Hospital accreditation: an umbrella review

Lewis, K; Hinchcliff, R

Hospital accreditation: an umbrella review

Lewis, K Hinchcliff, R

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Publisher:: Oxford University Press (OUP)
Publication Type:: Journal Article
Citation:: International Journal for Quality in Health Care, 2023, 35, (1), pp. mzad007
Issue Date:: 2023-02-24

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Field	Value	Language
dc.contributor.author	Lewis, K
dc.contributor.author	Hinchcliff, R
dc.date.accessioned	2024-05-06T04:36:28Z
dc.date.available	2023-01-28
dc.date.available	2024-05-06T04:36:28Z
dc.date.issued	2023-02-24
dc.identifier.citation	International Journal for Quality in Health Care, 2023, 35, (1), pp. mzad007
dc.identifier.issn	1353-4505
dc.identifier.issn	1464-3677
dc.identifier.uri	http://hdl.handle.net/10453/178678
dc.description.abstract	Hospital accreditation is an established quality improvement intervention Despite a growing body of research the evidence of effect remains contested This umbrella review synthesizes reviews that examine the impacts of hospital accreditation with regard to health care quality highlighting research trends and knowledge gaps Terms specific to the population hospital and the intervention accreditation were used to search seven databases CINAHL via EBSCOhost Embase Medline via EBSCOhost PubMed Scopus the Cochrane Database of Systematic Reviews and the Joanna Briggs Institute JBI EBP Database via Ovid 2545 references were exported to endnote After completing a systematic screening process and chain referencing 33 reviews were included Following quality assessment and data extraction key findings were thematically grouped into the seven health care quality dimensions Hospital accreditation has a range of associations with health system and organizational outcomes Effectiveness efficiency patient centredness and safety were the most researched quality dimensions Access equity and timeliness were examined in only three reviews Barriers to robust original studies were reported to have impeded conclusive evidence The body of research was largely atheoretical incapable of precisely explaining how or why hospital accreditation may actually influence quality improvement The impact of hospital accreditation remains poorly understood Future research should control for all possible variables Research and accreditation program development should integrate concepts of implementation and behavioural science to investigate the mechanisms through which hospital accreditation may enable quality improvement
dc.format	Print
dc.language	eng
dc.publisher	Oxford University Press (OUP)
dc.relation.ispartof	International Journal for Quality in Health Care
dc.relation.isbasedon	10.1093/intqhc/mzad007
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Health Policy & Services
dc.subject.classification	3801 Applied economics
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4407 Policy and administration
dc.subject.mesh	Humans
dc.subject.mesh	Accreditation
dc.subject.mesh	Hospitals
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Review Literature as Topic
dc.subject.mesh	Humans
dc.subject.mesh	Hospitals
dc.subject.mesh	Accreditation
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Review Literature as Topic
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Humans
dc.subject.mesh	Accreditation
dc.subject.mesh	Hospitals
dc.subject.mesh	Quality Improvement
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Review Literature as Topic
dc.title	Hospital accreditation: an umbrella review
dc.type	Journal Article
utslib.citation.volume	35
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-05-06T04:36:24Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	35
utslib.citation.issue	1

Abstract:

Hospital accreditation is an established quality improvement intervention Despite a growing body of research the evidence of effect remains contested This umbrella review synthesizes reviews that examine the impacts of hospital accreditation with regard to health care quality highlighting research trends and knowledge gaps Terms specific to the population hospital and the intervention accreditation were used to search seven databases CINAHL via EBSCOhost Embase Medline via EBSCOhost PubMed Scopus the Cochrane Database of Systematic Reviews and the Joanna Briggs Institute JBI EBP Database via Ovid 2545 references were exported to endnote After completing a systematic screening process and chain referencing 33 reviews were included Following quality assessment and data extraction key findings were thematically grouped into the seven health care quality dimensions Hospital accreditation has a range of associations with health system and organizational outcomes Effectiveness efficiency patient centredness and safety were the most researched quality dimensions Access equity and timeliness were examined in only three reviews Barriers to robust original studies were reported to have impeded conclusive evidence The body of research was largely atheoretical incapable of precisely explaining how or why hospital accreditation may actually influence quality improvement The impact of hospital accreditation remains poorly understood Future research should control for all possible variables Research and accreditation program development should integrate concepts of implementation and behavioural science to investigate the mechanisms through which hospital accreditation may enable quality improvement

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http://hdl.handle.net/10453/178678