Document Type : Original Article

Authors

1 MSc, Medical Record, Management, Treatment of Social Security. Isfahan, Iran (Corresponding Author)Email: ab.sh80@yahoo.com

2 Lecturer, Management and Health Information Technology, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

3 Pediatrician, Social Security Organization, Isfahan, Iran

Abstract

Introduction: Recently, the accreditation program has been used increasingly by an emphasis on
patient safety. In Iran, efforts have been made to establish the accreditation program. In 2011, it
replaced previous standards of traditional evaluation system. As the impact of accreditation plan
need internal self assessment against minimal standards, this study aimed to survey the readiness
of selected hospitals in Isfahan based on the functional model of Joint Commission on
Accreditation.
Methods: This cross-sectional descriptive study was conducted on four hospitals in Isfahan, Iran.
Data was collected using 13 checklists based on the functional model of Joint Commission
International Accreditation. The checklists were verified by the Iranian Ministry of Health. Data
was collected via observations and interviews with hospital representatives in quality
management. All statistical analyses were performed using SPSS.
Results: The readiness of the selected hospitals in Isfahan was 64% regarding patient-based
standards and 66% for facility-based standards. In general, the studied hospitals had adequate
readiness for implementation of accreditation standards.
Conclusion: As the study population has ISO 9000 certification, it is possible to replace old
methods of process, outcome, and structure evaluation with new standards. Accordingly, patient
rights have to be considered by health care employers in Isfahan.

Keywords

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