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Value of Accreditation and Certification Literature Database
This database is the product of a two-year effort to identify and review thousands of peer-reviewed research articles and other publications that address the value of accreditation, certification and the impact of other Joint Commission initiatives. The initial collection of articles included in the database was identified through a scoping literature review conducted in 2016. During that initial review, a total of 11,004 titles and abstracts were screened, 588 full-text sources were reviewed and 171 sources were summarized and included in this database. While the 2016 review identified 171 articles, new publications are regularly added to the database. New articles are typically identified through an annual literature search, although they may also be added intermittently, as they are identified and reviewed by the research team.
The scoping review process was conducted by three reviewers who screened all titles and abstracts and made independent recommendations for inclusion and exclusion. Upon completion of the title and abstract screening, the independent review and consensus process was repeated for the second stage review of full text of articles which passed the initial screen.
The review was designed to identify literature that addressed any of the following research questions:
- Do accredited / certified organizations have a greater rate of improvement or more sustained improvement than the non-accredited / certified organizations? (RQ1)
- Do Joint Commission-accredited / certified organizations perform better (have better structures, processes and outcomes) than non-accredited / certified organizations? (RQ2)
- What is the impact of Joint Commission accreditation and certification processes, specific standards, performance measures and or other products or initiatives on accredited and certified organizations? (RQ3)
- The Purpose of the publication (as it pertains to accreditation, certification or the impact of Joint Commission initiatives),
- Study Design and Methods (if applicable),
- Findings (primarily focused on findings that are most directly related to research questions related to accreditation, certification or the impact of Joint Commission activities).
- The research team also made an effort to categorically characterize the results/conclusions of each publication with respect to the Impact of accreditation or certification. Each publication was categorized as either positive (the publication reports benefits associated with accreditation or certification), negative (accreditation or certification was associated with unfavorable performance), neutral (accreditation or certification were unrelated to, or had no influence, on performance), mixed (the publication reports some mix of positive/neutral/negative results), or UTD (unable to determine or not applicable -- which generally indicated that the article focused on some aspect of accreditation or certification but was not designed to assess impact or value). Publications with the UTD/NA impact assessment are not included in this database.
- Positive = 183 (80.3%)
- Neutral = 28 (12.3%)
- Mixed = 12 (5.3%)
- Negative = 5 (2.2%)
DISCLAIMER
The articles described in this database were identified through a scoping literature review performed by researchers at The Joint Commission in 2016, and through annual follow-up reviews. While the research team took reasonable efforts to ensure that the review was comprehensive, The Joint Commission makes no claim about the completeness of the review, nor does it imply that the articles listed in this database are the only studies addressing accreditation or certification. The summaries of each article are focused on aspects of each study that are related to accreditation, certification or the impact of Joint Commission initiatives, and they are not intended to completely describe all aspects of each study. The categorization of the results/conclusions represent the consensus opinion of the research team. As such, they constitute a good faith effort to interpret a study's findings with respect to specific research questions that are related to accreditation, certification or other Joint Commission activities. The Joint Commission does not endorse any particular article, and users are encouraged to review the original articles referenced in this database and to draw their own conclusions about each article. The description of articles provided in this database is made available as a resource only. The Joint Commission makes no representations, and accepts no responsibility or liability, with regard to the use of information provided in this database.
["30-day mortality", "39-week rule", "accrediation", "accreditation", "accreditation decisions", "accreditation process", "acute ischemic stroke (AIS)", "acute medical conditions", "acute myocardial infarction", "acute stroke", "acute stroke care", "Acute Stroke Ready Certification", "addiction treatment outcomes", "adolescent opioid use", "adverse event reporting", "adverse events", "ambulatory", "ambulatory antibiotic stewardship program", "Ambulatory care", "ambulatory care", "ambulatory surgery centers", "ambulatory surgery procedures", "aneurysm", "antibacterial prescriptions", "antibacterial stewardship", "antibiotic stewardship program", "antimicrobial", "asthma care", "audit program", "behavioral medicine", "best practices", "bioterrorism", "cancer", "cardiac arrest", "cardiac care", "cardiac care facilities", "cardiovascular disease", "case study", "cataract surgery", "CAUTI", "census", "Central sterile supply department (CSSD)", "cerebral venous sinus thrombosis", "Cerebral Venous Sinus Thrombosis (CVST)", "cerebrovascular accident", "certifed stroke center", "certification", "Chi-square distributions", "children", "chronic kidney disease", "CLABSI", "cleaning and disinfection effect", "clinical dietitian", "clinical outcomes", "clostridioides difficile infection (CDI)", "Colombia", "community health centers", "community preparedness", "compliance", "Comprehensive Stroke Center", "comprehensive stroke center", "continuous quality improvement", "continuous survey readiness", "COPD; Joint Commission; accreditation; chronic disease management; emergency department use; health care utilization; hospitalizations.", "Coronary artery bypass", "cost", "COVID-19", "Coword analysis", "critical access hospital", "critical access hospitals", "cultural competence", "defect improvement", "delivery of health care", "dentistry", "diagnostic stewardship", "disaster response", "disclosure practices", "disease specific", "disease specific care certification", "disease-specific certification", "disparities", "door-to-balloon (DTB) time", "dose levels", "driveline infection", "education", "education department", "electronic handoff", "electronic health records", "emergency care", "emergency care measures", "emergency department", "emergency departments", "emergency medicine", "emergency preparedness", "emergency response", "emergency room", "endoscopy", "endovascular-reperfusion therapy", "expenditures", "falls", "federally qualified health center", "financial performance", "focus groups", "geriatric patients", "gynecological cancer", "HAC reduction program", "HAIs", "health", "health care", "health consumer", "health disparities", "health markets", "health outcomes", "health policy", "health professionals", "health service needs and demands", "healthcare", "Healthcare accreditation", "healthcare organizations", "healthcare professionals perceptions", "healthcare quality", "healthcare quality dimensions", "healthcare quality indicators", "healthcare worker vaccinations", "healthcare-associated infections", "heart failure", "heart failure core measure", "heart failure core measures", "heart-assist devices", "HHCAHPS", "hip and joint replacement", "hip fractures", "home care", "home health", "Home Health Compare", "home health; accreditation; hospitalization; patient outcomes; quality of care", "home health; quality of care; accreditation; patient outcomes; hospitalization", "hospice", "hospital", "Hospital accreditation", "hospital accreditation", "hospital Accreditation", "Hospital accreditation; Joint Commission; hospital outcomes; hospital acquired conditions", "hospital discharge", "hospital factors", "hospital mortality", "hospital penalties", "hospital performance", "hospital readmission", "hospital system", "hospitals", "hospitals certification", "Imaging", "implementation", "in-hospital adverse events", "incentives", "infant deaths", "infection control", "infection control programs", "infection prevention practices", "infection rates", "influenza vaccination", "information technology", "inpatient", "inpatient neurological services", "inpatient psychiatric unit", "inpatients", "international accreditation", "International Patient Safety Goals (IPSG)", "International Patient Safety Goals (IPSGs)", "interprofessional care", "invasive procedures", "ischemic stroke", "isolation", "job satisfaction", "Joint Commission", "joint commission", "Joint Commission disease-specific care", "Joint Commission International", "Joint Commission International (JCI)", "Joint Commission International; Impact of Accreditation; Chinese Private Hospitals; Interrupted Time Series Analysis", "joint commission requirements", "Knowledge mapping", "laboratory and blood Bank", "Latin America", "leadership", "length of hospital stay", "life cycle model; accreditation", "long term care", "long term care hospital", "long-term care", "managed care", "management", "management quality", "market quality achievements", "marketing mix", "medical displacement", "medical emergency team", "medical error reporting", "medical errors", "medical prescribing errors", "medical resident education", "medical safety", "medical tourism", "medical tourism; index of mortality; healthcare quality standard", "medication administration", "medication errors", "medication management", "medication management standards", "medication optimization", "medication prescriptions", "medication safety", "medication safety practices", "MEDLINE", "mental health", "mental health service", "mental health services", "meperidine", "methadone", "methadone maintenance", "methadone treatment", "military clinic", "morphine", "mortality", "mortality rate", "motivation", "myocardial infarction", "narcotics", "National Patient Safety Goal", "national patient safety goals", "national quality measures", "neonatal morbidity", "nonmethadone outpatient treatment", "NPSG.15.01.01", "nursing", "nursing audit", "nursing home", "nursing homes", "nursing records", "nutrition services", "obstetrics", "occupational safety", "operating room", "opiate", "opioid", "opioid disorders", "opioids", "oral anticoagulation therapy", "organization of health care", "organizational correlates", "organizational performance", "outcomes", "outpatient", "outpatient centers", "outpatient substance abuse programs", "outpatients", "pain assessment", "pain control", "pain initiative", "pain management", "pain treatment", "palliative care", "palliative care units", "patient blood management", "patient experience measures", "patient factors", "patient mortality", "patient outcomes", "patient safety", "patient safety measures", "patient satisfaction", "pediatric suicide prevention", "pediatrics", "pediatrics communication", "perception of accreditation", "performance", "performance improvement", "performance measurement", "performance measures", "performancemeasurement", "peri-operative protocol", "perinatal quality measure", "pharmacists", "pharmacotherapy", "pharmacy", "physical therapy", "pneumonia", "prealbumin", "prescribing", "primary care", "Primary care providers", "primary stroke center", "primary stroke centers", "primary stroke certification", "productivity", "psychiatric hospitals", "public hospitals", "public reporting", "Quality", "quality", "quality assessment", "quality assurance", "quality improvement", "Quality improvement", "quality improvement research", "quality improvements", "quality indicators", "quality indicators maternal mobidity", "quality management", "quality measurement", "quality measurement system", "quality measures", "quality of care", "quality of life", "quality of prescribing", "quality ratings", "quasi-experimental approach", "racial differences", "rapid response team", "re-admission rates", "reaccreditation", "readmission", "readmission rates", "reducing errors", "regulation", "restraint", "risk adjustment", "rural", "rural hospital", "rural hospitals", "rurality", "safety", "safety checklist", "safety culture", "safety patient", "Saudi Arabia", "seclusion", "sedation", "skilled nursing facilities", "skilled nursing facility", "small hospitals", "smoking ban standard", "smoking bans", "smoking cessation", "smoking policies", "smoking restrictions", "staff experiences", "staff perception", "staffing", "standardized time-out", "star rating", "star ratings", "stewardship", "still births", "stroke", "stroke care", "stroke centers", "stroke certification", "stroke unit", "substance abuse", "substance abuse treatment", "substance abuse treatment centers", "substance dependence", "substance use disorder", "suicidal behavior", "suicide prevention", "suicide risk assessment", "suicide screening", "surgery time", "surgical marking", "surgical outcomes", "surgical procedures", "surgical site marking", "surveys", "surveys and questionnaires", "systems of care", "systems-theory", "telemedicine", "telestroke sites", "terrorism preparedness", "The Joint Commission", "thrombectomy", "thrombolysis", "thrombolysis time metrics", "time-out", "timeout", "tobacco control standards", "tPA", "training", "transfer patterns", "transfusion", "treatment center", "treatment outcomes", "undergraduate and graduate medical education", "United States", "universal protocol", "vaccinations", "value", "value based purchasing", "VAP", "Venous Thromboembolism", "ventilation", "ventricular assist device", "Veteran Affairs", "workplace violence", "wrong site surgery", "wrong-site surgery"]
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