Canan CENGİZ, Demet GÖKMEN KAVAK, Ayşe Sibel ÖKSÜZ, İbrahim Halil KAYRAL, Figen ÇİZMECİ ŞENEL

The importance of quality and accreditation in health care services in the process of struggle against Covid-19

Background/aim: The aim of this research is to evaluate the relationship between the quality of health and accreditation standards with the Covid-19 process and to reveal the importance of quality and accreditation in health care in the process of combating coronavirus. Materials and methods: The relationship between hospital accreditation standards of Turkish Healthcare Quality and Accreditation Institute and the Covid-19 process was evaluated. The standards were analyzed within the framework of the technical guidance areas provided by the World Health Organization for countries for the Covid-19 process. Results: The standards were found to be 79,6% related to the Covid-19 process. The standard set including risk management, health and safety of employees, patient safety, end of life services, prevention of infections, drug management, sterilization management, laboratory services, waste management, outsourcing, material and device management, adverse event reporting, corporate communication, and social responsibilities sections are 100% related to the Covid-19 process. Conclusion: Studies on quality and accreditation in health services are important in terms of being prepared for Covid-19 and similar epidemic and pandemic situations, and to carry out planned and effective management of the process.

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1. World Health Organization. Web site, 2020. Accessed at: https:// www.who.int/emergencies/diseases/novel-coronavirus-2019
2. World Health Organization. Laboratory biosafety guidance related to coronavirus disease 2019 (Covid-19). Accessed at: https://www.who.int/publications-detail/laboratory-biosafetyguidance-related-to-coronavirus-disease-2019-(Covid-19)
3. Ji Y, Ma Z, Peppelenbosch MP, Pan O. Potential association between Covid-19 mortality and healthcare resource availability. The Lancet Global Health, 2020; 8 (4): 480. doi: 10.1016/S2214-109X(20)30068-1
4. BBC News. 2020. Accessed at: https://www.bbc.com/turkce/ haberler-dunya-51614548
5. MoH of Turkey. Web site, 2020. Accessed at: https://covid19bilgi. saglik.gov.tr/tr/
6. Kayral İH, Gökmen Kavak D, Cengiz C. Healthcare quality and accreditation policies in place: In: Tengilmoglu D (editor) Health Policy. Ankara: Nobel; 2018. pp. 357-393.
7. Gökmen Kavak D. Turkish Health Care Quality and Accreditation Institute health accreditation standards. Journal of Quality and Accreditation in Health 2018; 14-20
8. Shaw, C, Groene O, Mora N, Sunol R. Accreditation and ISO certification: do they explain differences in quality management in European hospitals. International Journal for Quality in Health Care 2010; 22 (6) :445-451. doi: 10.1093/intqhc/ mzq054
9. The International Society for Quality in Healthcare (ISQua). Guidelines and Principles for the Development of Health and Social Care Standards. 4th ed. version 1.2; 2015. Accessed at: https://ieea.ch/media/attachments/2018/03/20/guidelines_ and_principles_for_the_development_of_health_and_social_ care_standards__4th_edition_v1.2.pdf
10. Turkish Health Care Quality and Accreditation Institute Web Site, 2020. Accessed at: https://www.tuseb.gov.tr/EnstituSayfa/ standartlar-6/
11. MoH of Turkey. Accreditation Standards in Health Hospital Set (v2.0/2017), 2017. Accessed at: https://www.tuseb.gov.tr/ uploads/sas_hastane_seti(v2.0-2017)TR.pdf
12. World Health Organization. web site, 2020c. Accessed at :https:// www.who.int/emergencies/diseases/novel-coronavirus-2019/ technical-guidance
13. Braithwaite J, Greenfield D, Westbrook J, Pawsey M, Westbrook M et al. Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. Quality & Safety in Health Care. 2010; 19 (1):14-21. doi: 10.1136 / qshc.2009.033928
14. Rooney AL, Van Ostenberg, PR. Licensure, accreditation and certification: approaches to health services quality. The Quality Assurance Project. 1999, Accessed at: http://www.usaidassist. org/sites/assist/files/accredmon.pdf
15. Sekimoto M, Imanaka Y, Kobayashi H, Okubo T, Kizu J et al. Impact of hospital accreditation on infection control programs in teaching hospitals in Japan. The Amerikan Journal of Infection Control. 2008; 36 (3): 212-219. doi:10.1016/j.ajic.2007.04.276
16. Slota M, Green M, Farley A, Janosky J, Carcillo J. The role of gown and glove isolation and strict handwashing in the reduction of nosocomial infection in children with solid organ transplantation. Critical Care Medicine 2001; 29(2): 405-412. doi: 10.1097/00003246-200102000-00034
17. Jumaa PA. Hand hygiene: simple and complex. International Journal of Infectious Disease. 2005;9:3-14. doi: 10.1016/j. ijid.2004.05.005
18. World Health Organization. Interim Recommendation to Member States to improve hand hygiene practices widely to help prevent the transmission of the Covid-19 virus. 2020. Accessed at: https://www.who.int/who-documents-detail/interimrecommendations-on-obligatory-hand-hygiene-againsttransmission-of-covid-19
19. Pogrebna G, Kharlamov AA. The impact of cross-cultural differences in handwashing patterns on the Covid-19 outbreak magnitude access. Preprint 2020. doi:10.13140/ RG.2.2.23764.96649
20. Habib RR, Blanche G, Souha F, El-Jardali F, Nuwayhid I. Occupational health and safety in hospitals accreditation system: the case of Lebanon. International Journal of Occupational and Environmental Health. 2016; 22 (3): 201-208. doi: 10.1080/10773525.2016.1200211
21. The Centers for Disease Control and Prevention (CDC). Interim Operational Considerations for Public Health Management of Healthcare Workers Exposed to or with Suspected or Confirmed Covid-19: non-US Healthcare Settings. Coronovirus Disease 2019 (Covid-19) Accessed at: https://www.cdc.gov/ coronavirus/2019-ncov/hcp/non-us-settings/public-healthmanagement-hcw-exposed.html
22. Heneghan C, Oke J, Jefferson T. Covid-19 How many healthcare workers are infected? University of Oxford, The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. 2020 Accessed at: https://www. cebm.net/covid-19/covid-19-how-many-healthcare-workersare infected/
23. El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. International Journal for Quality in Health Care. 2008; 20 (5): 363-371. doi: 10.1093/ intqhc/mzn023
24. Melo S. The impact of accreditation on healthcare quality improvement: a qualitative case study. Joutnal Health Organ Manag. 2016; 30 (8): 1242-1258. doi: 10.1108/JHOM-01-2016- 0021
25. The Institute for Health Metrics and Evaluation (IHME). Forecasting the impact of the first wave of the Covid-19 pandemic on hospital demand and deaths for the USA and European Economic Area countries. 2020. Accessed at: http:// www.healthdata.org/research-article/forecasting-impact-firstwave-covid-19-pandemic-hospital-demand-and-deaths-usaand Murray CJL. Forecasting Covid-19 impact on hospital beddays, ICU-days, ventilator days and deaths by US state in the next 4 months. medRxiv; 2020. doi:10.1101/2020.03.27.20043752
27. Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hospital Topics 2008; 86 (1): 9-20. doi: 10.3200/HTPS.86.1.9-20
28. Longo DR, Hewett JE, Ge B, Schubert S, Kiely RG. Hospital patient safety: characteristics of best-performing hospitals. Journal of Healthcare Management 2007; 52 (3): 188-205.
29. Lam MB, Figueroa JF, Feyman Y, Reimold, KE, Orav EJ et al. Association between patient outcomes and accreditation in US hospitals: observational study. The British Medical Journal 2018; 36: k4011. doi: 10.1136 / bmj.k4011 Tehewy MA, Salem B, Habil I, Okda S. Evaluation of accreditation program in non-governmental organizations’ health units in Egypt: shortterm outcomes. International Journal for Quality in Health Care 2009; 21 (3): 183-189. doi: 10.1093/intqhc / mzp014