The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study

Introduction: The objective of this study was to assess the effectiveness of the Saudi national accreditation program on patient safety culture in a secondary-tertiary public hospital in Saudi Arabia. Methods: Three hundred health professionals were randomly selected to participate in a survey. The...

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Main Authors: Khaled Al-Surimi, Shahenaz Najjar, Abdulrazak Al Quidaihi, Emad Masuadi
Format: Article
Language:English
Published: Innovative Healthcare Institute 2021-02-01
Series:Global Journal on Quality and Safety in Healthcare
Subjects:
Online Access:https://jqsh.org/doi/pdf/10.36401/JQSH-20-30
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author Khaled Al-Surimi
Shahenaz Najjar
Abdulrazak Al Quidaihi
Emad Masuadi
author_facet Khaled Al-Surimi
Shahenaz Najjar
Abdulrazak Al Quidaihi
Emad Masuadi
author_sort Khaled Al-Surimi
collection DOAJ
description Introduction: The objective of this study was to assess the effectiveness of the Saudi national accreditation program on patient safety culture in a secondary-tertiary public hospital in Saudi Arabia. Methods: Three hundred health professionals were randomly selected to participate in a survey. The survey was used in three phases: baseline, before accreditation, and after accreditation. Primary and secondary outcome measures were teamwork within hospital units, feedback and communication about errors, hospital handoffs and transitions, overall perceptions of safety, frequency of event reporting, and perception of patient safety grade. Results: The survey response rate was 100%. A statistically significant impact of accreditation was found for teamwork within hospital units, feedback and communication about errors, and hospital handoffs and transitions (p = 0.002, 0.009, and 0.010, respectively). Ordinal logistic regression confirmed that the accreditation program had a significant effect on overall perceptions of safety (odds ratio [OR] [1.42–13.56], p = 0.010), frequency of event reporting (OR [0.91–7.96], p = 0.073), and staff awareness of grading safety culture (OR [0.02–0.70]) and reporting behavior (OR 0.10 [0.03–0.37]). Conclusion: The Saudi national accreditation program had a significant positive impact on some patient safety culture dimensions and outcomes. These findings provide local empirical evidence on the benefits of implementing national accreditation programs. Further research on a larger scale is highly recommended.
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spelling doaj.art-091e96bcbe9a452ebf148e86fc9c5e8d2023-02-14T13:11:47ZengInnovative Healthcare InstituteGlobal Journal on Quality and Safety in Healthcare2666-23532589-94492021-02-01182610.36401/JQSH-20-30i2589-9449-4-1-18The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation StudyKhaled Al-Surimi0Shahenaz Najjar1Abdulrazak Al Quidaihi2Emad Masuadi31 Department of Health Systems Management, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia3 Department of Health Sciences, Graduate Studies, Arab American University, Ramallah, Palestine4 Department of Health Systems Management, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia5 Department of Medical Education, College of Medicine King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaIntroduction: The objective of this study was to assess the effectiveness of the Saudi national accreditation program on patient safety culture in a secondary-tertiary public hospital in Saudi Arabia. Methods: Three hundred health professionals were randomly selected to participate in a survey. The survey was used in three phases: baseline, before accreditation, and after accreditation. Primary and secondary outcome measures were teamwork within hospital units, feedback and communication about errors, hospital handoffs and transitions, overall perceptions of safety, frequency of event reporting, and perception of patient safety grade. Results: The survey response rate was 100%. A statistically significant impact of accreditation was found for teamwork within hospital units, feedback and communication about errors, and hospital handoffs and transitions (p = 0.002, 0.009, and 0.010, respectively). Ordinal logistic regression confirmed that the accreditation program had a significant effect on overall perceptions of safety (odds ratio [OR] [1.42–13.56], p = 0.010), frequency of event reporting (OR [0.91–7.96], p = 0.073), and staff awareness of grading safety culture (OR [0.02–0.70]) and reporting behavior (OR 0.10 [0.03–0.37]). Conclusion: The Saudi national accreditation program had a significant positive impact on some patient safety culture dimensions and outcomes. These findings provide local empirical evidence on the benefits of implementing national accreditation programs. Further research on a larger scale is highly recommended.https://jqsh.org/doi/pdf/10.36401/JQSH-20-30accreditationeffectivenesspatient safety cultureimplementationsaudi arabia
spellingShingle Khaled Al-Surimi
Shahenaz Najjar
Abdulrazak Al Quidaihi
Emad Masuadi
The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study
Global Journal on Quality and Safety in Healthcare
accreditation
effectiveness
patient safety culture
implementation
saudi arabia
title The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study
title_full The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study
title_fullStr The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study
title_full_unstemmed The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study
title_short The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study
title_sort impact of a national accreditation program on patient safety culture in a tertiary hospital pre and post evaluation study
topic accreditation
effectiveness
patient safety culture
implementation
saudi arabia
url https://jqsh.org/doi/pdf/10.36401/JQSH-20-30
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