The Impact of CBAHI Accreditation on Efficiency Rate and Patient’ Safety: Makkah Experience, KSA

Background: Understanding the effect of accreditation on healthcare outputs and outcomes and the cost savings associated with accreditation is valuable for policymakers as well as hospitals facing the decision to commit potentially limited resources to the accreditation process. Literature reviews on the effects of accreditation on the quality of care do not deliver strong evidence due to limitations of the studies. Aim of the study: The aim of the current study is to determine the impact of the CBAHI accreditation on efficiency rate and patient's safety measures on three different hospitals in Makkah city. Subjects and Methods: A retrospective cohort research design was utilized to achieve the aim of the study. Data required for this study was obtained from available electronic medical records and quality management departments data base from three different hospitals in Makkah city that has different functions and sectors. Data which has been collected concerning bed occupancy rate, bed turnover rate, average length of stay and cancellation rate as variables to measure the efficiency rate in addition to rate of medication errors/ 1000 dispensed doses, rate of patient falls, mortality rate, hospital acquired pressure ulcer and surgical site infection as variables to measure the patients safety profile in the involved hospitals after getting the approval from the quality department seniors that those factors are reflecting both efficiency and patients safety status. Data was collected the data from January 2016 to March 2020 which has the data of 15 months before the accreditation, and we will compare it with the data of 36 months after the accreditation for the same variables and monitor the progression of those variables after accreditation. Results: No statistically significant differences were found related to efficiency rate and patient safety before and after CBAHI accreditation 2017. Also, no statistically significant differences found related to efficiency rate and patient safety before and after CBAHI reaccreditation 2020 except bed turnover rate. Conclusion: Research measuring the impact of CBAHI accreditation on efficiency rate and patient's safety measures using methodologically strong designs is lacking So, more rigorous designs are needed to establish causal links between the accreditation and outcomes.