Effect of Feedback Provision on Improving Patient Safety Indices Based on Hospital Accreditation Model: A Study in Shahid Rahnemoon Hospital, Yazd

Ali  Raee-Ezzabadi; Adel  Eftekhari; Naeime  Baghshahi; Mohammad Hossein  Dehghani; Najmeh  Baghian

doi:10.18502/htaa.v8i3.16404

Ali Raee-Ezzabadi Assistant Professor, Emergency Medicine Specialist, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Adel Eftekhari Assistant Professor, Health in Emergencies and Disasters, Department of Nursing, Meybod School of Nursing, Shahid Sadougi University of Medical Sciences, Yazd, Iran
Naeime Baghshahi Clinical Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammad Hossein Dehghani Associate Professor, Anesthesiologist, Department of Anesthesiology and Critical Care, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Najmeh Baghian PhD in Healthcare Services Management, Clinical Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/htaa.v8i3.16404

Keywords: Feedback; Patient Safety; Indices; Accreditation; Hospital

Abstract

Background: Accreditation means systematic evaluation of health service centers with specific standards. One of the most important goals of the accreditation process is to improve patient safety. Patient safety visits are one of the most important standards for improving safety. One of the ways to increase the effectiveness of visits is holding feedback sessions.

Objectives: The present study was conducted with the aim of assessing the effect of feedback provision on improving patient safety indices based on the hospital accreditation model in Shahid Rahnemoon Hospital, Yazd.

Methods: The present study is a semi-experimental study with a before-and-after design that was conducted in Shahid Rahnemoon Hospital, Yazd, from September to December 2021 and January to August 2022. After each visit, formal feedback sessions were held with the attendance of patient safety team members and officials of the visited wards/units. Evaluation indicators included patient safety indicators in accreditation standards, such as error reporting, rate of unwanted events, and patient safety culture score. These were measured before and after feedback. The tools used were the patient safety standards evaluation checklist based on the accreditation model, the patient safety culture questionnaire, and other indicators extracted using documentation. The Patient Safety Culture Evaluation Questionnaire was completed by 360 nurses working in the hospital in the form of a census. Analysis was done using descriptive statistical tests and paired t-tests with STATA 14.2 software.

Results: Based on the results of the study, safety feedback was provided to increase patient safety indicators in different departments and units of hospitals [t = - 4.8652, w/df = 10, P = 0.0007, (P = 0.05)]. A significant difference was observed in the amount of error reporting (P = 0.031) and patient safety (P < 0.001) before and after the intervention. The degree of compliance with the dimensions of the patient safety culture had a statistically significant difference before and after the intervention (P < 0.001).

Conclusions: Providing a safety feedback program had a significant positive effect on the consumption and consequences of the patient’s safety culture. Therefore, conducting regular safety visits and setting up a direct feedback program to each department/unit after the visit, and the follow-up of corrective measures, will lead to an increase in patient safety standards.