Compression of clinical indicators before and after the implementation of clinical governance and accreditation programs in Beheshti Hospital – 2012

Document Type : Original Article

Authors

1 Associate Professor Kashan University of Medical Sciences, Kashan University of Medical Science, Kashan, I.R.Iran

2 Ph D of health care management, Kashan University of Medical Science, Kashan, I.R.Iran

3 Ph D of epidemiology, Kashan University of Medical Science, Kashan, I.R.Iran

Abstract

Introduction: Clinical governance is the application of mechanisms at the right time and place to do tasks for patients properly and obtain maximum clinical results. In this regard, accreditation is an assessment tool of health systems, especially hospitals, that is a top priority of the ministry of health and medical education in Iran. So the aim of the present study is the impact of clinical governance and accreditation programs on performance indicators in Kashan Beheshti Hospital in 2012.
Methods & materials: This is a descriptive study. Data were gathered by census from 2009 to 2011 as pre- implementation of clinical governance and accreditation programs and 2011 to 2013 after utilization of it in the Kashan Shahid Beheshti Hospital. A validated check list including 16 indicators was used. SPSS 16 was applied, using t-tests to do statistical analysis (P-Value<0/05)
Results:Comparing indices of health care management before and after implementation of clinical governance and accreditation programs revealed that the ratio of active beds to constant beds, beds turnover in a general hospital, beds occupancy rate, infant mortality rate, hospital infection rates, rate of death to total hospitalized patients, mortality after surgery, patients' satisfaction to hospital services in hospitalization wards and extent of organizing committees  according to the has significantly improved (P-Value<0/05).
Conclusion:According to the results of research by reinforcing performance indices, in order to achieve the desired standards and identify weaknesses and improving strengths, higher quality of service should be providedfor patients and society.

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