Cited by 425Healthcare Quality and ManagementPrimary Care and Health OutcomesPatient Satisfaction in Healthcare

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Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature

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Alkhenizan, Abdullah, Shaw, Charles·2011·Annals of Saudi Medicine

DOI 10.4103/0256-4947.83204PMC PMC3156520

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Abstract

BACKGROUND AND OBJECTIVE: Accreditation is usually a voluntary program in which trained external peer reviewers evaluate a healthcare organization's compliance and compare it with pre-established performance standards. The aim of this study was to evaluate the impact of accreditation programs on the quality of healthcare services METHODS: We did a systematic review of the literature to evaluate the impact of accreditation programs on the quality of healthcare services. Several databases were systematically searched, including Medline, Embase, Healthstar, and Cinhal. RESULTS: Twenty-six studies evaluating the impact of accreditation were identified. The majority of the studies showed general accreditation for acute myocardial infarction (AMI), trauma, ambulatory surgical care, infection control and pain management; and subspecialty accreditation programs to significantly improve the process of care provided by healthcare services by improving the structure and organization of healthcare facilities. Several studies showed that general accreditation programs significantly improve clinical outcomes and the quality of care of these clinical conditions and showed a significant positive impact of subspecialty accreditation programs in improving clinical outcomes in different subspecialties, including sleep medicine, chest pain management and trauma management. CONCLUSIONS: There is consistent evidence that shows that accreditation programs improve the process of care provided by healthcare services. There is considerable evidence to show that accreditation programs improve clinical outcomes of a wide spectrum of clinical conditions. Accreditation programs should be supported as a tool to improve the quality of healthcare services.

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Evaluation of corporate experiences during the accreditation process in the field of health – A qualitative study
Palteki, T., Havle, N., Kavak, D., Öksüz, A., Arslan, A. İ., Salar, E., Purkuloglu, E., Ozcan, G., Aydemir, N., Palancioglu, O., et al. (2024) · İstanbul Kuzey Klinikleri · doi:10.14744/nci.2023.28482
“In the study conducted by Alkhenizan and Shaw [2] it was stated that the heavy work load and work stress felt by the hospital staff due to the accreditation may affect their work performances.”
La certification (accréditation) est-elle le Graal de la recherche de la qualité (et de la sécurité du patient) ?
(2024) · Risques & qualité en milieu de soins · doi:10.3917/rqms.302.0123
Factors Affecting the Success of the National Tuberculosis Control Program in Hospitals in Indonesia Based on the National Hospital Accreditation Standards (SNARS): A Scoping Review
Saputro, F. B. J., Agushybana, F., & Jati, S. P. (2024) · Contagion Scientific Periodical Journal of Public Health and Coastal Health · doi:10.30829/contagion.v6i1.19711 · Cited by 3
“Accreditation programs help ensure that hospitals meet certain standards and provide safe and effective care and accredited hospitals can provide higher quality care and better patient safety (Alkhenizan et al., 2011; Lee et al., 2021).”
Background
Accreditation as an approach for quality assurance: Is it useful in improving quality of care in pediatric nursing?
Al-Motlaq, M., & Foster, M. (2024) · Journal of pediatric nursing · doi:10.1016/j.pedn.2024.01.008
A protocol to study the impact of implementation of National Accreditation Board for Hospitals & Healthcare Providers (NABH) standards among health care workers in a tertiary care hospital in India
Kanyal, D., & Ghewade, B. (2023) · F1000Research · doi:10.12688/f1000research.141807.1
Older age, kidney concordant diseases and the dilemma of adherence to guidelines: A narrative review
Alsalemi, N., Lafrance, J., & Sadowski, C. A. (2023) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2023.04.115 · Cited by 1
The modern paradigm for the development of the system of management of the quality and safety of medical activities (literature review)
Kuchin, N. E., & Tyukov, Y. A. (2022) · Health Care of the Russian Federation · doi:10.47470/0044-197x-2022-66-4-329-335
Resilient Health Systems: References
(2022) · Resilient Health Systems · doi:10.1108/978-1-80262-273-720221009
The effect of Pilates exercise plus CDT on heaviness, and cardiorespiratory fitness complications in women with breast cancer treatment related lymphedema:Aclinical randomized trial
Hesari, R. M., Jadidi, R. P., Mobarakeh, Z. S., & Alamdari, K. A. (2021) · Health Monitor Journal of the Iranian Institute for Health Sciences Research · doi:10.52547/payesh.20.6.731 · Cited by 1
Providing A Technical Solution to Improve Nurses' Performance in Drug Delivery : A qualitative study
Kiani, F., Shahsavani, A., & Barahoui, Z. (2021) · Asia Pacific Journal of Health Management · doi:10.24083/apjhm.v16i2.725
A STUDY TO ASSESS THE SATISFACTION REGARDING NURSING DUTIES AND THEIR IMPACT ON PATIENT CARE AMONGST PATIENTS OF SELECTED NABH ACCREDITED AND NON NABH ACCREDITED HOSPITALS OF INDORE CITY
Singh, K., Bhattacharjee, T., & Chhabra, A. (2021) · Indian Journal Of Applied Research · doi:10.36106/ijar/7411038
Towards Universal Quality Health Care through an Independent Accreditation Agency: A Review
Borlongan, G. R., Zarsuelo, M.-A., Mendoza, M. A. F., Silva, M. E. C., & Estacio, L. R. (2020) · doi:10.47895/amp.v54i6.2620
Organizational Readiness of a Health System for Nurse Residency Program Accreditation.
Brennen, H. (2020) · Journal for Nurses in Professional Development · doi:10.1097/nnd.0000000000000692
“According to Alkhenizan and Shaw (2011), evidence illustrated accreditation in healthcare sectors improved care processes, clinical outcomes, and therefore should be supported as a tool to improve the quality of healthcare services.”
Background
La certification outil de promotion de la qualit en mdecine
Hostettler, S., Kraft, E., & Bosshard, C. (2020) · Bulletin des Médecins Suisses · doi:10.4414/bms.2020.19221
Unapređenje sigurnosti pacijenta u kliničkoj i laboratorijskoj praksi
Šegović, M., Džajić, A., & Petković, G. (2020) · Paediatria Croatica · doi:10.13112/pc.416
“Osim toga, akreditacijski programi zahtijevaju trajno unapređivanje usluga zdravstvene skrbi, čime se povećava sigurnost bolesnika te se poboljšavaju klinički ishodi svakog pojedinog pacijenta (29).”
Determining Core Components in Accreditation of Limited Surgery Facilities in Iran
Asgari, N., Hessam, S., Masoudiasl, I., & Vahdat, S. (2020) · Galen medical journal · doi:10.31661/gmj.v9i0.1729
“Similar results have been observed in other scientists’ reviews regarding the positive impact of accreditation on the improvement of service quality [19-24].”
Result
Empirical Study on Enhancing Medical Service Performance with Intellectual Capital through Process Capability
Hu, Y.-P., & Chiang, Y.-M. (2020) · doi:10.33642/ijbass.v6n4p7
“…service performance (MSP): Regarding the definition of MSP, many scholars have put forward multiple views in the past (He, 2014WHO, 2015; Varagunam et al., 2013; Huang & Jerng, 2014; Lee et al. (2010; Gebicki et al., 2014; Alkhenizan & Shaw, 2011; Hung & Jerng, 2014; Francis et al., 2016).”
Background
Alliance for Nursing Informatics Support and Advocacy of Consumer Health
Lopez, K. D., & Tiase, V. L. (2020) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000619
Components of a Metabolic and Bariatric Surgery Center
English, W. J., Williams, D. B., & Bolduc, A. (2019) · The ASMBS Textbook of Bariatric Surgery · doi:10.1007/978-3-030-27021-6_9
Accessibility of Primary Health Center (PHC) Building in Bandung for People with Disabilities
Hanum, A., Defi, I., & Dwipa, L. (2019) · IOP Conference Series: Earth and Environment · doi:10.1088/1755-1315/248/1/012026
Hospital Surveys by the Centers for Medicare and Medicaid Services: An Analysis of More Than 34,000 Deficiencies.
Antognini, J. (2019) · Journal of patient safety · doi:10.1097/pts.0000000000000588
“Nursing staff did not initiate resuscitation in a timely way 4149 (18)”
Background
Low and middle income countries look to CQC for guidance
Ana, J. (2018) · British medical journal · doi:10.1136/bmj.k4651
Quality in Dental Practice: A Review
Mehta, N., Wadhwa, A., & Chawla, N. (2018) · doi:10.26440/ihrj/02_02/163
“Interviews and questionnaires have been utilized as a common way of collecting information regarding quality of care delivered.(5) Despite the recognized need to adopt evidence based principles in the delivering oral health care, often this is of limited value due to insufficiencies or inconclusive nature.”
Method
Preparing your blood centre for accreditation
Wong, A., Yuen, Y., & Lee, C. (2018) · doi:10.1111/voxs.12413
A Study on the Evaluation of Environmental Quality required in the Accreditation Program for Mental Health Facilities - Focus on the Mental Institutions Assessment of KOIHA
Boon, H. (2016) · doi:10.15682/jkiha.2016.22.4.57
Akkreditáció az egészségügyben
Fügedi, G., Lám, J., & Belicza, É. (2016) · doi:10.1556/650.2015.30330
Organization of a hernia center: Our experience based on a multidisciplinary hospital. Criteria for the status of a «hernia center»
Yurii, A. V., Zakharova, D. K., Kopteev, N. R., Tishenko, D. A., Tevs, D. S., Yurii, E. Y., Orlov, B. B., & Kashchenko, V. (2024) · Endoscopic Surgery · doi:10.17116/endoskop20243004113
Quality Management
Ente, C., & Ukpe, M. (2022) · Essentials for Quality and Safety Improvement in Health Care · doi:10.1007/978-3-030-92482-9_6
Comparative Analysis of Joint Commission International and Healthcare Information and Management Systems - Electronic Medical Record Adoption Model Measurement Models using Text Mining
Cece, S., & Köse, I. (2022) · Sağlık ve Hemşirelik Yönetimi Dergisi · doi:10.54304/shyd.2022.37801
“Accreditation programs are used as a tool for countries to increase the quality of health services, improve clinical conditions and quality of care (Alkhenizan & Shaw, 2011).”
Method
Quality Assessment and Initiatives for Urologic Ultrasound Practices
Williams, T., Nethala, D., & Gilbert, B. (2020) · doi:10.1007/978-3-030-52309-1_19
Role of Simulation in Healthcare Quality Assurance
Guttman, O., Goff, K., & Watkins, S. (2019) · doi:10.1007/978-3-030-26849-7_7
Regulatory Requirements for Healthcare Globally
Godbole, P. (2019) · Hospital Transformation · doi:10.1007/978-3-030-15448-6_1
Components of a Metabolic and Bariatric Surgery Center
Mattar, S., & English, W. J. (2015) · Springer eBooks · doi:10.1007/978-1-4939-1206-3_9
Accreditation and Evaluation of Programs: The Canadian Perspective
Harris, K., Kennedy, M., & Taber, S. (2012) · doi:10.1007/978-3-642-27600-2_7

Authors: Alkhenizan, A., & Shaw, C.
Affiliations: King Faisal Specialist Hospital & Research Centre (SA)
European Society for Quality in Healthcare, Limerick, Ireland
Corresponding author: Alkhenizan, Abdullah
ORCID: Alkhenizan, Abdullah
Shaw, Charles
Venue: Annals of Saudi Medicine
Publisher: King Faisal Specialist Hospital and Research Centre
Published: 2011-07
Volume: 31
Issue: 4
Pages: 407-416
ISSN: 0256-4947 (ISSN-L)
0975-4466
DOI: 10.4103/0256-4947.83204
PMC: PMC3156520
OpenAlex: W2128099173
Cited by: 425
References: 34
Citations by year: 2026: 31 · 2025: 24 · 2024: 26 · 2023: 32 · 2022: 25 · 2021: 49 · 2020: 44 · 2019: 25 · 2018: 22 · 2017: 24 · 2016: 20 · 2015: 21 · 2014: 73 · 2013: 3 · 2012: 4
FWCI: 3.92
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: cc-by-nc-sa
Locations: Annals of Saudi Medicine (publishedVersion, cc-by-nc-sa)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
PubMed Central (publishedVersion, cc-by-nc-sa)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders: American College of Surgeons
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Keywords: healthcare accreditation, quality of healthcare services, clinical outcomes, process of care, acute myocardial infarction, trauma care, outpatient surgery, infection control, pain management, sleep medicine, chest pain management
MeSH terms: Accreditation, Delivery of Health Care, Humans, Peer Review, Quality of Health Care, Outcome Assessment, Health Care

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Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature

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