JMIR Publications

ABSTRACT

Background:

Systematic monitoring of the work atmosphere and patient safety incidents is a necessary part of a quality assurance system, preferably by an accredited system such as the Joint Commission International (JCI). How the implementation of quality assurance systems affects well-being at work and patient safety is unclear. Evidence shows that accreditation improves workplace atmosphere and well-being. Thus, assumption that an increase in employees’ well-being at work improves patient safety is reasonable.

Objective:

This study aims to describe the protocol for monitoring the effects of implementing the quality assurance system of JCI at XXX Hospital on employees’ well-being (primary outcome) and patient safety (secondary outcome).

Methods:

Quantitative (questionnaires, register data) and qualitative (semi-structured interviews) methods will be used. In addition, quantitative data will be collected from register data. Both quantitative and register data will be analysed. Register data analysis will be performed using generalised linear models with an appropriate distribution and link function. The study timeline covers the time before, during and after the start of the accreditation process. From the collected data, job satisfaction as a part of the well-being questionnaire and the development of patient safety are compared during the accreditation process.

Results:

The results of the quality assurance implementation illuminate the possible effects of the patient’s safety and job satisfaction. The repeatability and internal consistency reliability of the well-being questionnaire will be reported.

Conclusions:

The planned study will contribute to the evaluation of the effects of JCI accreditation in terms of well-being at work and patient safety.