Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands
BACKGROUND: The aim of accreditation is to improve quality of care and patient safety. However, studies on the effectiveness of accreditation on clinical outcomes are limited and inconsistent. Comparative studies have contrasted accredited with non-accredited hospitals or hospitals without a benchma...
Published in: | International Journal for Quality in Health Care |
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2022
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ftsydanskunivpub:oai:sdu.dk:publications/acf01a48-dc51-4fdb-971f-d8d66e71d0b7 2023-05-15T16:10:36+02:00 Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands Bergholt, Maria Daniella Von Plessen, Christian Johnsen, Søren Paaske Hibbert, Peter Braithwaite, Jeffrey Valentin, Jan Brink Falstie-Jensen, Anne Mette 2022-04-15 https://portal.findresearcher.sdu.dk/da/publications/acf01a48-dc51-4fdb-971f-d8d66e71d0b7 https://doi.org/10.1093/intqhc/mzac015 eng eng info:eu-repo/semantics/closedAccess Bergholt , M D , Von Plessen , C , Johnsen , S P , Hibbert , P , Braithwaite , J , Valentin , J B & Falstie-Jensen , A M 2022 , ' Accreditation and clinical outcomes : shorter length of stay after first-time hospital accreditation in the Faroe Islands ' , International journal for quality in health care : journal of the International Society for Quality in Health Care , vol. 34 , no. 2 , mzac015 . https://doi.org/10.1093/intqhc/mzac015 before and after study patient outcomes certification/accreditation of hospitals external quality assessment length of stay readmissions mortality article 2022 ftsydanskunivpub https://doi.org/10.1093/intqhc/mzac015 2022-08-14T11:04:40Z BACKGROUND: The aim of accreditation is to improve quality of care and patient safety. However, studies on the effectiveness of accreditation on clinical outcomes are limited and inconsistent. Comparative studies have contrasted accredited with non-accredited hospitals or hospitals without a benchmark, but assessments of clinical outcomes of patients treated at hospitals undergoing accreditation are sparse. The Faroe Islands hospitals were accredited for the first time in 2017, making them an ideal place to study the impact of accreditation. OBJECTIVE: We aimed to investigate the association between first-time hospital accreditation and length of stay (LOS), acute readmission (AR) and 30-day mortality in the unique situation of the Faroe Islands. METHODS: We conducted a before and after study based on medical record reviews in relation to first-time accreditation. All three Faroese hospitals were voluntarily accredited using a modified second version of the Danish Healthcare Quality Programme encompassing 76 standards. We included inpatients 18 years or older treated at a Faroese hospital with one of six clinical conditions (stroke/transient ischemic attack (TIA), bleeding gastic ulcer, chronic obstructive pulmonary disease (COPD), childbirth, heart failure and hip fracture) in 2012-2013 designated 'before accreditation'or 2017-2018' after accreditation'. The main outcome measures were LOS, all-cause AR and all-cause 30-day mortality. We computed adjusted cause-specific hazard rate (HR) ratios using Cox Proportional Hazard regression with before accreditation as reference. The analyses were controlled for age, sex, cohabitant status, in-hospital rehabilitation, type of admission, diagnosis and cluster effect at patient and hospital levels. RESULTS: The mean LOS was 13.4 days [95% confidence interval (95% CI): 10.8, 15.9] before accreditation and 7.5 days (95% CI: 6.10, 8.89) after accreditation. LOS of patients hospitalized after accreditation was significantly shorter [overall, adjusted HR = 1.23 (95% CI: 1.04, ... Article in Journal/Newspaper Faroe Islands University of Southern Denmark Research Portal Faroe Islands International Journal for Quality in Health Care 34 2 |
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Open Polar |
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University of Southern Denmark Research Portal |
op_collection_id |
ftsydanskunivpub |
language |
English |
topic |
before and after study patient outcomes certification/accreditation of hospitals external quality assessment length of stay readmissions mortality |
spellingShingle |
before and after study patient outcomes certification/accreditation of hospitals external quality assessment length of stay readmissions mortality Bergholt, Maria Daniella Von Plessen, Christian Johnsen, Søren Paaske Hibbert, Peter Braithwaite, Jeffrey Valentin, Jan Brink Falstie-Jensen, Anne Mette Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands |
topic_facet |
before and after study patient outcomes certification/accreditation of hospitals external quality assessment length of stay readmissions mortality |
description |
BACKGROUND: The aim of accreditation is to improve quality of care and patient safety. However, studies on the effectiveness of accreditation on clinical outcomes are limited and inconsistent. Comparative studies have contrasted accredited with non-accredited hospitals or hospitals without a benchmark, but assessments of clinical outcomes of patients treated at hospitals undergoing accreditation are sparse. The Faroe Islands hospitals were accredited for the first time in 2017, making them an ideal place to study the impact of accreditation. OBJECTIVE: We aimed to investigate the association between first-time hospital accreditation and length of stay (LOS), acute readmission (AR) and 30-day mortality in the unique situation of the Faroe Islands. METHODS: We conducted a before and after study based on medical record reviews in relation to first-time accreditation. All three Faroese hospitals were voluntarily accredited using a modified second version of the Danish Healthcare Quality Programme encompassing 76 standards. We included inpatients 18 years or older treated at a Faroese hospital with one of six clinical conditions (stroke/transient ischemic attack (TIA), bleeding gastic ulcer, chronic obstructive pulmonary disease (COPD), childbirth, heart failure and hip fracture) in 2012-2013 designated 'before accreditation'or 2017-2018' after accreditation'. The main outcome measures were LOS, all-cause AR and all-cause 30-day mortality. We computed adjusted cause-specific hazard rate (HR) ratios using Cox Proportional Hazard regression with before accreditation as reference. The analyses were controlled for age, sex, cohabitant status, in-hospital rehabilitation, type of admission, diagnosis and cluster effect at patient and hospital levels. RESULTS: The mean LOS was 13.4 days [95% confidence interval (95% CI): 10.8, 15.9] before accreditation and 7.5 days (95% CI: 6.10, 8.89) after accreditation. LOS of patients hospitalized after accreditation was significantly shorter [overall, adjusted HR = 1.23 (95% CI: 1.04, ... |
format |
Article in Journal/Newspaper |
author |
Bergholt, Maria Daniella Von Plessen, Christian Johnsen, Søren Paaske Hibbert, Peter Braithwaite, Jeffrey Valentin, Jan Brink Falstie-Jensen, Anne Mette |
author_facet |
Bergholt, Maria Daniella Von Plessen, Christian Johnsen, Søren Paaske Hibbert, Peter Braithwaite, Jeffrey Valentin, Jan Brink Falstie-Jensen, Anne Mette |
author_sort |
Bergholt, Maria Daniella |
title |
Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands |
title_short |
Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands |
title_full |
Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands |
title_fullStr |
Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands |
title_full_unstemmed |
Accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the Faroe Islands |
title_sort |
accreditation and clinical outcomes:shorter length of stay after first-time hospital accreditation in the faroe islands |
publishDate |
2022 |
url |
https://portal.findresearcher.sdu.dk/da/publications/acf01a48-dc51-4fdb-971f-d8d66e71d0b7 https://doi.org/10.1093/intqhc/mzac015 |
geographic |
Faroe Islands |
geographic_facet |
Faroe Islands |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_source |
Bergholt , M D , Von Plessen , C , Johnsen , S P , Hibbert , P , Braithwaite , J , Valentin , J B & Falstie-Jensen , A M 2022 , ' Accreditation and clinical outcomes : shorter length of stay after first-time hospital accreditation in the Faroe Islands ' , International journal for quality in health care : journal of the International Society for Quality in Health Care , vol. 34 , no. 2 , mzac015 . https://doi.org/10.1093/intqhc/mzac015 |
op_rights |
info:eu-repo/semantics/closedAccess |
op_doi |
https://doi.org/10.1093/intqhc/mzac015 |
container_title |
International Journal for Quality in Health Care |
container_volume |
34 |
container_issue |
2 |
_version_ |
1765995776720240640 |