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Case Study

Year: 2018 | Month: July | Volume: 8 | Issue: 7 | Pages: 394-407

The Impact of CBAHI Accreditation on Critical Care Unit Outcome Quality Measures: A Case Study

Zuber Mujeeb Shaikh1, Dr. Awad Al-Omari2, Adnaan Ahmed3
1FISQua (Ireland), PhD, MPhil, MHM, Director, Corporate Quality Improvement, Dr. Sulaiman Al-Habib Medical Group, Riyadh-11643, Kingdom of Saudi Arabia
2MD, Associate Vice President -Academic Affairs, Medical Director for ICU’s, Dr. Sulaiman Al-Habib Medical Group, AlFaisal University, Riyadh-11643, Kingdom of Saudi Arabia
3MBA, Manager, Corporate Quality Improvement, Dr. Sulaiman Al-Habib Medical Group, Riyadh-11643, Kingdom of Saudi Arabia

Corresponding Author: Zuber Mujeeb Shaikh


Quality indicators are the tools to measure the patient safety, effectiveness, equity, patient-centeredness, timeliness, and efficiency as defined by the Institute of Medicine (IOM). These measures are also categorized as structure, process and outcome by Dr. Avedis Donabedian.
Objectives: To study the impact of the Central Board for Accreditation of Healthcare Institutions (CBAHI) Accreditation on the outcome measures of critical care units in a tertiary care hospital.
Methods: This is a library research methodology, in which the analysis of historical records and data was done before and after the CBAHI Accreditation.
Significance of Research: It was observed during pre CBAHI Accreditation (from May 2016 to October 2016) and post CBAHI Accreditation (November 2016 to April 2017) that there was no significant improvement in the outcome measures of Critical Care Units.
Hypothesis: Null Hypothesis (Ho) and Alternative Hypothesis (H1) were used and tested to compare the pre CBAHI and post CBHAI impact.
Study Design: Outcome Quality Measures as per CBAHI Standards were monitored in pre and post CABHI Accreditation and were compared statistically to study the impact of CBAHI Accreditation. Study Population: The Outcome Quality Measures for the Critical Care Units as per the CBAHI Standards third edition were monitored from May 2016 to October 2016 (before CBAHI Accreditation) and from November 2016 to April 2017 (after CBAHI Accreditation)
Data Collections: Primary data were collected from all Critical Care Units before and after CBAHI Accreditation. Secondary data were collected from relevant published journals, articles, research papers, academic literature and web portals.
Conclusion: There was no statistically significant difference between pre-test and post-test results. Although a number of rates significantly differed across units. Those rates were namely mortality rate, DAMA rate, return to the critical care unit within 48 hours of discharge/transfer rate, average length of stay, rate of initial physical assessment done by nurses with acceptable time, patient identification compliance rate and hospital acquired pressure ulcer (HAPU) rate. Hence, Null Hypothesis (Ho) is accepted and Alternative Hypothesis (H1) is rejected.

Key words: Central Board for Accreditation of Healthcare Institutions (CBAHI), Quality Indicators, Critical Care Units, Joint Commission International (JCI) Accreditation .

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