Status of accessible quality indices in the hospitals of Shahid Beheshti University of Medical Sciences according to accreditation in 2015

Introduction: The accreditation process is conducted to enhance the organizational quality and outcomes based on the localized standards. The objective of the study was to compare quality indices in hospitals of Shahid Beheshti University of Medical Sciences (SBUMS) in Tehran with different accreditation degrees. Materials and Methods: Ten indices, representing the quality measures of inpatient cares, were selected among accredited hospitals based on importance and patient influences. In this applied descriptive study, data of 11 teaching hospitals of SBUMS were studied and analyzed by SPSS 21 using descriptive statistics and ANOVA in 2015. Data were collected from hospital records. Results: The most favorable indices - patients' satisfaction with emergency and hospitalization services, mean duration of triage (levels 2, 3, 4, and 5), and unsuccessful cardiopulmonary resuscitation (CPR) - were in the lowest ranking hospitals. Six of 10 indices, including cesarean, the death level, the discharge rate of admitted patients in the emergency department and hospital wards by personal consent, the patients' satisfaction with the hospitalization and emergency services, mean duration of triage (levels 2, 3, 4, and 5), and unsuccessful CPR were the most unfavorable in hospitals with the highest ranking, i.e., the first excellent degree. Conclusion: There was no significant difference in the indices of hospital care processes with different accreditation degrees. There were also reverse correlations between the direction of outcome changes and the accreditation level in some domains, which might require reassessment of the conduction of the program.