract:

Background & Objectives: Accreditation, as a formal external evaluation system, has a critical role in improving quality, safety and effectiveness of hospital services.  The aim of this study was to evaluate the effects of accreditation standards on the performance of Accident and Emergency (A&E) departments of hospitals in Sari, Iran.
Methods: This cross-sectional descriptive - analytic study was carried out in eight hospitals in Sari, Iran. Information related to the accreditation scores and five performance indicators of A&E departments (i.e., average triage time, percentage of cardiopulmonary resuscitation failure, percentage of patients who were decided upon within 6 hours, percentage of patients sent out of the A&E department within 12 hours and percentage of patients left A&E department against the medical advice) in (March 2013 and March 2014) and (March 2014 and March 20115) were gathered form hospitals and accreditation office of Mazandaran University of Medical Sciences. Data were analyzed through SPSS (V.22) software and using descriptive and inferential statistics.
Results: The mean scores of accreditation of A&E departments in 2013 and 2014 were 76% and 62.2% respectively. The differences between performance indicators of A&E departments in 2013 and 2014 were not statistically meaningful. There was no significant relationship between accreditation and the performance of A&E departments of hospitals.
Conclusion: Accreditation did not improve A& E performance in Sari hospitals. Hence, there is a pressing need for improving hospital accreditation system including standards, methods and surveyors. Besides, hospital managers should use internal quality management systems to complement and strengthen the impact of external accreditation system in improving key performance indicators of hospitals.
 
Key­words: Standard, Accreditation, Accident and emergency department, Key performance indicators, Hospital
 
­Citation: Pourreza A, Mosadeghrad AM, Zoleikani P. The Impact of Accreditation on the Performance of Hospital Emergency Departments. Journal of Health Based Research 2017; 3(3): 277-295.

Keywords: Standard, Accreditation, Accident and emergency department, Key performance indicators, Hospital
Full-Text [PDF 892 kb]   (516 Downloads)    
Type of Study: Research | Subject: Special
Add your comments about this article
Your username or Email:

CAPTCHA code


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pourreza A, Mosadeghrad A M, Zoleikani P. The Impact of Accreditation on the Performance of Hospital Emergency Departments. hbrj. 2017; 3 (3) :277-295
URL: http://hbrj.kmu.ac.ir/article-1-192-en.html


Volume 3, Issue 3 (Autumn 2017) Back to browse issues page
نشریه پژوهش های سلامت محور Journal of Health Based Research
Persian site map - English site map - Created in 0.06 seconds with 31 queries by YEKTAWEB 3742