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328810
Positive Influence of Accreditation on Patient Safety Culture – A Follow up Study in Taiwan


Tuesday, November 3, 2015

Chien-Ming Lo, Division of Quality Improvement, Taiwan Joint Commission on Hospital Accreditation(TJCHA), New Taipei City, Taiwan
Yun-Ling You, Taiwan Joint Commission on Hospital Accreditation, New Taipei City, Taiwan
Shing Liao, Division of Quality Improvement, Taiwan Joint Commission on Hospital Accreditation(TJCHA), New Taipei City, Taiwan
Hung-Jung Lin, Taiwan Joint Commission on Hospital Accreditation, New Taipei City, Taiwan
Data was collected from the Taiwan Patient Safety Culture Survey (TPSCS) conducted from 2008 to 2014. Respondents of the TPSCS were employees of healthcare institutions and were tested through the Chinese version of the Safety Attitude Questionnaire (SAQ). In all cases, perspectives with mean scores of more than 4 were considered positive responses. To ensure data quality, a questionnaire with the same answer or containing many missing data were considered to be invalid in the data cleaning process. We used trend analysis to examine the impact of accreditation on PSC. The results of the hospitals’ PSC were divided into six groups based on “time of accreditation”: One year before the accreditation (A-); The year of first accreditation (A1); one year after the first accreditation (A1.1); two years after the first accreditation (A1.2) ; One year before the second accreditation (A2-) ; and the second accreditation(A2). Using Paired Sample T Test , the differences of PSC of the two accreditations were analyzed.

From 2008 to 2014, a total of 15 hospitals participated in the TPSCS consecutively, and they each received two hospital accreditations, respectively. The results show that teamwork climate was significantly increased from 46.8% to 58.5% (p<0.01), safety climate was significantly increased from 42.4% to 53.9% ( p<0.01), job satisfaction was significantly increased from 41.6% to 51.8% (p<0.01), perception of management was significantly increased from 42.6% to 50% (p<0.01), and working conditions was significantly increased from 42.3% to 55.8% ( p<0.01). 

Previous research findings show that “hospitals with higher positive PSC” had better clinical outcomes, such as fewer medication errors, lower use of respirators for pneumonia patients, lower blood stream infections, etc. The research results of the present show that hospital accreditation has significantly positive influence on its safety climate, and the effects can maintain till to second accreditation.

Learning Areas:

Administer health education strategies, interventions and programs
Administration, management, leadership
Diversity and culture
Occupational health and safety
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Analyze the relationship between accreditation and patient safety culture

Keyword(s): Accreditation, Public Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a senior researcher in Taiwan Joint Commission on Hospital Accreditation, which is devoted to hospital accreditation and patient safety promotion in Taiwan. I have been involved in Taiwan's Patient Safety Culture Survey Program since 2007. About 50 to 100 hospitals joined the program annually as the research subjects. Some research findings were presented at the ISQua and APHA conferences these years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4089.0: Health Administration Posters: Session 3