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Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences

BACKGROUND: Hospital accreditation by an international organisation can play an important role in health quality and safety. However, little is known about how managers and front-line employees experience and perceive the effects of accreditation. Their views could inform quality improvement process...

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Autores principales: Al Mansour, Ali, Merry, Alan F, Jowsey, Tanisha, Weller, Jennifer M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8724809/
https://www.ncbi.nlm.nih.gov/pubmed/34980590
http://dx.doi.org/10.1136/bmjoq-2021-001652
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author Al Mansour, Ali
Merry, Alan F
Jowsey, Tanisha
Weller, Jennifer M
author_facet Al Mansour, Ali
Merry, Alan F
Jowsey, Tanisha
Weller, Jennifer M
author_sort Al Mansour, Ali
collection PubMed
description BACKGROUND: Hospital accreditation by an international organisation can play an important role in health quality and safety. However, little is known about how managers and front-line employees experience and perceive the effects of accreditation. Their views could inform quality improvement processes and procedures. OBJECTIVE: To explore perceptions of employees at the managerial level on the Joint Commission International (JCI) accreditation process and its impact on quality of patient care in Saudi Arabian JCI-accredited hospitals. METHODS: We undertook a qualitative study using semi-structured interviews to explore the perspectives of senior staff from three accredited public hospitals in Saudi Arabia. Interviews were transcribed prior to thematic analysis. RESULTS: Twenty managers participated in the interviews. The following inter-related themes emerged concerning the JCI accreditation process and its impact on quality of patient care: drivers for the change; the plan for the change; the process of the change; maintaining changes post-accreditation and patients’ issues. Participants were positive in their accounts of: drivers for the change; planning for the change needed to achieve accreditation and managing patients’ issues. However, participants reported less favourably on: the process of the change; and maintaining changes post-accreditation. CONCLUSION: The planning stage was perceived as the easiest component of JCI accreditation. Implementing and maintaining changes post-accreditation that demonstrably promote patient safety and quality of care was perceived as more difficult. When planning for accreditation, institutions need to incorporate strategies to ensure that improvements to care continue beyond the accreditation period.
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spelling pubmed-87248092022-01-18 Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences Al Mansour, Ali Merry, Alan F Jowsey, Tanisha Weller, Jennifer M BMJ Open Qual Original Research BACKGROUND: Hospital accreditation by an international organisation can play an important role in health quality and safety. However, little is known about how managers and front-line employees experience and perceive the effects of accreditation. Their views could inform quality improvement processes and procedures. OBJECTIVE: To explore perceptions of employees at the managerial level on the Joint Commission International (JCI) accreditation process and its impact on quality of patient care in Saudi Arabian JCI-accredited hospitals. METHODS: We undertook a qualitative study using semi-structured interviews to explore the perspectives of senior staff from three accredited public hospitals in Saudi Arabia. Interviews were transcribed prior to thematic analysis. RESULTS: Twenty managers participated in the interviews. The following inter-related themes emerged concerning the JCI accreditation process and its impact on quality of patient care: drivers for the change; the plan for the change; the process of the change; maintaining changes post-accreditation and patients’ issues. Participants were positive in their accounts of: drivers for the change; planning for the change needed to achieve accreditation and managing patients’ issues. However, participants reported less favourably on: the process of the change; and maintaining changes post-accreditation. CONCLUSION: The planning stage was perceived as the easiest component of JCI accreditation. Implementing and maintaining changes post-accreditation that demonstrably promote patient safety and quality of care was perceived as more difficult. When planning for accreditation, institutions need to incorporate strategies to ensure that improvements to care continue beyond the accreditation period. BMJ Publishing Group 2022-01-03 /pmc/articles/PMC8724809/ /pubmed/34980590 http://dx.doi.org/10.1136/bmjoq-2021-001652 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Al Mansour, Ali
Merry, Alan F
Jowsey, Tanisha
Weller, Jennifer M
Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences
title Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences
title_full Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences
title_fullStr Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences
title_full_unstemmed Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences
title_short Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences
title_sort hospital accreditation processes in saudi arabia: a thematic analysis of hospital staff experiences
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8724809/
https://www.ncbi.nlm.nih.gov/pubmed/34980590
http://dx.doi.org/10.1136/bmjoq-2021-001652
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