A Joint Commission International-Accredited Small-scale Clinic: a Case Report

초록

Objectives: The increased focus on patient safety and quality of health care has continually led hospital accreditation to grow internationally. Joint Com mission International (JCI) accreditation is the most representative entity in the international context. The extensive parameters used in JCI accreditation standards make bigger facilities have a greater advantage in practical terms. However, it is possible to establish the JCI framework into a more suitable form for the capacity of smaller medical facilities. This case report aimed to summarize its relevant experiences in a small-scale clinic whilst working on the accreditation, and to discuss the lessons from such interventions in outpatient care during the period of before and after JCI accreditation. Methods: This study with a three-year follow up was conducted in a small-scale local clinic in which JCI accreditation was successfully passed in 2016. Data was col lected by conducting interviews with the staff in charge of handling JCI accreditation, and the relevant experiences focusing on international patient safety goals and medication management were summarized, with the lessons from such interventions in outpatient care during the period of before and after JCI accreditation. Results: Participating in the accreditation process and the three-year follow-up analysis revealed that the initial low levels of compliance with standards to improve patient safety and quality of healthcare in this clinic have been much improved. Conclusions: Based on finding of the case report, JCI accreditation in small-scale clinic may enhance its awareness and capacity to achieve successful quality improvement.

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