The impact of hospital accreditation on quality of care

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dc.contributor.author Dimassi, Hani
dc.contributor.author El-Jardali, Fadi
dc.contributor.author Jamal, Diana
dc.contributor.author Ammar, Walid
dc.contributor.author Tchaghchaghian, Victoria
dc.date.accessioned 2015-09-29T09:28:28Z
dc.date.available 2015-09-29T09:28:28Z
dc.date.copyright 2008
dc.date.issued 2015-09-29
dc.identifier.issn 1464-3677 en_US
dc.identifier.uri http://hdl.handle.net/10725/2201
dc.description.abstract Background In developing countries, accreditation is increasingly being used as a tool for government regulation to guarantee quality of care. Although Lebanon is the first country in the East Mediterranean Region to develop and implement accreditation standards, little is known yet on its impact on quality of care. Objective To assess the perceived impact of accreditation on quality of care through the lens of health care professionals, specifically nurses. This paper also investigates the perceived contributing factors that can explain change in quality of care. Methods A cross-sectional survey design where all hospitals that successfully passed both national accreditation surveys (I and II) were included. A total of 1048 registered nurses from 59 hospitals were sampled. The survey tool, assessing quality of care and contributing factors, includes nine scales and subscales rated on five-point Likert scale. Results The high score for the variable ‘Quality Results’ indicates that nurses perceived an improvement in quality during and after the accreditation process. Predictors of better Quality Results were Leadership, Commitment and Support, Use of Data, Quality Management, Staff Involvement and hospital size. The variable Quality Management, as measured by the scale Quality Management, had the greatest impact in medium-sized hospitals while the subscale measuring Staff Involvement had the greatest impact in small-sized hospitals. Conclusion According to Lebanese nurses, hospital accreditation is a good tool for improving quality of care. In order to ensure that accreditation brings effective quality improvement practices, there is a need to assess quality based on patient outcome indicators. en_US
dc.language.iso en en_US
dc.title The impact of hospital accreditation on quality of care
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200603781
dc.author.woa N/A en_US
dc.author.department Pharmacy en_US
dc.description.embargo N/A en_US
dc.relation.journal International Journal for Quality in Health Care
dc.journal.volume 20 en_US
dc.journal.issue 5 en_US
dc.article.pages 363-371 en_US
dc.keywords Quality improvement en_US
dc.keywords Accreditation en_US
dc.keywords Hospitals en_US
dc.keywords Quality of care en_US
dc.keywords Nursing en_US
dc.identifier.doi http://dx.doi.org/10.1093/intqhc/mzn023 en_US
dc.identifier.ctation El-Jardali, F., Jamal, D., Dimassi, H., Ammar, W., & Tchaghchaghian, V. (2008). The impact of hospital accreditation on quality of care: perception of Lebanese nurses. International Journal for Quality in Health Care, 20(5), 363-371. en_US
dc.author.email hani.dimassi@lau.edu.lb
dc.identifier.url http://intqhc.oxfordjournals.org/content/20/5/363.short

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