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Assessment of Patient Safety for Quality Improvement Based on Joint Commission International Accreditation Standards in Farabi Eye Hospital of Tehran University of Medical Sciences

机译:德黑兰医科大学法拉比眼科医院根据联合委员会国际认可标准对患者安全性进行评估,以提高质量

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Introduction: Quality improvement and patient safety are the most important aspects of health care delivery systems. Improving quality and safety in health care organizations is assured through accreditation. To evaluate patient safety in Farabi Eye Hospital by Joint Commission International (JCI) accreditation standards for quality improvement. Materials and Methods:This descriptive-analytical study was carried out in 2014. The data collection instrument was the translated version of JCI checklist, the validity of which was confirmed by a panel of Iranian experts. The data were obtained through interviews with all heads of departments (n=80) and observation of documentation in each department by appraisers in Farabi Hospital. To analyze the data, Spearman's rank correlation coefficient and Mann-Whitney U tests were run using SPSS Version 16. Results: The highest rate of compliance with JCI standards was 91.1%, pertaining to infection control and adopting an approach to reduce contamination. The lowest rate was associated with management monitoring of patients’ demographic information. In general, Farabi Eye Hospital observed the standards to a high level. Conclusion: Our findings exhibited that Farabi Eye Hospital is relatively efficient as to patient safety as a quality improvement factor. However, there were some shortcomings regarding some standards, which indicate deficient compliance with the JCI standards in this hospital. Absence of comprehensive training programs and defective policies and documentation are the key factors for patient safety quality improvement.
机译:简介:质量改善和患者安全是医疗保健提供系统的最重要方面。通过认证可以确保提高医疗机构的质量和安全性。通过国际联合委员会(JCI)认证标准评估法拉比眼科医院的患者安全,以改善质量。材料和方法:该描述性分析研究于2014年进行。数据收集工具为JCI清单的翻译版本,其有效性经伊朗专家小组确认。数据是通过与所有部门负责人的访谈(n = 80)并由法拉比医院的评估人员观察每个部门的文档而获得的。为了分析数据,使用SPSS版本16运行Spearman的秩相关系数和Mann-Whitney U测试。结果:符合JCI标准的最高符合率为91.1%,这与感染控制和采取减少污染的方法有关。发生率最低的是与患者的人口统计信息的管理监视相关联。总体而言,法拉比眼科医院对标准的遵守程度很高。结论:我们的发现表明,法拉比眼科医院在将患者安全作为质量改善因素方面相对有效。但是,某些标准存在一些缺陷,表明该医院对JCI标准的合规性不足。缺乏全面的培训计划以及有缺陷的政策和文档是提高患者安全质量的关键因素。

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