Ensuring quality care of patients

Identify the affect of accreditation and certification on ensuring quality care of patients (JCAHO, OBRA, CARF).

The Joint Commission has been a leader in healthcare for over 50 years. It is an independent not-for profit organization that was founded to improve patient safety by promoting high standards of performance from health care organizations. JCAHO’s mission statement states “to lead the nation toward zero preventable harm.” In addition to its focus on improving patient outcomes, it also focuses on providing education about best practices through publications such as this one. This article will discuss how these two initiatives have impacted the delivery of safe, effective, efficient, timely, equitable, compassionate, and person centered care.

Methods: A literature review using PubMed/Medline database with search terms including joint commission, accreditation, certification, quality improvement, patient satisfaction, nursing, physician, hospital, and medical errors. Articles were selected based upon relevance to the topic.

Results: Accreditation and Certification are important tools used by hospitals to ensure compliance with national guidelines and regulations. They provide assurance to consumers regarding the quality of services provided at their facility. However, they do not guarantee perfect results or eliminate all risk. There can be unintended consequences when implementing new programs. For example, there may be increased costs associated with implementation. Hospitals must balance cost effectiveness with other factors such as staff time needed to implement changes. Another potential problem is that some facilities may feel pressured into meeting certain requirements before others. Finally, if a program does not work well, then it should be discontinued rather than continued indefinitely.

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