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Effect of Joint Commission International Accreditation on Hospital Performance: a Systematic Literature Review

Tomblin, Brian Taylor (2021) Effect of Joint Commission International Accreditation on Hospital Performance: a Systematic Literature Review. Master Essay, University of Pittsburgh.

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With over 160,000 hospitals worldwide, patients have more options than ever to seek both emergency and general medical care. However, the quality of health care services is consistently lowered with misdiagnosis, medication errors, and improperly trained staff a few of the most common hospital service problems negatively affecting patients in every country. The Joint Commission International (JCI) attempts to address poor quality of care by providing international hospital accreditation services through a single, high-quality standard. While JCI has over 900 accredited health organizations globally, does their process actually affect quality of care in hospitals? The objective of this essay is to review the literature exploring the possible influence of JCI’s international accreditation on a hospital’s quality of care and explore if and how this system can be improved. An online search found 19 articles representing 12 countries that examine the perceived impact JCI accreditation had on a hospital. The Donabedian model was used to characterize the possible improvements as relating to the structures, processes, or outcomes of the hospital. Overall, 17 of the articles (89.5%) described at least one positive impact on hospital quality attributed to accreditation. while 12 (63.2%) described at least one measure with no improvement. The main positives found were the staff’s appreciation for accreditation, consistent improvements to medical documentation, and reduced nosocomial infections. Gaps in JCI standards related to community health and national awareness were noted. Measures not improved when correlated with JCI included staff workload, surgery lengths, and mortality rates. Associated improvements to patient-related measures were the most inconsistent across literature. Greater focus on educating staff while reducing their workload, building nation-specific support systems, and supporting community health can propel JCI accreditation to be the international solution to the global lack of hospital quality.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Tomblin, Brian Taylorbtt6@pitt.edubtt60000-0002-4888-5309
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairSabik, Lindsaylsabik@pitt.edulsabikUNSPECIFIED
Committee MemberSalter, Cynthiacys6@pitt.educys6UNSPECIFIED
Committee MemberGrand-Clement, Siew Leegrandclements@upmc.eduUNSPECIFIEDUNSPECIFIED
Date: 14 May 2021
Date Type: Completion
Submission Date: 26 April 2021
Access Restriction: 1 year -- Restrict access to University of Pittsburgh for a period of 1 year.
Number of Pages: 37
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: Joint Commission International, JCI, Accreditation, Donabedian, Quality of Care
Date Deposited: 14 May 2021 18:51
Last Modified: 14 May 2021 18:51


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