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

BackgroundHospital 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.ObjectiveTo 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.MethodsWe 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.ResultsTwenty 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.ConclusionThe 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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Nursing in the hospital accreditation process: practice and implications in the work quotidian

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000100020 ◽

2012 ◽

Vol 20 (1) ◽

pp. 151-158 ◽

Cited By ~ 10

Author(s):

Bruna Figueiredo Manzo ◽

Helen Cristiny Teodoro Couto Ribeiro ◽

Maria José Menezes Brito ◽

Marília Alves

Keyword(s):

Personal Growth ◽

Accreditation Process ◽

Structured Interviews ◽

Hospital Accreditation ◽

Research Issues ◽

Belo Horizonte ◽

As Stress ◽

Fragmentation Of Care

The aim of this study was to investigate the role and influence of nursing in the hospital accreditation process. It is a qualitative study, conducted in a private hospital of Belo Horizonte. The study subjects were nine nurses and 15 nursing technicians. Data collection was through semi-structured interviews, which were subjected to content analysis. The results showed that the role of the nursing team in the accreditation involves care, administrative, educational and research issues. The study subjects presented different perceptions regarding the influence of the accreditation process in their work. The positive aspects of personal growth and valorization of the curriculum were highlighted as well as negative aspects such as stress and little professional valorization. Therefore, it is necessary that the professionals understand the logic of the process and act with a view to the interdisciplinarity and overcoming the fragmentation of care, thus achieving integral healthcare and the quality of care desired.

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Qualitative exploration of the Medical Examiner role in identifying problems with the quality of patient care

BMJ Open ◽

10.1136/bmjopen-2020-048007 ◽

2021 ◽

Vol 11 (2) ◽

pp. e048007

Author(s):

Rachel O’Hara ◽

Joanne Coster ◽

Steve Goodacre

Keyword(s):

Patient Care ◽

Medical Examiner ◽

Structured Interviews ◽

Medical Background ◽

Quality Of Patient Care ◽

Acute Hospitals ◽

Core Components ◽

Role Based ◽

The Impact

ObjectiveA national system of Medical Examiners (MEs) implemented in England and Wales from April 2019 was intended to ensure that every death receives scrutiny from an independent, senior doctor, resulting in early detection of problems in care. The aim of this study was to increase understanding of how the ME role operates to identify problems related to quality of patient care and to explore the potential for development to maximise learning opportunities.DesignA qualitative approach involved the use of semi-structured interviews. Data analysis employed a framework approach.SettingStudy participants were recruited from 11 acute hospitals in England, known to be operating an ME service.ParticipantsA purposive sample of 20 MEs and one ME officer.ResultsMEs brought different perspectives to the role based on their medical background. The process for identifying and acting on quality of care concerns was broadly consistent, with a notable consensus regarding the value of speaking to bereaved relatives. Variation was identified within and between services in relation to how core components are carried out and the perceived salience of information, which appeared to reflect individual and service preferences as well as different organisational pathways. ME services required flexibility to accommodate fluctuating demand, but funding arrangements imposed restrictions. The majority of MEs highlighted limited opportunity for formal team contact and a lack of meaningful feedback as limiting scope for development.ConclusionCore components of the ME role were being conducted, although individual and systemic variations in practice were identified. The discussion with bereaved relatives is a unique feature of the ME role and was considered highly valuable, both for the organisation and relatives. Further development could consider the impact of the variation identified and address mechanisms for feedback and shared learning.

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Management practices impacting on the rostering of medical scientists in the Australian healthcare sector

Journal of Health Organization and Management ◽

10.1108/jhom-04-2021-0124 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Jillian Cavanagh ◽

Timothy Bartram ◽

Patricia Pariona-Cabrera ◽

Beni Halvorsen ◽

Matthew Walker ◽

...

Keyword(s):

Patient Care ◽

Job Stress ◽

Job Demands ◽

Public Hospitals ◽

Healthcare Sector ◽

Content Type ◽

The Public ◽

Quality Of Patient Care ◽

The Impact

PurposeThis study examines the management rostering systems that inform the ways medical scientists are allocated their work in the public healthcare sector in Australia. Promoting the contributions of medical scientists should be a priority given the important roles they are performing in relation to COVID-19 and the demand for medical testing doubling their workloads (COVID-19 National Incident Room Surveillance Team, 2020). This study examines the impact of work on medical scientists and rostering in a context of uncertain work conditions, budget restraints and technological change that ultimately affect the quality of patient care. This study utilises the Job-Demands-Resources theoretical framework (JD-R) to examine the various job demands on medical scientists and the resources available to them.Design/methodology/approachUsing a qualitative methodological approach, this study conducted 23 semi-structured interviews with managers and trade union officials and 9 focus groups with 53 medical scientists, making a total 76 participants from four large public hospitals.FindingsDue to increasing demands for pathology services, this study demonstrates that a lack of job resources, staff shortages, poor rostering practices such as increased workloads that lead to absenteeism, often illegible handwritten changes to rosters and ineffectual management lead to detrimental consequences for medical scientists’ job stress and well-being. Moreover, medical science work is hidden and not fully understood and often not respected by other clinicians, hospital management or the public. These factors have contributed to medical scientists’ lack of control over their work and causes job stress and burnout. Despite this, medical scientists use their personal resources to buffer the effects of excessive workloads and deliver high quality of patient care.Originality/valueFindings suggest that developing mechanisms to promote sustainable employment practices for medical scientists are critical for the escalating demands in pathology.

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Relationship between Nurses’ Competencies and Quality of Patient Care at Intensive Care Units

Menoufia Nursing Journal ◽

10.21608/menj.2019.111871 ◽

2019 ◽

Vol 4 (1) ◽

pp. 1-17

Author(s):

Mona Osman ◽

Manal Ibrahim ◽

Gehan Diab

Keyword(s):

Intensive Care ◽

Patient Care ◽

Intensive Care Units ◽

Quality Of Patient Care

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494 Streamlining the Minor Operations Process - The Effect of Better Documentation

British Journal of Surgery ◽

10.1093/bjs/znab134.436 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

T Schrire ◽

C Estela

Keyword(s):

Patient Care ◽

Plastic Surgery ◽

Patient Experience ◽

Patient Flow ◽

Vital Part ◽

Rapid Turnover ◽

Quality Of Patient Care ◽

New Form ◽

Minor Operations

Abstract Introduction Plastic Surgery Minor Operations is a fast paced, rapid turnover operative environment. It is reliant on effective communication, accurate surgery, and time efficiency. It was noticed in our department that there was confusion regarding booking and operative intentions leading to delays in surgery and over-running lists. This was worsening patient experience and leading to delays in patient care. Method In response to the delays and confusion in booking, a new booking form was created, so all patients have a standardised booking containing the necessary information. This form was disseminated across all the booking clinics and formed a vital part of the pre-operative check in process. Results The audit was carried out at the time of introduction, and then re-audited a year later to see if the form has improved care for patients. Results showed that with the new booking form, people were not having to cancel or rearrange patients. Patient booking forms were sufficient, and a copy of the clinic letter no longer required for the operation to proceed or for clarity. It was noted that more senior advice was sought. Conclusions The new form has improved patient flow and quality of patient care, whilst streamlining the booking process.

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Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

Hormone Research in Paediatrics ◽

10.1159/000513060 ◽

2020 ◽

Vol 93 (6) ◽

pp. 343-350

Author(s):

Molly O. Regelmann ◽

Rushika Conroy ◽

Evgenia Gourgari ◽

Anshu Gupta ◽

Ines Guttmann-Bauman ◽

...

Keyword(s):

Patient Care ◽

Care Patient ◽

The Novel ◽

Patient Privacy ◽

Pediatric Endocrinology ◽

Quality Of Patient Care ◽

Care Outcomes ◽

Novel Coronavirus ◽

The Impact

Background: Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. Summary: The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. Key Messages: With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

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