Table 1 Methodological quality ratings and impact directions of included studies (n = 76)
From: The impact of hospital accreditation on the quality of healthcare: a systematic literature review
Themes | Definition and Examples | Related Studies Cited as per the Reference List | Methodological Quality | Impact Direction of Good & Fair Studies | ||||
|---|---|---|---|---|---|---|---|---|
Good | Fair | Poor | Positive | Negative | Neutral | |||
Changes in organizational culture and management (n = 5) | Demonstrated as a significant quantitative hospital managerial or cultural change (e.g., safety culture, communication) | 56–60 | 1 | 4 | 0 | 4 | 0 | 1 |
Changes at the professionals’ level (n = 10) | Demonstrated as changes in professionals’ self-reported outcome parameters (e.g., job stress, job satisfaction) | 49, 59, 61–68 | 3 | 6 | 1 | 1 | 4 | 4 |
Changes at the patient level (n = 14) | Demonstrated as a measurable change in self-reported subjective outcome parameters from a patient and user perspective (e.g., patient satisfaction, patient experience) | 21, 48, 53, 55, 69–78 | 6 | 6 | 2 | 3 | 2 | 7 |
Changes in patient clinical outcomes (n = 24) | Demonstrated as a statistically significant change in patient health outcome measures (e.g., mortality rate, length of stay) | 8, 21, 25, 50–53, 79–95 | 8 | 12 | 4 | 15 | 0 | 5 |
Changes in the performance measures (n = 28) | Demonstrated as a statistically significant change in clinical performance measures (e.g., hand hygiene compliance, medication utilization) | 8, 19, 28, 48, 51, 54, 60, 68, 79, 87, 90, 96–111 | 14 | 12 | 2 | 18 | 0 | 8 |
Changes in economic outcomes (n = 8) | Demonstrated as quantifiable changes in financial or economic outcome parameters (e.g., efficiency, profitability) | 83, 90, 112–117 | 4 | 4 | 0 | 5 | 1 | 2 |