The impact of Joint Commission International accreditation on time periods in the operating room: A retrospective observational study

PloS One
Takenori InomataAtsushi Amano

Abstract

The Joint Commission International (JCI) is responsible for upholding standards in healthcare and organizations in compliance receive accreditation. JCI requires quality improvement on patient safety goals, but requirements may prolong the total procedure/surgery time and reduce efficiency. Here, we evaluate the impact of JCI requirements on time periods in the operating room. We included patients who received elective and emergency surgeries under general anesthesia at Juntendo University Hospital between December 2014 and June 2016. Patients were classified as before and after JCI accreditation on December 12, 2015. The primary outcome was total procedure/surgery time. Secondary outcomes include five time periods comprising the total procedure/surgery time: pre-anesthesia time, anesthesia induction time, procedure/surgery time, anesthesia awareness time and post-anesthesia time. We compared these time periods between patients before and after JCI accreditation and patients were matched for age, sex and the specific type of surgery. Although total procedure/surgery time did not change significantly, pre-anesthesia time significantly increased (8.2 ± 6.9 minutes vs. 8.5 ± 6.9 minutes, before vs. after JCI, respectively, p = 0.0...Continue Reading

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Citations

Aug 12, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Claudia A S AraujoAna Maria Malik
Aug 21, 2019·Journal of Graduate Medical Education·Kathleen D HoltSusan H Day
Nov 28, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Mario Alberto de la Puente PachecoBriyis Fontecha Pacheco
Mar 14, 2021·The International Journal of Health Planning and Management·Fatemeh GhazanfariHossein Mobaraki
Oct 7, 2021·BMC Health Services Research·Mohammed HusseinWim Groot

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