An Exploratory Study on Adherence to Joint Commission International Standards on Facility Management and Safety at a Tertiary Care Hospital in Dubai, United Arab Emirates

Author:

Nazareth Jossil,Kamath Rajesh,Lakshmi R. Vani,Somu G.

Abstract

Introduction: According to the International Society for Quality in Healthcare, accreditation is a process in which "trained external peer reviewers evaluate a healthcare organisation's compliance with pre-established performance standards. Unlike licensure, accreditation focuses on continuous improvement strategies and achievement of optimal quality standards, rather than adherence to minimal standards intended to assure public safety".1,2 This study aims to observe and identify gaps in adherence to Facility Management and Safety Standards as prescribed by the Joint Commission International (JCI). Methodology: A time-bound single-centre observational study was carried out using the JCI Accreditation Standards for Hospitals (Sixth Edition). Questionnaires were shared with 20 purposively and conveniently (based on consent) selected participants after obtaining signed informed consent. Following the questionnaire examination, one-on-one interviews with management were held to acquire the necessary data for the study, including the reasons for non-compliance with specific requirements. This research closely examined JCI-recommended policies (Chapter: Facility Management and Safety) and the hospital's compliance with them. Results and Conclusion: Based on the study, it can be concluded that the hospital has complied with most of the standards on Facility Management and Safety Standards of the Sixth Edition of JCI. However, the clauses FMS.2:ME.3, FMS.6:ME.4, FMS.9.2.1:ME.3, and FMS.9.2.1:ME.4 were not met.

Publisher

Scientific Foundation SPIROSKI

Subject

General Medicine

Reference13 articles.

1. Shaw CD. Isqua-the International Society for Quality in Health Care. International Society for Quality in Healthcare (ISQua); 2004. Available from: https://www.isqua.org [Last accessed on 2022 Apr 18].

2. Wright JR Jr. The American College of Surgeons, minimum standards for hospitals, and the provision of high-quality laboratory services. Arch Pathol Lab Med. 2017;141(5):704-17. https://doi.org/10.5858/arpa.2016-0348-hp PMid:28447899

3. Busse R. An introduction to healthcare quality: Defining and explaining its role in health systems. In: Improving Healthcare Quality in Europe: Characteristics, Effectiveness and Implementation of Different Strategies. Essay. Denmark: WHO Regional Office for Europe; 2019. p. 4.

4. United Nations. Goal 3. Department of Economic and Social Affairs. United Nations. Available from: https://www.sdgs.un.org/goals/goal3 [Last accessed on 2022 Apr 14].

5. Shah A, Pereira P, Tuma P. Quality improvement at times of crisis. BMJ. 2021;373:n928. https://doi.org/10.1136/bmj.n928 PMid:33975873

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