Developing a Model for Accreditation of Iranian Teaching Hospitals A Qualitative Study
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Abstract
Background: Among different factors, accreditation is being widelyused across the world to improve quality and safety in hospitals.Therefore, the purpose of the present study was to develop anaccreditation model for teaching hospitals in Iran.Methods: This qualitative study was conducted in four phases fromJanuary, 2017 to March, 2018. To this end; firstly, existingaccreditation models were extracted and reviewed comparatively.Within the second stage, dimensions and components of theaccreditation model were extracted through semi-structuredinterviews. In the third stage, a new instruction was developed viaintegrating the findings from the first and the second stages.Finally, the model was validated in two phases of Delphi methodand a specialized forum in the fourth step. Qualitative findingswere then analyzed using content analysis method.Results: Models of Joint Commission International (JCI) andWord Federation for Medical Education (WFME) in other 6countries were reviewed and compared with the current Iranianmodel. Extracted dimensions discovered to complement the presentmodel included learner assessment, continuous reviews andrevisions, and educational productivity. The final model was alsodeveloped with 12 dimensions and 94 standards. Content validityratio (CVR) and content validity index (CVI) were also estimated tobe 0.40 and 0.80, respectively. As well, the second round of Delphimethod could increase the number of model standards to 97.Moreover, Cohen’s kappa coefficient was calculated to be at least0.71.Conclusion: This study led to the development of a comprehensivemodel for scientific accreditation of teaching hospitals throughreviewing documentation, combining and comparing globalapproaches, as well as integrating them with the views of domesticexperts.