Singh Vikram, Singh Arvind Kumar, Kulshrestha Manish Raj, Singh Dimpi, Khan Adeeba, Singh Mridu
Additional Professor, Department of General Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Additional Professor, Department of Community Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Indian J Public Health. 2024 Oct 1;68(4):502-506. doi: 10.4103/ijph.ijph_1262_23. Epub 2024 Dec 13.
The National Quality Assurance Standards (NQAS) have been developed keeping in specific requirements for public health facilities as well global best practices. Standards are primarily meant for providers to assess their quality for improvement through predefined standards and to bring up their facilities for certification.
To study the effect of National Accreditation Board for Hospitals (NABH)-recommended training on patient care standards based on NQAS guidelines.
The research was conducted at a tertiary-level teaching institute and medical care center in North India. The institute has multiple blocks, few have undergone training for NABH standards, and few have not due to administrative reasons. Only the NABH-trained blocks underwent accreditation process through NABH and provided an opportunity to study whether there is a difference in patient care standards between NABH-trained staff and nontrained staff. It was a checklist-based observational study.
The evaluation covered seven key areas in intensive care unit (ICU) and wards in both NABH-trained and nontrained hospital blocks: patient rights, inputs, support services, clinical services, infection control, quality management, and outcome. The compliance percentage of ICU and wards was measured for NABH-trained and nontrained hospital blocks. NABH-trained blocks in both areas showed better compliance adhering to standards as compared to nontrained blocks for all seven key areas.
The study findings indicate that NABH-recommended training showed positive impact on patient care standards as per the NQAS guidelines. The NABH-trained hospital block exhibited superior compliance with various domains including patient rights, inputs, support services, clinical services, infection control, and quality management.
国家质量保证标准（NQAS）的制定既考虑了公共卫生设施的特定要求，也参照了全球最佳实践。这些标准主要用于供医疗机构通过预定义标准评估自身质量以进行改进，并推动其设施获得认证。
基于NQAS指南，研究医院评审委员会（NABH）推荐的培训对患者护理标准的影响。
该研究在印度北部的一所三级教学机构和医疗中心开展。该机构有多个区域，部分区域接受了NABH标准培训，部分区域因行政原因未接受培训。只有接受NABH培训的区域通过NABH进行了评审，并提供了一个研究接受NABH培训的员工和未接受培训的员工在患者护理标准上是否存在差异的机会。这是一项基于检查表的观察性研究。
评估涵盖了接受NABH培训和未接受培训的医院区域的重症监护病房（ICU）和病房的七个关键领域：患者权利、投入、支持服务、临床服务、感染控制、质量管理和结果。测量了接受NABH培训和未接受培训的医院区域ICU和病房的合规百分比。在所有七个关键领域，接受NABH培训的区域在这两个方面的标准遵守情况均优于未接受培训的区域。
研究结果表明，根据NQAS指南，NABH推荐的培训对患者护理标准产生了积极影响。接受NABH培训的医院区域在包括患者权利、投入、支持服务、临床服务、感染控制和质量管理等各个领域表现出更高的合规性。
