The Benefits of Accreditation for Healthcare Quality
Main Article Content
Abstract
Background: Accreditation is widely regarded as a reliable method for assessing and improving the quality of medical care provided. However, the effect that it has on performance and outcomes is not yet fully understood. The purpose of this review was to locate and assess the available evidence regarding the effects of hospital accreditation.
Methods: We conducted in-depth searches of a variety of electronic databases, including PubMed, CINAHL, PsycINFO, EMBASE, MEDLINE (OvidSP), CDSR, CENTRAL, ScienceDirect, SSCI, RSCI, and SciELO, as well as other sources, using subject headings that were pertinent to our inquiry. No matter how the studies were designed or written, we included all quantitative research that had been reviewed by experts and published in the past twenty years. In accordance with the guidelines provided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, two reviewers independently screened the initially identified articles, read the full texts of potentially relevant studies, extracted the necessary data, and evaluated the methodological quality of the studies that were included in the analysis using a validated tool. The results of the accreditation effects were analyzed, and six distinct impact themes were identified and categorized as a result.
Results: After reviewing a total of 17,830 studies, we decided to include only 76 of the empirical studies that investigated the effects of accreditation because they satisfied our criteria. Different research approaches were taken in each of these studies. Our findings indicate that hospital accreditation has a consistent and positive effect on safety culture, process-related performance measures, efficiency, and the length of stay for patients. On the other hand, employee satisfaction, patient satisfaction and experience, and the 30-day hospital readmission rate were found to be unrelated to accreditation. Because of the contradictory findings regarding the impact of accreditation on the mortality rate and infections associated with healthcare, it was difficult to reach definitive conclusions regarding these outcome measures.
Conclusion: Compliance with accreditation standards is posited to have multiple plausible benefits, one of which is an improvement in a hospital's overall performance, and there is some evidence to support the notion that this proposition. The introduction of hospital accreditation schemes encourages performance improvement and patient safety, despite the lack of evidence supporting a definitive link between the two.
It is recommended that efforts be made to modernize accreditation and provide incentives for getting it in order to move toward institutionalization and maintain performance gains.
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References
I. Institute of Medicine Committee on Quality of Health Care in America. In: Kohn LT, Corrigan JM, Donaldson MS, editors. To Err is Human: Building a Safer Health System. Washington (DC): National Academies Press (US); 2000. https://doi.org/10.17226/9728.
II. Altman DE, Clancy C, Blendon RJ. Improving patient safety--five years after the IOM report. N Engl J Med. 2004;351(20):2041–3.
https://doi.org/10.1056/ NEJMp048243.
III. Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? A study of twelve communities suggests that a regulatory body, not market forces, is having the strongest impact on hospitals' efforts to improve patient safety. Health Aff (Millwood). 2004;23(2):103–15. https://doi.org/10.13 77/hlthaff.23.2.103.
IV. Moffett M, Bohara A. Hospital quality oversight by the joint commission on the accreditation of healthcare organizations. East Econ J. 2005; 31:629–47.
V. Greenfield D, Hinchcliff R, Hogden A, Mumford V, Debono D, Pawsey M, et al. A hybrid health service accreditation program model incorporating mandated standards and continuous improvement: interview study of multiple stakeholders in Australian health care. Int J Health Plann Manag. 2016;31(3):e116–30.
https://doi.org/10.1002/hpm.2301.
VI. Flodgren G, Gonçalves-Bradley DC, Pomey MP. External inspection of compliance with standards for improved healthcare outcomes. Cochrane Database Syst Rev. 2016;12:CD008992.
https://doi.org/10.1002/14651858. CD008992.pub3.
VII. Viswanathan HN, Salmon JW. Accrediting organizations and quality improvement. Am J Manag Care. 2000;6(10):1117–30.
VIII. Petrović GM, Vuković M, Vraneš AJ. The impact of accreditation on healthcare quality in hospitals. Vojnosanit Pregled. 2018;75(8):803–8.
https://doi. org/10.2298/VSP160728390M.
IX. Hornsby JA. Hospitals as they are: the hospital problem of today—what is it? Bull Am Coll Surg. 1917; 1:4–11.
X. Shaw CD. External quality mechanisms for health care: summary of the ExPeRT project on visitatie, accreditation, EFQM and ISO assessment in European Union countries. External peer review techniques. European Foundation for quality management. International Organization for Standardization. Int J Qual Health Care. 2000;12(3):169–75. https://doi.org/1 0.1093/intqhc/12.3.169.
XI. Braithwaite J, Westbrook J, Pawsey M, Greenfield D, Naylor J, Iedema R, et al. A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]. BMC Health Serv Res. 2006;6(1):113. https://doi.org/10.1186/14 72-6963-6-113.
XII. Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res. 2015;15(1):280. https://doi.org/10.1186/s12913- 015-0933-x.
XIII. Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care. 2008;20(3):172–83. https://doi. org/10.1093/intqhc/mzn005.
XIV. Shaw CD. Toolkit for accreditation programs. Australia: The International Society for Quality In Health Care; 2004.
XV. Pomey MP, Francois P, Contandriopoulos AP, Tosh A, Bertrand D. Paradoxes of French accreditation. Qual Saf Health Care. 2005;14(1):51–5.
https://doi. org/10.1136/qshc.2004.011510.
XVI. Pomey MP, Lemieux-Charles L, Champagne F, Angus D, Shabah A, Contandriopoulos AP. Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations. Implement Sci. 2010;5(1):31. https://doi.org/10.1186/1748-5908-5-31.
XVII. Rooney AL, van Ostenberg PR. Licensure accreditation and certification: approaches to health services quality. Washington, DC: Center for Human Services; 1999.
XVIII. Braithwaite J, Greenfield D, Westbrook J, Pawsey M, Westbrook M, Gibberd R, et al. Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. Qual Saf Health Care. 2010;19(1):14–21. https://doi.org/10.1136/qshc.2009.033928.
XIX. Shaw C, Groene O, Mora N, Sunol R. Accreditation and ISO certification: do they explain differences in quality management in European hospitals? Int J Qual Health Care. 2010;22(6):445–51. https://doi.org/10.1093/intqhc/mzq054.
XX. Desveaux L, Mitchell JI, Shaw J, Ivers NM. Understanding the impact of accreditation on quality in healthcare: a grounded theory approach. Int J Qual Health Care. 2017;29(7):941–7. https://doi.org/10.1093/intqhc/mzx136.
XXI. Lam MB, Figueroa JF, Feyman Y, Reimold KE, Orav JE, Jha AK. Association between patient outcomes and accreditation in US hospitals: observational study. BMJ. 2018; 20:363. https://doi.org/10.1136/bmj.k4011.
XXII. Saleh SS, Bou Sleiman J, Dagher D, Sbeit H, Natafgi N. Accreditation of hospitals in Lebanon: is it a worthy investment? Int J Qual Health Care. 2013;25(3):284–90. https://doi.org/10.1093/intqhc/mzt018.
XXIII. Greenfield D, Pawsey M, Hinchcliff R, Moldovan M, Braithwaite J. The standard of healthcare accreditation standards: a review of empirical research underpinning their development and impact. BMC Health Serv Res. 2012;12(1):329. https://doi.org/10.1186/1472-6963-12-329.
XXIV. Greenfield D, Braithwaite J. Developing the evidence base for accreditation of health care organisations: a call for transparency and innovation. Qual Saf Health Care. 2009;18(3):162–3. https://doi.org/10.1136/qshc.2009.032359.
XXV. Salim FM, Rahman MH. The impact of joint commission international healthcare accreditation on infection control performance: a study in Dubai hospital. Glob J Bus Soc Sci Rev. 2017;5(1):37–45.
https://doi.org/10.35609/ gjbssr.2017.5.1(6).
XXVI. de Santé HA. Literature review on the impact of hospital accreditation. Paris: MATRIX Knowledge group; 2010.
XXVII. Flodgren G, Pomey MP, Taber SA, Eccles MP. Effectiveness of external inspection of compliance with standards in improving healthcare organisation behaviour, healthcare professional behaviour or patient outcomes. Cochrane Database Syst Rev. 2011;11:CD008992. https://doi.org/1 0.1002/14651858.CD008992.pub2.
XXVIII. Shaw CD, Groene O, Botje D, Sunol R, Kutryba B, Klazinga N, et al. The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals. Int J Qual Health Care. 2014;26(Suppl 1): 100–7. https://doi.org/10.1093/intqhc/mzu023.
XXIX. Avia I, Hariyati RTS. Impact of hospital accreditation on quality of care: a literature review. Enferm Clin. 2019;29(Suppl 2):315–20.
https://doi.org/10.1 016/j.enfcli.2019.06.003.
XXX. Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Ann Saudi Med. 2011;31(4): 407–16. https://doi.org/10.4103/0256-4947.83204.
XXXI. Almasabi M, Yang H, Thomas S. A systematic review of the association between healthcare accreditation and patient satisfaction. World Appl Sci J. 2014;31(9):1618–23.
XXXII. Hinchcliff R, Greenfield D, Moldovan M, Westbrook JI, Pawsey M, Mumford V, et al. Narrative synthesis of health service accreditation literature. BMJ Qual Saf.
;21(12):979–91.
https://doi.org/10.1136/bmjqs-2012-000852.
XXXIII. Kilsdonk M, Siesling S, Otter R, Harten W. Evaluating the impact of accreditation and external peer review. Int J Health Care Qual Assur. 2015; 28(8):757–77.
https://doi.org/10.1108/IJHCQA-05-2014-0055.
XXXIV. Park IT, Jung YY, Park SH, Hwang JH, Suk SH. Impact of healthcare accreditation using a systematic review: balanced score card perspective [in Korean]. Quality Improvement in Health Care. 2017;23(1):69–90.
https://doi. org/10.14371/QIH.2017.23.1.69.
XXXV. Araujo CAS, Siqueira MM, Malik AM. Hospital accreditation impact on healthcare quality dimensions: a systematic review. Int J Qual Health Care. 2020;32(8):531–44. https://doi.org/10.1093/intqhc/mzaa090.
XXXVI. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097.
XXXVII. Kerr NL. HARKing: hypothesizing after the results are known. Personal Soc Psychol Rev. 1998;2(3):196–217. https://doi.org/10.1207/s15327957pspr02 03_4.
XXXVIII. Richardson WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: a key to evidence-based decisions. ACP J Club. 1995;123(3): A12–3
https://doi.org/10.7326/ACPJC-1995-123-3-A12.
XXXIX. Fleiss JL, Levin B, Paik MC. Statistical methods for rates and proportions. 3rd ed. Hoboken, NJ: John Wiley & Sons; 2003. https://doi.org/10.1002/047144 5428.
XL. Belur J, Tompson L, Thornton A, Simon M. Interrater reliability in systematic review methodology: exploring variation in coder decision-making. Sociol Methods Res. 2018;50(2):837–65. https://doi.org/10.1177/0049124118799372.
XLI. Groves M, Mundt K. Friend or foe? Google translate in language for academic purposes. Engl Specif Purp. 2015; 37:112–21. https://doi.org/10.101 6/j.esp.2014.09.001.
XLII. Jackson JL, Kuriyama A, Anton A, Choi A, Fournier JP, Geier AK, et al. The accuracy of google translate for abstracting data from non-English- language trials for systematic reviews. Ann Intern Med. 2019;171(9):677–9.
https://doi.org/10.7326/M19-0891.
XLIII. Hawker S, Payne S, Kerr C, Hardey M, Powell J. Appraising the evidence: reviewing disparate data systematically. Qual Health Res. 2002;12(9):1284–99.
https://doi.org/10.1177/1049732302238251.
XLIV. Groene O, Botje D, Suñol R, Lopez MA, Wagner C. A systematic review of instruments that assess the implementation of hospital quality management systems. Int J Qual Health Care. 2013;25(5):525–41. https://doi. org/10.1093/intqhc/mzt058.
XLV. Salloum SA, Al-Emran M, Monem AA, Shaalan K. Using Text Mining Techniques for Extracting Information from Research Articles. In: Shaalan K, Hassanien A, Tolba F, editors. Intelligent Natural Language Processing: Trends and Applications. Studies in Computational Intelligence. Cham, Switzerland: Springer; 2018. p. 373–97.
XLVI. Assarroudi A, Heshmati F, Armat MR, Ebadi A, Vaismoradi M. Directed qualitative content analysis: the description and elaboration of its underpinning methods and data analysis process. J Res Nurs. 2018;23(1):42– 55.
https://doi.org/10.1177/1744987117741667.
XLVII. Program BPE. 2019–2020 Baldrige excellence framework (health care): proven leadership and management practices for high performance. Gaithersburg, MD: U.S. Department of Commerce, National Institute of Standards and Technology; 2019. https://www.nist.gov/baldrige
XLVIII. Salmon J, Heavens J, Lombard C, Tavrow P. The Impact of Accreditation on the Quality of Hospital Care: KwaZulu-Natal Province, Republic of South Africa. Operations Research Results 2:17. Bethesda MD: Published for the US Agency for International Development (USAID) by the Quality Assurance Project, University Research Co., LLC; 2003.
XLIX. Domingues AL, dos Santos SVM, Góes FSN, Martinez MR. Evaluation of the contribution of hospital accreditation in the process of permanent health education. J Nurs UFPE Line. 2017;11(suppl 5):2177–84.
L. Mørk Hansen G, Jensen CS, Østergaard LM, Dethlefsen C, Luther P, Andreasen JJ. Possible decrease in the prevalence of nosocomial infections after the accreditation process in the region of northern Jutland, Denmark [in Danish]. Ugeskr Laeger. 2013;175(8):495–8.
LI. Al Awa B, De Wever A, Almazrooa A, Habib H. al-Noury K, el Deek B, et al. the impact of accreditation on patient safety and quality of care indicators at king Abdulaziz University hospital in Saudi Arabia. Res J Med Sci. 2011; 5(1):43–51. https://doi.org/10.3923/rjmsci.2011.43.51.
LII. Almasabi M, Thomas S. The impact of Saudi hospital accreditation on quality of care: a mixed methods study. Int J Health Plann Manag. 2017; 32(4):e261–e78.
https://doi.org/10.1002/hpm.2373.
LIII. Marzban S, Ramezankhani A, Rezai-Rad M, Daneshkohan A, Najafi A. Status of accessible quality indices in the hospitals of Shahid Beheshti University of Medical Sciences according to accreditation in 2015. Ann Trop Med Public Health. 2017;10(4):956–62.
https://doi.org/10.4103/A TMPH.ATMPH_265_17.
LIV. Abedi G, Abedini E, Malakzadeh R, Mojarad F. Medical errors management before and after implementation of accreditation in hospital. Iran J Health Sci. 2014;2(4):59–66. https://doi.org/10.18869/acadpub.jhs.2.4.59.
LV. Joseph S. The effect of accreditation on patient satisfaction in public healthcare delivery: a comparative study of accredited and non-accredited hospitals in Kerala. Rajagiri J Soc Dev. 2018;10(2):123–36.
LVI. Lám J, Merész G, Bakacsi G, Belicza E, Surjan C, Takacs E. Changing of the patient safety culture in the pilot institutes of the Hungarian accreditation program [in Hungarian]. Orv Hetil. 2016;157(42):1667–73.
https://doi.org/10.1 556/650.2016.30556.
LVII. Lee E. Safety climate and attitude toward medication error reporting after hospital accreditation in South Korea. Int J Qual Health Care. 2016;28(4):508–14.
https://doi.org/10.1093/intqhc/mzw058.
LVIII. Andres EB, Song W, Schooling CM, Johnston JM. The influence of hospital accreditation: a longitudinal assessment of organisational culture. BMC Health Serv Res. 2019;19(1):467. https://doi.org/10.1186/s12913-019-4279-7.
LIX. Kim MR, Kim MS. Awareness, job stress, turnover intention, safety management perception change of nurses in a general hospital - before and after medical institution certification system [in Korean]. J Korea Contents Assoc. 2019;19(1):385–95.
LX. Greenfield D, Lawrence SA, Kellner A, Townsend K, Wilkinson A. Health service accreditation stimulating change in clinical care and human resource management processes: a study of 311 Australian hospitals. Health Policy. 2019;123(7):661–5. https://doi.org/10.1016/j.healthpol.2019.04.006.
LXI. Al-Faouri I, Al-Dmour A, Al-Ali N, Abu ALRub R, Abu Moghli F. Effect of health care accreditation council survey site visit on perceived stress level among Jordanian healthcare providers. Nurs Forum. 2019;54(1):30–7.
https:// doi.org/10.1111/nuf.12294.
LXII. Higashi P, Simonetti JP, Carvalhaes MABL, Spiri WC, Parada CMGL. Potentially stressful situations for nurses considering the condition of accreditation of hospitals. Rev Rene. 2013;14(6):1141–8.
LXIII. Elkins G, Cook T, Dove J, Markova D, Marcus JD, Meyer T, et al. Perceived stress among nursing and administration staff related to accreditation. Clin Nurs Res. 2010;19(4):376–86. https://doi.org/10.1177/1054773810373078.
LXIV. Kagan I, Farkash-Fink N, Fish M. Effect of joint commission international accreditation on the nursing work environment in a tertiary medical center. J Nurs Care Qual. 2016;31(4):E1–8.
https://doi.org/10.1097/NCQ. 0000000000000180.
LXV. Oliveira JLC, Souza VS, Pereira ACS, Haddad MCFL, Marcon SS, Matsuda LM. Work environment and accreditation: analysis by mixed explanatory sequential method. Escola Anna Nery. 2018;22(4):e20170379.
https://doi. org/10.1590/2177-9465-ean-2017-0379.
LXVI. Oliveira PB, Spiri WC, Dell’Acqua MC, Mondini CC. Comparison between the accredited and nonaccredited public hospital working environments. Acta Paul Enferm. 2016;29(1):53–9. https://doi.org/10.1590/1982-0194201600008.
LXVII. Oliveira JLC, Magalhães AMM, Bernardes A, Haddad MCFL, Wolff LDG, Marcon SS, et al. Influence of hospital accreditation on professional satisfaction of the nursing team: mixed method study. Rev Lat Am Enferm. 2019;27:e3109. https://doi.org/10.1590/1518-8345.2799.3109.
LXVIII. Um MH, Lyu ES, Lee SM, Park YK. International hospital accreditation and clinical nutrition service in acute care hospitals in South Korea: results of a nationwide cross-sectional survey. Asia Pac J Clin Nutr. 2018;27(1):158–66. https://doi.org/10.6133/apjcn.032017.25.
LXIX. Heuer AJ. Hospital accreditation and patient satisfaction: testing the relationship. J Healthc Qual. 2004;26(1):46–51. https://doi.org/10.1111/j.194 5-1474. 2004.tb00471.x.
LXX. Hayati NI, Azimatun NA, Rozita H, Ezat WA, Rizal AM. In-patients' satisfaction in the medical and surgical wards - a comparison between accredited and non-accredited hospital in the state of Selangor. J Commun Health. 2010; 16(1):60–8.
LXXI. Barghouthi ED, Imam A. Patient satisfaction: comparative study between Joint Commission International accredited and non-accredited Palestinian hospitals. Health Sci J. 2018; 12:547
LXXII. Haj-Ali W, Bou Karroum L, Natafgi N, Kassak K. Exploring the relationship between accreditation and patient satisfaction - the case of selected Lebanese hospitals. Int J Health Policy Manag. 2014;3(6):341–6.
https://doi. org/10.15171/ijhpm.2014.116.
LXXIII. Al-Qahtani MF, Al-Dohailan SK, Al-Sharani HT, Al-Medaires MA, Khuridah EN, Al-Dossary NM. The impact of the status of hospital accreditation on patient satisfaction with the obstetrics and gynecology clinics in the Eastern Province. J Med Med Sci. 2012;3(10):665–73.
LXXIV. Ajarmah BS, Hashem TN. Patient satisfaction evaluation on hospitals; comparison study between accredited and non-accredited hospitals in Jordan. Eur Sci J. 2015;11(32):298–314.
LXXV. Mohebbifar R, Rafiei S, Asl AM, Ranjbar M, Khodayvandi M. Association between hospital accreditation and patient satisfaction: a survey in the Western Province of Iran. Bangladesh J Med Sci. 2017;16(1):77–84.
https:// doi.org/10.3329/bjms. v16i1.31137.
LXXVI. Andres EB, Song W, Song W, Johnston JM. Can hospital accreditation enhance patient experience? Longitudinal evidence from a Hong Kong hospital patient experience survey. BMC Health Serv Res. 2019;19(1):623.
https://doi.org/10.1186/s12913-019-4452-z.
LXXVII. Sack C, Lütkes P, Günther W, Erbel R, Jöckel KH, Holtmann GJ. Challenging the holy grail of hospital accreditation: a cross sectional study of inpatient satisfaction in the field of cardiology. BMC Health Serv Res. 2010;10(1):120.
https://doi.org/10.1186/1472-6963-10-120.
LXXVIII. Sack C, Scherag A, Lütkes P, Günther W, Jöckel KH, Holtmann G. Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37 000 patients treated by 73 hospitals. Int J Qual Health Care. 2011;23(3):278–83.
https://doi.org/1 0.1093/intqhc/mzr011.
LXXIX. Chen J, Rathore SS, Radford MJ, Krumholz HM. JCAHO accreditation and quality of care for acute myocardial infarction. Health Aff (Millwood). 2003; 22(2):243–54. https://doi.org/10.1377/hlthaff.22.2.243.
LXXX. Barnett ML, Olenski AR, Jena AB. Patient mortality during unannounced accreditation surveys at US hospitals. JAMA Intern Med. 2017;177(5):693– 700.
https://doi.org/10.1001/jamainternmed.2016.9685.
LXXXI. Towers TJ, Clark J. Pressure and performance: buffering capacity and the cyclical impact of accreditation inspections on risk-adjusted mortality. J Healthc Manag. 2014;59(5):323–35. https://doi.org/10.1097/00115514-2014 09000-00005.
LXXXII. Falstie-Jensen AM, Larsson H, Hollnagel E, Nørgaard M, Svendsen MLO, Johnsen SP. Compliance with hospital accreditation and patient mortality: a Danish nationwide population-based study. Int J Qual Health Care. 2015; 27(3):165–74. https://doi.org/10.1093/intqhc/mzv023.
LXXXIII. Griffith JR, Knutzen SR, Alexander JA. Structural versus outcomes measures in hospitals: a comparison of joint commission and Medicare outcomes scores in hospitals. Qual Manag Health Care. 2002;10(2):29–38.
https://doi. org/10.1097/00019514-200210020-00007.
LXXXIV. Falstie-Jensen AM, Bogh SB, Johnsen SP. Consecutive cycles of hospital accreditation: persistent low compliance associated with higher mortality and longer length of stay. Int J Qual Health Care. 2018;30(5):382–9.
https:// doi.org/10.1093/intqhc/mzy037.
LXXXV. Miller MR, Pronovost P, Donithan M, Zeger S, Zhan C, Morlock L, et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005;20(5):239–52.
https://doi.org/10.1177/1062860605277076.
LXXXVI. Arab M, Mousavi SM. Khesal AA, Akbarisari a. the effect of accreditation system on the key performance indicators of hospitals affiliated to Tehran university of medical sciences: an interrupted time series analysis in 2012- 2014 [in Persian]. J Hosp. 2017;16(1):17–26.
LXXXVII. Mosadeghrad AM, Shahebrahimi SS, Ghazanfari M. Exploring the relationship between accreditation and hospital performance: using data mining approach [in Persian]. J School Public Health Inst Public Health Res. 2018;16(1):33–50.
LXXXVIII. Wardhani V, van Dijk JP, Utarini A. Hospitals accreditation status in Indonesia: associated with hospital characteristics, market competition intensity, and hospital performance? BMC Health Serv Res. 2019;19(1):372.
https://doi.org/10.1186/s12913-019-4187-x.
LXXXIX. Falstie-Jensen AM, Nørgaard M, Hollnagel E, Larsson H, Johnsen SP. Is compliance with hospital accreditation associated with length of stay and acute readmission? A Danish nationwide population-based study. Int J Qual Health Care. 2015;27(6):451–8
https://doi.org/10.1093/intqhc/mzv070.
XC. Halasa YA, Zeng W, Chappy E, Shepard DS. Value and impact of international hospital accreditation: a case study from Jordan. East Mediterr Health J. 2015;21(2):90–9. https://doi.org/10.26719/2015.21.90.
XCI. Janati A, Tabrizi JS, Toofan F, Algalandis K, Ebrahimoghli R. Hospital accreditation: what is its effect on quality and safety indicators? Experience of an Iranian teaching hospital. Bali Med J. 2016;5(2):303–7.
https://doi.org/1 0.15562/bmj. v5i2.241.
XCII. Mumford V, Reeve R, Greenfield D, Forde K, Westbrook J, Braithwaite J. Is accreditation linked to hospital infection rates? A 4-year, data linkage study of Staphylococcus aureus rates and accreditation scores in 77 Australian acute hospitals. Int J Qual Health Care. 2015;27(6):479–85. https://doi.org/1 0.1093/intqhc/mzv078.
XCIII. Jarrah S, Judeh M, AbuRuz ME, Masa'Deh R. The impact of health care accreditation on patients' safety. Int Med J. 2019;24(3):129–39.
XCIV. Leite CD, Pereira TC, Freitas MP, Tinôco NLW, Pereira FG, Menezes RVLV, et al. Effect of hospital accreditation process in outcomes of patients with acute coronary syndrome. Int J Cardiovasc Sci. 2019;32(6):607–14.
https:// doi.org/10.5935/2359-4802.20190034.
XCV. Al-Sughayir MA. Effect of accreditation on length of stay in psychiatric inpatients: pre-post accreditation medical record comparison. Int J Ment Health Syst. 2016;10(1):55. https://doi.org/10.1186/s13033-016-0090-6.
XCVI. Devkaran S, O'Farrell PN. The impact of hospital accreditation on quality measures: an interrupted time series analysis. BMC Health Serv Res. 2015; 15(1):137. https://doi.org/10.1186/s12913-015-0784-5.
XCVII. Falstie-Jensen AM, Bogh SB, Hollnagel E, Johnsen SP. Compliance with accreditation and recommended hospital care-a Danish nationwide population-based study. Int J Qual Health Care. 2017;29(5):625–33.
https:// doi.org/10.1093/intqhc/mzx104.
XCVIII. Devkaran S, O'Farrell PN, Ellahham S, Arcangel R. Impact of repeated hospital accreditation surveys on quality and reliability, an 8-year interrupted time series analysis. BMJ Open. 2019;9(2):e024514. https://doi. org/10.1136/bmjopen-2018-024514.
XCIX. Bogh SB, Falstie-Jensen AM, Hollnagel E, Holst R, Braithwaite J, Johnsen SP. Improvement in quality of hospital care during accreditation: a nationwide stepped-wedge study. Int J Qual Health Care. 2016;28(6):715–20.
https://doi. org/10.1093/intqhc/mzw099.
C. Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. Hospital performance trends on national quality measures and the association with joint commission accreditation. J Hosp Med. 2011;6(8):454–61. https://doi. org/10.1002/jhm.905.
CI. Mumford V, Greenfield D, Hogden A, Debono D, Gospodarevskaya E, Forde K, et al. Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. BMJ Open. 2014;4(9):e005284. https:// doi.org/10.1136/bmjopen-2014-005284.
CII. Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med. 2002;162(16):1897– 903.
https://doi.org/10.1001/archinte.162.16.1897.
CIII. Braga AT, Pena MM, Melleiro MM. Metrics of assistance indicators of certified hospitals. J Nurs UFPE Line. 2018;12(3):665–75. https://doi.org/10.52 05/1981-8963-v12i3a230715p665-675-2018.
CIV. Bogh SB, Falstie-Jensen AM, Bartels P, Hollnagel E, Johnsen SP. Accreditation and improvement in process quality of care: a nationwide study. Int J Qual Health Care. 2015;27(5):336–43. https://doi.org/10.1093/intqhc/mzv053.
CV. Lutfiyya MN, Sikka A, Mehta S, Lipsky MS. Comparison of US accredited and non-accredited rural critical access hospitals. Int J Qual Health Care. 2009; 21(2):112–8. https://doi.org/10.1093/intqhc/mzp003.
CVI. Al-Sughayir MA. Administered antipsychotic pro re nata medications in psychiatric inpatients. Pre- and post-accreditation comparison. Saudi Med J. 2014;35(2):172–7.
CVII. Wang HF, Jin JF, Feng XQ, Huang X, Zhu LL, Zhao XY, et al. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to joint commission international accreditation and in the post- accreditation era. Ther Clin Risk Manag. 2015; 11:393–406. https://doi.org/1 0.2147/TCRM.S79238.
CVIII. Nomura AT, Silva MB, Almeida MA. Quality of nursing documentation before and after the hospital accreditation in a university hospital. Rev Lat Am Enfermagem. 2016;24: e2813.
CIX. Habib RR, Blanche G, Souha F, El-Jardali F, Nuwayhid I. Occupational health and safety in hospitals accreditation system: the case of Lebanon. Int J Occup Environ Health. 2016;22(3):201–8.
https://doi.org/10.1080/10773525.2 016.1200211.
CX. Pourreza A, Mosadeghrad AM, Zoleikani P. The impact of accreditation on the performance of hospital emergency departments [in Persian]. J Health Based Res. 2017;3(3):277–95.
CXI. Al-Sughayir MA. Does accreditation improve pro re nata benzodiazepines administration in psychiatric inpatients? Post-accreditation medical record comparison. Int J Ment Health Syst. 2017;11(1):16. https://doi.org/1 0.1186/s13033-017-0124-8.
CXII. Salehian M, Riahi L, Biglarian A. The impact of accreditation on productivity indexes in Firoozgar hospital in Tehran [in Persian]. J Health Adm. 2015; 18(60):79–89.
CXIII. Lindlbauer I, Schreyögg J, Winter V. Changes in technical efficiency after quality management certification: a DEA approach using difference-in-difference estimation with genetic matching in the hospital industry. Eur J Oper Res. 2016;250(3):1026–36.
https://doi. org/10.1016/j.ejor.2015.10.029.
CXIV. Okumura Y, Inomata T, Iwagami M, Eguchi A, Mizuno J, Shiang T, et al. Shortened cataract surgery by standardisation of the perioperative protocol according to the joint commission international accreditation: a retrospective observational study. BMJ Open. 2019;9(6): e028656. https://doi. org/10.1136/bmjopen-2018-028656.
CXV. Lin F, Deng YJ, Lu WM, Kweh QL. Impulse response function analysis of the impacts of hospital accreditations on hospital efficiency. Health Care Manag Sci. 2019;22(3):394–409. https://doi.org/10.1007/s10729-01 9-09472-6.
CXVI. Saquetto TC, Araujo CAS. Efficiency evaluation of private hospitals in Brazil: a two-stage analysis. Rev Adm Mackenzie. 2019;20(5): eRAMR190183.
CXVII. Inomata T, Mizuno J, Iwagami M, Kawasaki S, Shimada A, Inada E, et al. The impact of joint commission international accreditation on time periods in the operating room: a retrospective observational study. PLoS One. 2018;13(9):e0204301.
https://doi.org/10.1371/journal. pone.0204301.
CXVIII. Pomey MP, Contandriopoulos AP, François P, Bertrand D. Accreditation: a tool for organizational change in hospitals? Int J Health Care Qual Assur. 2004;17(3):113–24. https://doi.org/10.1108/09526860410532757.
CXIX. Park IT, Jung YY, Suk SH. The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea. J Hosp Adm. 2017;6(6):20–7. https://doi.org/10. 5430/jha.v6n6p20.
CXX. Singh J. The patient satisfaction concept: a review and reconceptualization. In: Srull T, editor. NA - advances in consumer research. Provo, UT: Association for Consumer Research; 1989. p. 76–9.
CXXI. Hirose M, Imanaka Y, Ishizaki T, Evans E. How can we improve the quality of health care in Japan? Learning from JCQHC hospital accreditation. Health Policy.
;66(1):29–49.
https://doi.org/10.1016/ S0168-8510(03)00043-5.
CXXII. Jha AK. Accreditation, quality, and making hospital care better. JAMA. 2018; 320(23):2410–1.
https://doi.org/10.1001/jama.2018.18810.
CXXIII. Devkaran S, O'Farrell PN. The impact of hospital accreditation on clinical documentation compliance: a life cycle explanation using interrupted time series analysis. BMJ Open. 2014;4(8):e005240. https://doi.org/10.1136/ bmjopen-2014-005240.
CXXIV. Mumford V, Forde K, Greenfield D, Hinchcliff R, Braithwaite J. Health services accreditation: what is the evidence that the benefits justify the costs? Int J Qual Health Care. 2013;25(5):606–20. https://doi.org/10.1093/ intqhc/mzt059.
CXXV. Ivers N, Tricco AC, Trikalinos TA, Dahabreh IJ, Danko KJ, Moher D, et al. Seeing the forests and the trees--innovative approaches to exploring heterogeneity in systematic reviews of complex interventions to enhance health system decision-making: a protocol. Syst Rev. 2014;3(1):88. https://doi. org/10.1186/2046-4053-3-88.
CXXVI. Paez A. Gray literature: an important resource in systematic reviews. J Evid Based Med. 2017;10(3):233–40. https://doi.org/10.1111/jebm.122
CXXVII. Pappas C, Williams I. Grey literature: its emerging importance. J Hosp Librariansh. 2011;11(3):228–34. https://doi.org/10.1080/15323269.2011.5871 00.
CXXVIII. Mitchell JI, Graham ID, Nicklin W. The unrecognized power of health services accreditation: more than external evaluation. Int J Qual Health Care. 2020;32(7):445–55. https://doi.org/10.1093/intqhc/mzaa063.
CXXIX. Ng GK, Leung GK, Johnston JM, Cowling BJ. Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: a SWOT analysis. Hong Kong Med J. 2013;19(5):434–46.
https://doi.org/10.12809/ hkmj134063