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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Management changes resulting from hospital accreditation.

João Lucas Campos de Oliveira1, Carmen Silvia Gabriel2, Hosanna Pattrig Fertonani3

  • 1Doctoral student, Universidade Estadual de Maringá, Maringá, PR, Brazil. Assistant Professor, Colegiado de Enfermagem, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil.

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|March 17, 2017
PubMed
Summary

Hospital accreditation drives significant, multifaceted management changes, enhancing operational, structural, and quality domains. These improvements align with better service quality, benefiting healthcare organizations.

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Hospital Administration

Background:

  • Hospital accreditation is a key driver for quality enhancement.
  • Understanding management shifts post-accreditation is crucial for healthcare organizations.
  • Previous research has not fully captured the qualitative perspectives of staff on these changes.

Purpose of the Study:

  • To analyze perceptions of managers and professionals regarding hospital management changes after accreditation.
  • To explore the impact of accreditation on various hospital operational domains.

Main Methods:

  • A descriptive, qualitative study was conducted.
  • Participants included 5 hospital quality managers and 91 professionals from 4 accredited hospitals in Southern Brazil.
  • Thematic content analysis, using ATLAS.ti software and Donabedian's framework, was applied to interview data on pre- and post-accreditation management.

Main Results:

  • A major theme identified was 'Management Changes Resulting from Accreditation: perspectives of managers and professionals'.
  • Five key codes emerged, detailing changes in operational, structural, financial, cost, top management, and quality management domains.
  • Accreditation prompted comprehensive and varied alterations across hospital management structures.

Conclusions:

  • Hospital accreditation leads to broad and multifaceted management changes.
  • These changes are positively associated with improvements in overall service quality.
  • The findings underscore the transformative impact of accreditation on hospital operations and quality.