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http://dx.doi.org/10.12811/kshsm.2015.9.4.033

Analysis of the Status of Infection Controls after Application of the Healthcare Accreditation System  

Jeong, Sun-Young (College of Nursing, Konyang University)
Oh, Hyang-Soon (Department of Nursing, Woosong University)
Chun, Hee-Kyung (Infection Control Team, Kyung Hee University Medical Center)
Publication Information
The Korean Journal of Health Service Management / v.9, no.4, 2015 , pp. 33-49 More about this Journal
Abstract
Objectives : This study was conducted to measure the effects of healthcare accreditation (HA) on the changes in infection control (IC). Methods : Questionnaires were e-mailed to 60 hospitals from 23 October to 23 December, 2011. Data were analyzed by SPSS 12.0. Results : Finally 50 hospitals (83.0%) were enrolled in the study: Seoul area (40.0%), tertiary (76.0%), and >500 beds (98.0%). Nine hospitals (18.0%) had a full time infection control nurse[ICN] with 300 beds. Among various factors, ICN (36.0%), hospital facilities (66.0%), instruments (32.0%) and supplies (88.0%) all improved. Hand hygiene increased (53.1% vs 83.2%, p<.001), but it was continued only in 34.1% of hospitals. Healthcare-associated infection (68.4%), multi drug resistant organisms (42.1%) and outbreaks (26.3%) decreased. Reasons for difficulties in satisfying the HA standards were inadequate support which included hospital facilities, instruments, budget, and a shortage of ICNs and healthcare workers (HCWs). Conclusions : HA had effects on the IC, but they were transient. Staffing in ICN and HCW staffing, hospital facilities, instruments, and supplies all need to be improved.
Keywords
Healthcare Accreditation; Healthcare Quality; Infection Control; Hospitals;
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