The impact of Joint Commission International accreditation on time periods in the operating room: A retrospective observational study
The Joint Commission International (JCI) is responsible for upholding standards in healthcare and organizations in compliance receive accreditation. JCI requires quality improvement on patient safety goals, but requirements may prolong the total procedure/surgery time and reduce efficiency. Here, we...
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| Veröffentlicht in: | PloS one 2018-09, Vol.13 (9), p.e0204301-e0204301 |
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| creator | Inomata, Takenori Mizuno, Ju Iwagami, Masao Kawasaki, Shiori Shimada, Akie Inada, Eiichi Shiang, Tina Amano, Atsushi |
| description | The Joint Commission International (JCI) is responsible for upholding standards in healthcare and organizations in compliance receive accreditation. JCI requires quality improvement on patient safety goals, but requirements may prolong the total procedure/surgery time and reduce efficiency. Here, we evaluate the impact of JCI requirements on time periods in the operating room. We included patients who received elective and emergency surgeries under general anesthesia at Juntendo University Hospital between December 2014 and June 2016. Patients were classified as before and after JCI accreditation on December 12, 2015. The primary outcome was total procedure/surgery time. Secondary outcomes include five time periods comprising the total procedure/surgery time: pre-anesthesia time, anesthesia induction time, procedure/surgery time, anesthesia awareness time and post-anesthesia time. We compared these time periods between patients before and after JCI accreditation and patients were matched for age, sex and the specific type of surgery. Although total procedure/surgery time did not change significantly, pre-anesthesia time significantly increased (8.2 ± 6.9 minutes vs. 8.5 ± 6.9 minutes, before vs. after JCI, respectively, p = 0.028) and anesthesia induction time significantly decreased (34.4 ± 16.1 minutes vs. 33.6 ± 15.4 minutes, before vs. after JCI, respectively, p = 0.037) after JCI accreditation. Other secondary study outcomes did not change significantly. Quality improvement initiatives associated with time periods in the operating room can be achieved without undermining efficiency. |
| doi_str_mv | 10.1371/journal.pone.0204301 |
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JCI requires quality improvement on patient safety goals, but requirements may prolong the total procedure/surgery time and reduce efficiency. Here, we evaluate the impact of JCI requirements on time periods in the operating room. We included patients who received elective and emergency surgeries under general anesthesia at Juntendo University Hospital between December 2014 and June 2016. Patients were classified as before and after JCI accreditation on December 12, 2015. The primary outcome was total procedure/surgery time. Secondary outcomes include five time periods comprising the total procedure/surgery time: pre-anesthesia time, anesthesia induction time, procedure/surgery time, anesthesia awareness time and post-anesthesia time. We compared these time periods between patients before and after JCI accreditation and patients were matched for age, sex and the specific type of surgery. Although total procedure/surgery time did not change significantly, pre-anesthesia time significantly increased (8.2 ± 6.9 minutes vs. 8.5 ± 6.9 minutes, before vs. after JCI, respectively, p = 0.028) and anesthesia induction time significantly decreased (34.4 ± 16.1 minutes vs. 33.6 ± 15.4 minutes, before vs. after JCI, respectively, p = 0.037) after JCI accreditation. Other secondary study outcomes did not change significantly. Quality improvement initiatives associated with time periods in the operating room can be achieved without undermining efficiency.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0204301</identifier><identifier>PMID: 30240416</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accreditation ; Aging ; Analysis ; Anesthesia ; Efficiency ; Emergency medical services ; Health care ; Health care industry ; Heart surgery ; Hospitals ; International standardization ; Joint surgery ; Medicine ; Medicine and Health Sciences ; Observational studies ; Patient care ; Patient safety ; Patients ; Pediatrics ; Quality control ; Quality management ; Safety regulations ; Surgery ; University faculty ; Workforce</subject><ispartof>PloS one, 2018-09, Vol.13 (9), p.e0204301-e0204301</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Inomata et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Inomata et al 2018 Inomata et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-e05bab4ae8c35d05afeaed27c1b38cc10393f769eb02990971f4617a66e9e57d3</citedby><cites>FETCH-LOGICAL-c758t-e05bab4ae8c35d05afeaed27c1b38cc10393f769eb02990971f4617a66e9e57d3</cites><orcidid>0000-0003-3435-1055</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150533/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150533/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,2098,2917,23849,27907,27908,53774,53776,79351,79352</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30240416$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Yang, JianJun</contributor><creatorcontrib>Inomata, Takenori</creatorcontrib><creatorcontrib>Mizuno, Ju</creatorcontrib><creatorcontrib>Iwagami, Masao</creatorcontrib><creatorcontrib>Kawasaki, Shiori</creatorcontrib><creatorcontrib>Shimada, Akie</creatorcontrib><creatorcontrib>Inada, Eiichi</creatorcontrib><creatorcontrib>Shiang, Tina</creatorcontrib><creatorcontrib>Amano, Atsushi</creatorcontrib><title>The impact of Joint Commission International accreditation on time periods in the operating room: A retrospective observational study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The Joint Commission International (JCI) is responsible for upholding standards in healthcare and organizations in compliance receive accreditation. JCI requires quality improvement on patient safety goals, but requirements may prolong the total procedure/surgery time and reduce efficiency. Here, we evaluate the impact of JCI requirements on time periods in the operating room. We included patients who received elective and emergency surgeries under general anesthesia at Juntendo University Hospital between December 2014 and June 2016. Patients were classified as before and after JCI accreditation on December 12, 2015. The primary outcome was total procedure/surgery time. Secondary outcomes include five time periods comprising the total procedure/surgery time: pre-anesthesia time, anesthesia induction time, procedure/surgery time, anesthesia awareness time and post-anesthesia time. We compared these time periods between patients before and after JCI accreditation and patients were matched for age, sex and the specific type of surgery. Although total procedure/surgery time did not change significantly, pre-anesthesia time significantly increased (8.2 ± 6.9 minutes vs. 8.5 ± 6.9 minutes, before vs. after JCI, respectively, p = 0.028) and anesthesia induction time significantly decreased (34.4 ± 16.1 minutes vs. 33.6 ± 15.4 minutes, before vs. after JCI, respectively, p = 0.037) after JCI accreditation. Other secondary study outcomes did not change significantly. Quality improvement initiatives associated with time periods in the operating room can be achieved without undermining efficiency.</description><subject>Accreditation</subject><subject>Aging</subject><subject>Analysis</subject><subject>Anesthesia</subject><subject>Efficiency</subject><subject>Emergency medical services</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Heart surgery</subject><subject>Hospitals</subject><subject>International standardization</subject><subject>Joint surgery</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Observational studies</subject><subject>Patient care</subject><subject>Patient safety</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Quality control</subject><subject>Quality management</subject><subject>Safety regulations</subject><subject>Surgery</subject><subject>University 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One</addtitle><date>2018-09-21</date><risdate>2018</risdate><volume>13</volume><issue>9</issue><spage>e0204301</spage><epage>e0204301</epage><pages>e0204301-e0204301</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The Joint Commission International (JCI) is responsible for upholding standards in healthcare and organizations in compliance receive accreditation. JCI requires quality improvement on patient safety goals, but requirements may prolong the total procedure/surgery time and reduce efficiency. Here, we evaluate the impact of JCI requirements on time periods in the operating room. We included patients who received elective and emergency surgeries under general anesthesia at Juntendo University Hospital between December 2014 and June 2016. Patients were classified as before and after JCI accreditation on December 12, 2015. The primary outcome was total procedure/surgery time. Secondary outcomes include five time periods comprising the total procedure/surgery time: pre-anesthesia time, anesthesia induction time, procedure/surgery time, anesthesia awareness time and post-anesthesia time. We compared these time periods between patients before and after JCI accreditation and patients were matched for age, sex and the specific type of surgery. Although total procedure/surgery time did not change significantly, pre-anesthesia time significantly increased (8.2 ± 6.9 minutes vs. 8.5 ± 6.9 minutes, before vs. after JCI, respectively, p = 0.028) and anesthesia induction time significantly decreased (34.4 ± 16.1 minutes vs. 33.6 ± 15.4 minutes, before vs. after JCI, respectively, p = 0.037) after JCI accreditation. Other secondary study outcomes did not change significantly. Quality improvement initiatives associated with time periods in the operating room can be achieved without undermining efficiency.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30240416</pmid><doi>10.1371/journal.pone.0204301</doi><tpages>e0204301</tpages><orcidid>https://orcid.org/0000-0003-3435-1055</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Accreditation Aging Analysis Anesthesia Efficiency Emergency medical services Health care Health care industry Heart surgery Hospitals International standardization Joint surgery Medicine Medicine and Health Sciences Observational studies Patient care Patient safety Patients Pediatrics Quality control Quality management Safety regulations Surgery University faculty Workforce |
| title | The impact of Joint Commission International accreditation on time periods in the operating room: A retrospective observational study |
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