published_or_final_version / Public Health / Master / Master of Public Health

Background: The Hong Kong Hospital Authority (HA) has adopted the Australian Council on Healthcare Standards (ACHS) scheme for their public hospital accreditation program. Continuous improvement is a vital aspect of the ACHS criteria and facilitates the movement from status quo to the desired state; therefore, change is necessary, and change management may be useful. Objectives: To identify the current level of evidence regarding change management with respect to hospital accreditation and to identify the common change management tools that may be relevant to hospital accreditation. Methods: The primary method was a search of MEDLINE and PubMed for articles published between January 2001 and April 2011. Grey literature was identified via a Google search. Unpublished data was retrieved from an on-going qualitative study of hospital accreditation in Hong Kong. Results: No literature with the keywords “change management” and “hospital accreditation” were found in MEDLINE or PubMed. By adjusting these keywords to identify articles about change management in healthcare, 84 citations were identified, 18 of which were included for review. The majority of the literature described increased communication as a change management intervention. Change management framework and tools were also found in the grey literature review. Results: No literature with the keywords “change management” and “hospital accreditation” were found in MEDLINE or PubMed. By adjusting these keywords to identify articles about change management in healthcare, 84 citations were identified, 18 of which were included for review. The majority of the literature described increased communication as a change management intervention. Change management framework and tools were also found in the grey literature review. / published_or_final_version / Public Health / Master / Master of Public Health

Thesis (MSc)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: Introduction: Quality assurance in Nuclear Medicine is of utmost importance in order to ensure optimal scintigraphic results and correct patient management. A customised Quality Management System (QMS) should be documented and implemented by following the international guidelines set by the International Standardisation Organization (ISO). Materials & Methods: A Quality Control Manual (QCM), defining the departmental quality policy, mission, vision and objectives was customised following the framework of a tried and tested design. As ISO focuses on client satisfaction and staff harmony, the following departmental objectives were audited in working towards the accreditation of the Nuclear Medicine Department of Tygerberg Hospital: referring physician satisfaction, patient satisfaction as well as staff satisfaction and harmony. Information was collected by means of questionnaires completed by referring physicians and staff members. One-on-one interviews were executed on patients. An international ISO accredited Nuclear Medicine department was visited to establish the suggested path to follow en route to successful ISO accreditation and certification. Results: Referring physicians indicated overall satisfaction with service provision, but a need for electronic report and image transfers seemed too dominant. The patient satisfaction survey resulted into overall satisfaction with personal service providing, but the provision of written and understandable information, long waiting times and t equipment must receive attention. Staff questionnaires indicated a general lack of communication between different professional groups and the need for interpersonal loyalty and team building. Improvement measures were identified to ensure the continuous improvement of the QMS by focusing on these quality parameters. Conclusion: The department has QA procedures in place, but does not meet all criteria for external accreditation. In order to ensure departmental harmony and sustainability of client and staff satisfaction, the departmental objectives in measured and improved where needed. The successful implementation and continuous improvement of a customised QMS, following the guidelines outlined in the QCM will lead to successful accreditation. / AFRIKAANSE OPSOMMING: Inleiding: Die belangrikheid van kwaliteit versekering in Kerngeneeskunde vir die versekering van optimale flikkergrafiese resultate en korrekte pasient handtering kan nie onderskat word me. 'n Klantgerigte Kwaliteitsbeheersisteem (KBS) moet gedokumenteer en geimplimenteer word vir die Kerngeneeskunde Departement deur die riglyne te volg soos uiteengesit deur die Internationale Standardiserings Organisasie (ISO). Materiale & Metodes: 'n Kwaliteitskontrol handleiding (KB), wat die departementele kwaliteitsbeleid, die missie en visie asook die departementele doelwitte definieer is ontwerp en saamgestel vir die Kerngeneeskunde departement van Tygerberg Hospitaal. Hierdie ontwerp is gebaseer op die raamwerk van 'n aanvaarde kwalteitsbeheersisteem. ISO fokus op klante tevredenheid asook personeel harmonie en tevredenheid. Vir hierdie rede is daar 'n tevredenheidpeiling uitgevoer op die klante en personeel in die strewe na ISO akkreditasie en sertifikasie. Inligting was versamel deur vraelyste wat ingevul was deur die verwysende geneeshere, pasiente en personeel. Resultate: 'n Kwaliteitskontrole handleiding was saamgestel VIr gebruik in die Kerngeneeskunde department. Die interne audit resultate het aangedui dat die verwysende geneeshere tevrede is met die algehele dienslewering. Die behoefde aan elektronies versende verlae en beelde was dominerend. Die pasient tevredenheidspeiling het bevestig dat die pasiente tevrede is met persoonlike dienslewering, maar 'n tekort aan verstaanbare en geskrewe inligting was geidentifiseer. Die lang wagtye en stukkende apparaat is ook gebiede wat verbertering benodig. Algemene gebrek aan komminukasie tussen die verskillende beroepsgroepe, die behoefte aan interpersoonlike lojaliteit en span werk was die hoof bevindinge van die personeel tevredenheidspeiling. Verbeterings maatreels, gefokus op hierdie departementele doelwitte, was geidentifiseer ten eide te verseker dat die KBS voordurend verbeter en in stand gehou word. Samevatting: Alhoewel die departement wel KB prosedures in plek het, voldoen dit nie aan al die criteria vir eksterne akkreditasie nie. Ten einde departementele harmonie en kliente tevredenheid te verseker, met die oog op ISO sertifikasie, moet die departmenteIe doelwitte deurlopend gemeet en verbeter word.

A acreditação é o procedimento de avaliação dos recursos institucionais, voluntário, periódico, reservado e sigiloso, que tende a garantir a qualidade da assistência através de padrões previamente aceitos. Este trabalho foi realizado no Hospital Geral de Caxias do Sul (HG), entidade de ensino sem fins lucrativos que atende exclusivamente ao Sistema Único de Saúde, localizado na Serra Gaúcha. Esta dissertação teve por objetivo verificar a percepção dos profissionais da área de saúde na implantação do processo de Acreditação Nível I – ONA, bem como identificar as estratégias utilizadas pelos profissionais de saúde para a manutenção do processo de Acreditação e a organização dos processos assistenciais e administrativos do hospital. Também foram analisados os pontos fortes e fracos diagnosticados pela instituição acreditadora. A metodologia utilizada foi documental, qualitativa e quantitativa, com objetivos exploratórios e descritivos. Foi utilizada a análise de conteúdo segundo Bardin (2010) para o tratamento e interpretação dos dados qualitativos e na quantitativa com a utilização da escala Likert, os dados foram analisados através de estatística descritiva, teste t de studente análise de variância não paramétrica. Os resultados mostraram que, após o processo de acreditação, os profissionais da área da saúde perceberam melhoria da qualidade da assistência. E na perspectiva desses profissionais, o engajamento, a responsabilidade, o envolvimento, a motivação, a participação no planejamento, o acesso a recursos materiais e a facilidade para se adaptar ao processo foram os fatores que mais contribuíram para a percepção de melhoria da qualidade da assistência prestada, também relatado pelos gerentes e diretores a mudança na cultura da instituição. Espera-se que este estudo traga subsídios teóricos para que hospitais com a característica da instituição estudada utilizem estas informações na reorganização de seus processos assistenciais e administrativos com a finalidade de alcançar a certificação desejada. Como sugestão de trabalhos futuros, realizar o comparativo entre técnicos de enfermagem e enfermeiros para identificar a existência de diferenças na percepção e também avaliar suas percepções e comprometimento para a busca do Nível II da Acreditação Hospitalar. / Submitted by Ana Guimarães Pereira (agpereir@ucs.br) on 2016-05-11T17:01:12Z No. of bitstreams: 1 Dissertacao Sandro de Freitas Junqueira.pdf: 1164067 bytes, checksum: 988f1be4f8c0f09a65e20a59083a96f6 (MD5) / Made available in DSpace on 2016-05-11T17:01:12Z (GMT). No. of bitstreams: 1 Dissertacao Sandro de Freitas Junqueira.pdf: 1164067 bytes, checksum: 988f1be4f8c0f09a65e20a59083a96f6 (MD5) Previous issue date: 2016-05-11 / Accreditation is the procedure for the evaluation of institutional resources, volunteer, periodic, secretive and confidential, which tends to ensure the quality of care through previously accepted standards. This work was performed at the Hospital General de Caxias do Sul (HG), a nonprofit education organization that caters exclusively to the single Health System, located in the Serra Gaúcha. This dissertation aimed to verify the perceptions of health professionals in the implementation of the accreditation process level I-ONA, as well as identify the strategies used by health professionals for the maintenance of the accreditation process, and the Organization of assistance and administrative processes of the hospital. Was also analyzed the strengths and weaknesses identified by the accrediting institution institution. The methodology used was qualitative and quantitative, exploratory and descriptive purposes. Content analysis was used according to Bardin (2010) for the treatment and interpretation of qualitative and quantitative data with the use of Likert scale, data were analyzed through descriptive statistics, student's t-test and analysis of variance not parametric. The results showed that after the accreditation process, the health professionals perceived improvement in quality of care, and in the perspective of these professionals, engagement, responsibility, involvement, motivation, participation in planning, access to material resources and to adapt to the process were the factors that contributed most to the perception of improvement of the quality of the assistance It was also reported by managers and directors to change the culture of the institution. It is hoped that this study bring theoretical subsidies to hospitals with the characteristic of institution studied to use this information in the reorganization of their assistance and administrative processes in order to achieve the desired certification. As a suggestion for future work, perform the comparison between nursing technicians and nurses to identify the existence of differences in perception and also assess their perceptions and commitment to the pursuit of the level II hospital accreditation.

A acreditação é o procedimento de avaliação dos recursos institucionais, voluntário, periódico, reservado e sigiloso, que tende a garantir a qualidade da assistência através de padrões previamente aceitos. Este trabalho foi realizado no Hospital Geral de Caxias do Sul (HG), entidade de ensino sem fins lucrativos que atende exclusivamente ao Sistema Único de Saúde, localizado na Serra Gaúcha. Esta dissertação teve por objetivo verificar a percepção dos profissionais da área de saúde na implantação do processo de Acreditação Nível I – ONA, bem como identificar as estratégias utilizadas pelos profissionais de saúde para a manutenção do processo de Acreditação e a organização dos processos assistenciais e administrativos do hospital. Também foram analisados os pontos fortes e fracos diagnosticados pela instituição acreditadora. A metodologia utilizada foi documental, qualitativa e quantitativa, com objetivos exploratórios e descritivos. Foi utilizada a análise de conteúdo segundo Bardin (2010) para o tratamento e interpretação dos dados qualitativos e na quantitativa com a utilização da escala Likert, os dados foram analisados através de estatística descritiva, teste t de studente análise de variância não paramétrica. Os resultados mostraram que, após o processo de acreditação, os profissionais da área da saúde perceberam melhoria da qualidade da assistência. E na perspectiva desses profissionais, o engajamento, a responsabilidade, o envolvimento, a motivação, a participação no planejamento, o acesso a recursos materiais e a facilidade para se adaptar ao processo foram os fatores que mais contribuíram para a percepção de melhoria da qualidade da assistência prestada, também relatado pelos gerentes e diretores a mudança na cultura da instituição. Espera-se que este estudo traga subsídios teóricos para que hospitais com a característica da instituição estudada utilizem estas informações na reorganização de seus processos assistenciais e administrativos com a finalidade de alcançar a certificação desejada. Como sugestão de trabalhos futuros, realizar o comparativo entre técnicos de enfermagem e enfermeiros para identificar a existência de diferenças na percepção e também avaliar suas percepções e comprometimento para a busca do Nível II da Acreditação Hospitalar. / Accreditation is the procedure for the evaluation of institutional resources, volunteer, periodic, secretive and confidential, which tends to ensure the quality of care through previously accepted standards. This work was performed at the Hospital General de Caxias do Sul (HG), a nonprofit education organization that caters exclusively to the single Health System, located in the Serra Gaúcha. This dissertation aimed to verify the perceptions of health professionals in the implementation of the accreditation process level I-ONA, as well as identify the strategies used by health professionals for the maintenance of the accreditation process, and the Organization of assistance and administrative processes of the hospital. Was also analyzed the strengths and weaknesses identified by the accrediting institution institution. The methodology used was qualitative and quantitative, exploratory and descriptive purposes. Content analysis was used according to Bardin (2010) for the treatment and interpretation of qualitative and quantitative data with the use of Likert scale, data were analyzed through descriptive statistics, student's t-test and analysis of variance not parametric. The results showed that after the accreditation process, the health professionals perceived improvement in quality of care, and in the perspective of these professionals, engagement, responsibility, involvement, motivation, participation in planning, access to material resources and to adapt to the process were the factors that contributed most to the perception of improvement of the quality of the assistance It was also reported by managers and directors to change the culture of the institution. It is hoped that this study bring theoretical subsidies to hospitals with the characteristic of institution studied to use this information in the reorganization of their assistance and administrative processes in order to achieve the desired certification. As a suggestion for future work, perform the comparison between nursing technicians and nurses to identify the existence of differences in perception and also assess their perceptions and commitment to the pursuit of the level II hospital accreditation.

Ecole de Santé Publique <p>Université Libre de Bruxelles <p>Academic Year 2010-2011<p><p>Al-Awa, Bahjat<p><p>Impact of Hospital Accreditation on Patients' Safety and Quality Indicators<p><p>Dissertation Summary <p><p>I.\ / Doctorat en Sciences / info:eu-repo/semantics/nonPublished