Impact of hospital accreditation on patients' safety and quality indicators

Ecole de Santé Publique <p>Université Libre de Bruxelles <p>Academic Year 2010-2011<p><p>Al-Awa, Bahjat<p><p>Impact of Hospital Accreditation on Patients' Safety and Quality Indicators<p><p>Dissertation Summary <p><p>I.\Doctorat en Sciencesinfo:eu-repo/semantics/nonPublishe

An overview of patient safety and accreditation: A literature review study

Patient safety is one of the most important points to consider in healthcare. As such, various programs are entered by healthcare institutions to monitor their services including patient safety procedures. One of these programs is accreditation. 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 will provide valuable information regarding the impact and limitations of the accreditation process found by other researchers as well as the experience of King Abdul-Aziz University Hospital in Saudi Arabia. The 28 out of 81 (34.57%) patient safely indicators significantly improved during accreditation process at King Abdulaziz University Hospital. Survey results show that the overall average of relative improvement percent is 34.43%. Both results are similar to other findings. The accreditation process as experienced by King Abdulaziz University Hospital has significantly improved 1/3 of patient safety indicators and perception of nursing staffs is correlated with statistical findings. Those findings are supported by international literature. © Medwell Journals, 2011.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Measurement of rehabilitation services staffs' job satisfaction using the Effort Reward Imbalance Model in Saudi Arabia

To evaluate the level of work satisfaction of staff working in rehabilitation services based on the Effort-Reward Imbalance Model. A cross-sectional study among rehabilitation services staff working in 10 healthcare facilities in Jeddah. Total of 166 therapists and assistants working in the departments of physical, occupational and respiratory therapy are recruited from 10 healthcare facilities of the Jeddah area. The effort-reward imbalance and staff job satisfaction were measured using self-administered survey questionnaires. A comparatively higher effort reward imbalance ratio and low satisfaction in work is seen for foreign nationals, respiratory therapists and night schedule workers. The age, higher educational levels of the therapists and adult, geriatric and inpatients' caseloads are also positively associated with a high effort reward imbalance ratio. Job satisfaction of rehabilitation services staff based on the Effort Reward Imbalance Model is significantly correlated to the variables of age, nationality, rehabilitation specialty, work schedule and the type of patients treated which reflects an increased work stress for these professional categories. Workload, professional growth and financial benefits are essential determinants of job satisfaction of rehabilitation services staff. © Medwell Journals, 2012.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Determinants of rehabilitation services staffs' job satisfaction (by Effort Reward Imbalance) and variations in teaching, profit making and non profit hospitals

To evaluate the level of work satisfaction based on the Effort-Reward Imbalance Model of staff working in rehabilitation services of different categories (in teaching, profit making and non-profit making hospitals). Participants were 166 therapists and assistants working in the Departments of Physical, Occupational and Respiratory Therapy from 10 hospital centers classified per three different categories in the Jeddah area. Effort-Reward Imbalance and staff satisfaction with intrinsic and extrinsic variables were measured by a self-administered questionnaire. There is a significant difference of level of job satisfaction measured by effort and reward imbalance between the therapists and assistant therapists working in the teaching, private or non-profit making health care facilities. In comparison by hospital type, the surveyed rehabilitation staffs presented a higher mean effort-reward imbalance in the teaching hospitals but higher job satisfaction with their salary, their perception of salary comparatively to others, yearly performance appraisal grading and affective commitment. In the rehabilitation services of non-profit making hospitals, the surveyed therapists and assistant therapists had the lowest mean Effort-Reward Imbalance ratio explained by their satisfaction with the variables of patient/staff ratio and emotional attachment to the organization. In the profit making healthcare facilities, the surveyed staffs are comparatively more satisfied with the variables of doctors' respect, involvement in quality improvement or educational lectures and transportation to/from work. Rehabilitation services staffs working in teaching hospitals and profit making hospitals had in general a higher effort-reward imbalance ratio with work stress and low satisfaction in work compared to the non-profit hospital facilities. Job satisfaction of rehabilitation staff varies per hospital type and mission of the health care facility. © Medwell Journals, 2012.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Benchmarking of patient satisfaction with rehabilitation services in various hospitals of Jeddah

Objective: To study patients' satisfaction in rehabilitation services and its relation to staff job satisfaction in public, private and teaching hospitals in Jeddah. Method: A cross sectional survey was used to measure patients' satisfaction with rehabilitation services in ten different hospitals in Jeddah (Kingdom of Saudi Arabia). A validated Monnin and Perneger's questionnaire with a 5-points Likert scale was utilized. At the same time, staff job satisfaction was measured by the Effort-Reward Imbalance model in the same health care facilities. Results: On 725 patients who responded to the survey, 80.6% were overall satisfied with the rehabilitation services they received. Patient satisfaction was significantly different (p= 0.001) between hospital types. In average, 88.5% of the patients of the teaching hospitals were satisfied with the rehabilitation services, compared to 77% of the patients in the public hospitals and 75.7% of the patients in the private hospitals. Moreover there was no statistically significant correlation between staff job satisfaction and patients' satisfaction. Conclusion: Patients' satisfaction with rehabilitation services was the highest in the teaching hospitals in comparison with the other types of health care facilities. Patients' satisfaction was however not significantly correlated with the staff job satisfactioninfo:eu-repo/semantics/publishe

Conceptualization of a patient safety management model as practical approach toward benchmarking and improving healthcare outcomes

Introduction: Patient safety is a major concern in the Kingdom of Saudi Arabia. Organizations and investigators are alike in searching for ways to improve delivery and safety of patient care. Many have reported that the existence of a patient safety and risk management system will have an effective impact on the overall patients' outcomes. Aims: To study the effectiveness of a patient safety model on patient safety indicators when implemented in a university hospital. Methods: A task force constituted by various patient safety experts was established to design a practical concept of patient safety management based on a nine steps model and applied by all hospital departments. Patient safety indicators (780) were monitored over a four years period and the model's effectiveness was analyzed on 40 selected indicators. Results: A statistical significant improvement by 67.5% (27/40) of initially measured patient safety indicators was evidenced mainly in the domains of peri-operative mortalities, neonatal mortality, return to surgeries, healthcare associated infections, safety and medication use, blood transfusion reactions, cardio pulmonary resuscitations, patient adverse events, and occurrence variance reporting. However, 12.5% (5/40) of the indicators of hospital standardized mortality and specific mortality were not improved by the model's implementation while others, 20% (8/40) of the patients safety indicators were maintained as their initial baselines were satisfactory. Conclusions: The implementation of a patient safety management model was found to be effective in improving patient safety practices (PSP) as well as patient safety indicators (PSIs) and finally patient outcomes.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Comparison of patient safety and quality of care indicators between pre and post accreditation periods in King Abdulaziz University Hospital

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). © Medwell Journals, 2011.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

The impact of accreditation on patient safety and quality of care indicators at King Abdulaziz University Hospital in Saudi Arabia

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 CPRper 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. © Medwell Journals, 2011.SCOPUS: ar.jinfo:eu-repo/semantics/publishe