Abstract
Problem statement: Considering the importance of emergency departments in healthcare system and the high mortality rate of patients refe rred to these departments, it is crucial to provide quality services in emergency departments. Accredit ation is a systematic process for improving quality of care and it enables managers to assess and evalu ate the healthcare system. Accreditation of an organization provides an obvious commitment for improving quality of safety, quality of patient care, ensuring safety surveillance and continuous activit ies for reducing dangers which threaten patients an d staff. Therefore, given the vital role as well as a nd the perpetual and indispensable service provided by the emergency departments, it is necessary to re-ev aluate the manner of service provision in these departments according to the standards and criteria of accreditation, so that an observance of these criteria will lead to improvement of emergency medi cine in Iran. Thus, the present study was undertaken with the purpose of accreditation of eme rgency department of a teaching hospital of Tehran University of Medical Sciences according to the sta ndards of Iranian Deputy of Health and the JCI. Approach: This is a descriptive-analytic study with a cross- sectional structure. Our study population consisted of 50 individuals of the healthcare staff (physicians and nurses) working in morning and evening work shifts of the emergency department in the teac hing hospital. Data collection tools consisted of s tandard questionnaires of the Deputy of Health (9 series) a nd questionnaires developed by authors based on the standards of the Joint Commission International (JC I) regarding patient satisfaction with services pro vided in emergency departments. In order to determine the reliability and validity of the data collection to ols, professors and experts reviewed the questionnaire o f quality and patient safety in accordance with sta ndards of quality patient safety from the standards of pat ient satisfaction prepared by the JCI. Subsequently , the questionnaires were used in the emergency department of a teaching Hospital with approval of the head of department. Moreover, they said questionnaire was critiqued for its content and then reviewed conceptu ally. The reliability of the questionnaire was confirmed with a Cronbach's α of 95%. Results: According to the relevant standards and the checklists provided by t he Deputy of Health for influencing factors (such a s human resources, ethical issues and observance of r eligious measures, structural issues, medical equip ment and medications, provision of other medical service s, nonmedical equipment), our evaluation of the emergency department in teaching Hospital yielded a score of 1626 points (86.81% of the maximum score) for the department. Conclusion: The above findings the emergency department in thi s hospital requires certain plans for improving the status quo. Therefo re, the current deficiencies must be addressed with a comprehensive plan so that accreditation by the JCI may become feasible.
Highlights
Regardless of vastness and affluence, social health and the manner of providing healthcare services constitute an essential issue in most countries of the world (Kallstroma, 2010)
Level of compliance of Quality and Patient Safety (QPS) standards in the domain of managerial and clinical standards: Considering the value of chi-square (χ2=12.28), which is larger than the error level of 5% with a degree of freedom of 2, the H0 hypothesis is rejected; in other words, the differences between observed frequencies are real and it may be stated with 95% of confidence that 44% of individuals believed that the managerial and clinical standards are implemented in the hospital, 46% believed that these standards are relatively implemented in the hospital and only 10% were of the opinion that the standards are never implemented in the hospital (Table 1 and 2)
Level of compliance of QPS standards in the domain of leadership and planning in hospital: Considering the value of chi-square (χ2=22.36), which is larger than the error level of 5% with a degree of freedom of 2, the H0 hypothesis is rejected; in other words, the differences between observed frequencies are real and it may be stated with 95% of confidence that 38% of individuals believed that the standards of leadership and planning are implemented in the hospital, 58% believed that these standards are relatively implemented in the hospital and only 4% were of the opinion that the standards are never implemented in the hospital (Table 1 and 2)
Summary
Regardless of vastness and affluence, social health and the manner of providing healthcare services constitute an essential issue in most countries of the world (Kallstroma, 2010).
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