Ghaffarian Ali, Cheraghi Azam, Ferdosi Masoud
Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Hospitals Supervision and Accreditation, Vice-Chancellery for Clinical Affairs, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Public Health. 2024 Sep;53(9):2006-2019. doi: 10.18502/ijph.v53i9.16454.
One of the upcoming challenges in hospital accreditation is using the same and similar standards for all types of hospitals in size and type of activity. We aimed to identify the accreditation modules for all types of hospitals in size (small hospitals) and type of activity (special hospitals).
This research was conducted as a scoping review from Mar to May 2023. "Arsky and O'Malley" six-step protocol was used to conduct this study. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" (PRISMA) was used to identify, evaluate, and select research articles. The "framework analysis" method was used to analyze the data.
Of 14 articles, 64% have been published in peer-reviewed scientific journals. Moreover, 36% of them were accreditation organizations' standards at the national level. The accreditation modules of small hospitals are Responsibilities of Management, Care of Patients, Management of Medication, Patient Safety, Infection Control, Continuous Quality Improvement, Patient Rights and Education, Blood and Blood Products, and Partnering with Consumers. The accreditation modules of special hospitals are Governing Body and Administration, Clinical Management, Prevention and Health, Care and Treatment, Diagnostic Services, Patient Rights, and Quality Improvement.
Identifying the main modules of accreditation for small and special hospitals can help policymakers and hospital managers improve the quality and safety of their hospitals by using appropriate standards and help improve the services provided to patients and increase their satisfaction.
医院评审即将面临的挑战之一是,对规模和业务类型各异的所有医院采用相同及类似的标准。我们旨在确定规模较小的医院(小型医院)和业务类型特殊的医院(专科医院)的评审模块。
本研究于2023年3月至5月进行,采用“阿斯凯和奥马利”六步协议开展此项研究。采用“系统评价和荟萃分析的首选报告项目”(PRISMA)来识别、评估和选择研究文章。运用“框架分析”方法进行数据分析。
在14篇文章中,64%发表于同行评审的科学期刊。此外,其中36%为国家级评审组织的标准。小型医院的评审模块包括管理职责、患者护理、药物管理、患者安全、感染控制、持续质量改进、患者权利与教育、血液及血液制品以及与消费者合作。专科医院的评审模块包括治理机构与行政管理、临床管理、预防与健康、护理与治疗、诊断服务、患者权利以及质量改进。
确定小型医院和专科医院的主要评审模块有助于政策制定者和医院管理者通过采用适当标准来提高医院的质量和安全性,并有助于改善为患者提供的服务并提高患者满意度。