[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 28, Issue 3 (spring 2018) ::
MEDICAL SCIENCES 2018, 28(3): 252-257 Back to browse issues page
Challenges of implementation of Iranian national hospital accreditation standards (3rd Edition 2016) for Tehran’s Islamic Azad University Hospitals
Firouzeh Yahyavi1 , Amir Ashkan Nasiripour * 2, Leila Keikavoosi Arani3
1- MSc Student of Health Care Management, Electronic Branch, Islamic Azad University, Tehran, Iran
2- PhD of Health Care Management, Electronic Branch, Islamic Azad University, Tehran, Iran , nasiripour@srbiau.ac.ir
3- PhD of Health Care Management, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran
Abstract:   (809 Views)
Background: Hospital services need a targeted system for planning, improving and evaluating the quality of the services provided according to their complexity. Accreditation is a systematic assessment of healthcare centers with specific standards that emphasizes on continuous improvement of quality, being patient-centered and improving the safety of patient and staff. The current study was done to investigate the challenges of establishing the 3th edition of Iranian national accreditation standards in the hospitals affiliated to Islamic Azad University.
Materials and methods: In this descriptive-applied study, 239 employees (37 directors, 143 nursing staff and 59 physicians) participated in the study from two educational, research and therapeutic hospitals of Bu-Ali and Amir al-momenin. Nursing staff and physicians were selected by simple random sampling and managers by census method. The measurement tool was a researcher-made questionnaire which designed by the Likert [completely agree (5) to completely opposed (1)] scoring system. The data were analyzed using ANOVA by SPSS. ver20 statistical software.
Results: The most challenges of accreditation implementation from the viewpoint of participants were lack of personnel (87.87%), high number of standards and measures (81.17%), encountering the hospital's medical staff with heavy shift work (79.92%), the lack of budget (75.73%), and non-participation of physicians (62.76%).  
Conclusion: The results showed that the greatest challenge in implementing accreditation standards from the managers' and physicians' viewpoint was the lack of personnel and from the nursing staff's viewpoint was encountering the hospital's medical staff with heavy shift work.
Keywords: Accreditation, Third edition of accreditation, Challenge.
Keywords: Accreditation, Third edition of accreditation, Challenge.
Full-Text [PDF 158 kb]   (251 Downloads)    
Semi-pilot: Survey/Cross Sectional/Descriptive | Subject: Health Information Management
Received: 2018/01/13 | Accepted: 2018/05/16 | Published: 2018/09/22
ENG-PDF [PDF 462 KB]  (69 Download)
1. ardani S, Abebi SJ, Riahi L. Relationship between safety and staff performance in hospital. Int J Hosp Res 2013;2:205-12.
2. Mosadeghrad AM. Essentials of healthcare organization and management, Tehran: Dibagran; 2015.
3. Raeisi A, Asefzadeh S, Yarmohammadian M. A Comparative Study on Accreditation Models in Europe and the USA. HIM 2008;3:1-9.
4. Montagu D. London: Department for international development health systems resource center. Accreditation and other external quality assessment systems for healthcare: Review of experience and lessons learned. 2003.
5. 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;12:169-75. [DOI:10.1093/intqhc/12.3.169]
6. Ministry of Health &Medical Education. A look at hospital accreditation standards. Tehran: Seda publishing company; 2008.
7. Jafari GH, Khalifegari S, Denali KH, Dolatshahi P. Ramezani M, Roohparvar R, et al. Hospital accreditation standards in Iran. Tehran; 2010.
8. Mosadeghrad AM. Iran Hospital Accreditation System. Iran J Public Health 2016;45:837-42.
9. Ministry of Health &Medical Education. National hospital accreditation standards,3th ed. 2016.
10. Mate KS, Rooney AL, Supachutikul A, Gyani G. Accreditation as a path to achieving universal quality health coverage. Global Health 2014;10:68. [DOI:10.1186/s12992-014-0068-6]
11. Smits H, Supachutikul A, Mate KS. Hospital accreditation: lessons from low-and middle-income countries. Global Health 2014;10:65. [DOI:10.1186/s12992-014-0065-9]
12. Zarifraftar M., Aryankhesal A. Challenges of Implementation of Accreditation Standards for Health Care Systems and Organizations: A Systematic Review. JMS 2016;2:191-201.
13. Beatty KE, Mayer J, Elliott M, Brownson RC, Abdulloeva S, Wojciehowski K. Barriers and Incentives to Rural Health Department Accreditation. J Public Health Manag Pract 2016;22:138-48. [DOI:10.1097/PHH.0000000000000264]
14. Sadie M, Yarifard Kh, Azami Agdash S, Sadegh Tabrizi J. Challenges and Potential Drivers of Accreditation in Iranian Hospitals. Int J Hosp Res 2015;4:37-42.
15. Mahmoodian S, Safaei F, Meraji M, Kimiafar Kh, Farsinegar N, Ghasemi R. Challenges and Strengths of Implementing Accreditation Process from Health Information Management Staff Perspective. 2016.
16. Jaafaripooyan E. Potential pros and cons of external healthcare performance evaluation systems: real-life perspectives on Iranian hospital evaluation and accreditation program. Int J Health Policy Manag 2014;3:191-8. [DOI:10.15171/ijhpm.2014.84]
17. Organization WHO. Quality and accreditation in health care services: a global review. 2003.
18. Bukonda N, Tavrow P, Abdallah H, Hoffner K, Tembo J. Implementing a national hospital accreditation program: The Zambian experience. Int J Qual Health Care 2002;14:7-16. [DOI:10.1093/intqhc/14.suppl_1.7]
19. Nery A. Benefits and difficulties in the implementation of hospital accreditation: The voice of quality managers. 2016;20:63-9.
20. Kurcgant P, Tronchin DMR, Melleiro MM, Castilho V, Machado VB, Pinhel I, et al. Indicators de qualitied e a avaliação do gerenciamento de precursors humans' em saúde. Rev Esc Enferm 2009;43:1168-73. [DOI:10.1590/S0080-62342009000600004]
21. Cerqueira M. Benefits, Challenges and Trends in Accreditation as A Quality Assurance System: A Literature Review. 2006.
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yahyavi F, Nasiripour A A, Keikavoosi Arani L. Challenges of implementation of Iranian national hospital accreditation standards (3rd Edition 2016) for Tehran’s Islamic Azad University Hospitals . MEDICAL SCIENCES. 2018; 28 (3) :252-257
URL: http://tmuj.iautmu.ac.ir/article-1-1448-en.html

Volume 28, Issue 3 (spring 2018) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
Persian site map - English site map - Created in 0.06 seconds with 31 queries by YEKTAWEB 3877