ArticleBMJ open2019
Impact of repeated hospital accreditation surveys on quality and reliability, an 8-year interrupted time series analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.PloS one · 2025Pooled it
- The impact of hospital accreditation on the quality of healthcare: a systematic literature review.BMC health services research · 2021Pooled it
- Mediators of change in healthcare organisations subject to external assessment: a systematic review with narrative synthesis.BMJ open · 2020Pooled it
- Evaluating the Impact of Short-Notice Accreditation Assessment on Hospitals' Patient Safety and Quality Culture: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Effect of Accreditation on Patient Safety Culture: Insights from a Brazilian Multicenter Cross-Sectional Study.Global journal on quality and safety in healthcare · 2025Article
- Association between hospital accreditation and healthcare providers' perceptions of patient safety culture: a longitudinal study in a healthcare network in Brazil.Israel journal of health policy research · 2025Article
- The sustainability of hospital accreditation models: a cross-sectional study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Temporal trends and associated factors in cesarean section use in the Philippines: an analysis of Demographic and Health Survey data from 1993 to 2017.BMC pregnancy and childbirth · 2025Article
- A review of the United Arab Emirates healthcare systems on medical tourism and accreditation.Frontiers in health services · 2024Review
- The Effects of Quality Assurance System Implementation on Work Well-Being and Patient Safety: Protocol for a Mixed Methods Study.JMIR research protocols · 2023Article
- Implementing a quality improvement initiative for private healthcare facilities to achieve accreditation: experience from India.BMC health services research · 2023Article
- Enabling Factors for the Successful Implementation of the CBAHI Accreditation Program.Journal of multidisciplinary healthcare · 2023Article
- Impact of the Accreditation Program of the Saudi Central Board for Accreditation of Healthcare Institutions on the Safety Dimension of the Institute of Medicine Quality.Journal of multidisciplinary healthcare · 2023Article
- The attitudes of hospital directors towards normalising accreditation standards: A qualitative descriptive study for Saudi Arabia.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Article
- Development and Evaluation of Interactive Flipped e-Learning (iFEEL) for Pharmacy Students during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Accreditation program for gastrointestinal endoscopes reprocessing in Italy: An on-site survey.Endoscopy international open · 2021Article
- A decade of commitment to hospital quality of care: overview of and perceptions on multicomponent quality improvement policies involving accreditation, public reporting, inspection and pay-for-performance.BMC health services research · 2021Article
- Comparison of Major Clinical Outcomes between Accredited and Nonaccredited Hospitals for Inpatient Care of Acute Myocardial Infarction.International journal of environmental research and public health · 2021Article
- Association between Accreditation and In-Hospital Mortality in Patients with Major Cardiovascular Diseases in South Korean Hospitals: Pre-Post Accreditation Comparison.Medicina (Kaunas, Lithuania) · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
objectiveTo evaluate whether hospital re-accreditation improves quality, patient safety and reliability over three accreditation cycles by testing the accreditation life cycle model on quality measures.
designThe validity of the life cycle model was tested by calibrating interrupted time series (ITS) regression equations for 27 quality measures. The change in the variation of quality over the three accreditation cycles was evaluated using the Levene's test.
settingA 650-bed tertiary academic hospital in Abu Dhabi, UAE.
participantsEach month (over 96 months), a simple random sample of 10% of patient records was selected and audited resulting in a total of 388 800 observations from 14 500 records.
interventionsThe impact of hospital accreditation on the 27 quality measures was observed for 96 months, 1-year preaccreditation (2007) and 3 years postaccreditation for each of the three accreditation cycles (2008, 2011 and 2014).
main outcome measuresThe life cycle model was evaluated by aggregating the data for 27 quality measures to produce a composite score (Y
resultsThe results provide some evidence for the validity of the four phases of the life cycle namely, the initiation phase, the presurvey phase, the postaccreditation slump and the stagnation phase. Furthermore, the life cycle model explains 87% of the variation in quality compliance measures (R
conclusionThe study demonstrates that accreditation has the capacity to sustain improvements over the accreditation cycle. The significant reduction in the variation of the quality measures (Y
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