Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.

<h4>Objectives</h4>To illuminate the benefits of Joint Commission International (JCI) accreditation and other experiences related to the accreditation process in relation to occupational health and patient safety.<h4>Design</h4>Systematic review.<h4>Methods</h4>We...

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Main Authors: Anni Vuohijoki, Leena Ristolainen, Juhana Leppilahti, Sanna-Maria Kivivuori, Heikki Hurri
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0325894
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author Anni Vuohijoki
Leena Ristolainen
Juhana Leppilahti
Sanna-Maria Kivivuori
Heikki Hurri
author_facet Anni Vuohijoki
Leena Ristolainen
Juhana Leppilahti
Sanna-Maria Kivivuori
Heikki Hurri
author_sort Anni Vuohijoki
collection DOAJ
description <h4>Objectives</h4>To illuminate the benefits of Joint Commission International (JCI) accreditation and other experiences related to the accreditation process in relation to occupational health and patient safety.<h4>Design</h4>Systematic review.<h4>Methods</h4>We systematically searched CINAHL (n = 77), ProQuest (n = 69), PsycINFO (n = 13), PubMed (n = 166), and Scopus (n = 211) for articles on JCI accreditation published until December 2023. Overall, 290 articles were found. JCI-accredited hospitals with before-after accreditation follow-up processes, hospitals during the accreditation process, and job satisfaction and/or patient safety as the primary outcome measures were included. Non-original articles, articles including non-accredited hospitals, hospitals missing before-after accreditation changes, studies with no follow-up time, hospitals implementing accreditation guidelines but not accredited, non-English publications, reviews, meta-analyses, master theses, and poor-quality studies were excluded.<h4>Results</h4>Two authors independently applied the above criteria, following which 16 articles were analyzed. Two of these, however, were further excluded due to poor quality; 14 articles were finally included. All the articles were extremely heterogeneous, leaving no possibility for a meta-analysis.<h4>Conclusions</h4>The impacts of accreditation are significant in underdeveloped than in developed nations where the legal requirements are high. Concerns regarding costs and workload associated with accreditation processes are increasing. Moreover, studies regarding JCI accreditation and its impact on occupational health or patient safety are limited, thus warranting further investigations. PROSPERO registration number: CRD42021275665.
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spelling doaj-art-ca543caae67c4352b035ed8fa0ec5b882025-08-20T03:47:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032589410.1371/journal.pone.0325894Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.Anni VuohijokiLeena RistolainenJuhana LeppilahtiSanna-Maria KivivuoriHeikki Hurri<h4>Objectives</h4>To illuminate the benefits of Joint Commission International (JCI) accreditation and other experiences related to the accreditation process in relation to occupational health and patient safety.<h4>Design</h4>Systematic review.<h4>Methods</h4>We systematically searched CINAHL (n = 77), ProQuest (n = 69), PsycINFO (n = 13), PubMed (n = 166), and Scopus (n = 211) for articles on JCI accreditation published until December 2023. Overall, 290 articles were found. JCI-accredited hospitals with before-after accreditation follow-up processes, hospitals during the accreditation process, and job satisfaction and/or patient safety as the primary outcome measures were included. Non-original articles, articles including non-accredited hospitals, hospitals missing before-after accreditation changes, studies with no follow-up time, hospitals implementing accreditation guidelines but not accredited, non-English publications, reviews, meta-analyses, master theses, and poor-quality studies were excluded.<h4>Results</h4>Two authors independently applied the above criteria, following which 16 articles were analyzed. Two of these, however, were further excluded due to poor quality; 14 articles were finally included. All the articles were extremely heterogeneous, leaving no possibility for a meta-analysis.<h4>Conclusions</h4>The impacts of accreditation are significant in underdeveloped than in developed nations where the legal requirements are high. Concerns regarding costs and workload associated with accreditation processes are increasing. Moreover, studies regarding JCI accreditation and its impact on occupational health or patient safety are limited, thus warranting further investigations. PROSPERO registration number: CRD42021275665.https://doi.org/10.1371/journal.pone.0325894
spellingShingle Anni Vuohijoki
Leena Ristolainen
Juhana Leppilahti
Sanna-Maria Kivivuori
Heikki Hurri
Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.
PLoS ONE
title Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.
title_full Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.
title_fullStr Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.
title_full_unstemmed Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.
title_short Impact of joint commission international accreditation on occupational health and patient safety: A systematic review.
title_sort impact of joint commission international accreditation on occupational health and patient safety a systematic review
url https://doi.org/10.1371/journal.pone.0325894
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