Kanyal Deepika, Ghewade Babaji
Department of Hospital Administration, Datta Meghe Institute of Medical Sciences, Wardha, India.
Front Health Serv. 2025 Aug 26;5:1654514. doi: 10.3389/frhs.2025.1654514. eCollection 2025.
The National Accreditation Board for Hospitals and Healthcare Providers (NABH.) accreditation process aims to elevate the quality of healthcare services through an impartial, external peer evaluation of an organization's performance. This study compares NABH. quality indicators in a tertiary care hospital before and after accreditation, assessing changes in patient care, hospital management, and staff performance.
A systematic review was conducted following PRISMA guidelines. Literature was searched across PubMed, Scopus, Google Scholar, and the Cochrane Library from August 2023 to January 2024. Keywords included "NABH. accreditation and hospital quality," "Accreditation in Indian hospitals and patient safety," and "Tertiary care hospital before and after accreditation." Boolean operators, synonyms, and related terms were used to ensure comprehensive retrieval. Independent reviewers screened studies, and risk of bias assessment was performed using the Cochrane Risk of Bias Tool.
The study highlights significant improvements in hospital quality indicators following NABH accreditation. Hospital-acquired infection rates decreased, with infection control compliance improving by 40%. Operational efficiency improved with a 20% reduction in discharge delays and a 15% increase in documentation accuracy. Patient satisfaction scores rose by 25%, and structured policies enhanced service quality by 30%. Additionally, 85% of hospital staff reported higher job satisfaction. Statistical analysis confirmed significant differences in compliance rates ( < 0.05) and patient care metrics ( < 0.01). Despite initial implementation challenges due to resource constraints, the study underscores the need for continuous monitoring and reinforcement of accreditation standards to sustain these improvements.
NABH accreditation improves patient safety, lowers infection rates, and boosts overall productivity. The structured framework encourages continuous improvement, but institutional commitment and ongoing oversight are necessary for long-term sustainability.
医院和医疗服务提供者国家认证委员会（NABH）的认证过程旨在通过对组织绩效进行公正的外部同行评估来提高医疗服务质量。本研究比较了一家三级护理医院在获得NABH认证前后的质量指标，评估了患者护理、医院管理和员工绩效的变化。
按照PRISMA指南进行系统综述。于2023年8月至2024年1月在PubMed、Scopus、谷歌学术和Cochrane图书馆中检索文献。关键词包括“NABH认证与医院质量”、“印度医院的认证与患者安全”以及“认证前后的三级护理医院”。使用布尔运算符、同义词和相关术语以确保全面检索。独立评审员筛选研究，并使用Cochrane偏倚风险工具进行偏倚风险评估。
该研究突出了NABH认证后医院质量指标的显著改善。医院获得性感染率下降，感染控制合规率提高了40%。运营效率得到改善，出院延迟减少了20%，文件记录准确性提高了15%。患者满意度得分提高了25%，结构化政策使服务质量提高了30%。此外，85%的医院员工报告工作满意度更高。统计分析证实了合规率（<0.05）和患者护理指标（<0.01）存在显著差异。尽管由于资源限制在初始实施阶段存在挑战，但该研究强调需要持续监测和强化认证标准以维持这些改善。
NABH认证提高了患者安全性，降低了感染率，并提高了整体生产力。结构化框架鼓励持续改进，但机构承诺和持续监督对于长期可持续性是必要的。
