Table 3.
The Impact of Accreditation on Quality Outcomes at King Fahd University Hospital
KPI* | Intercept (β0) | Baseline Trend (β1) | Intervention (β2) | Change in Slope (β3) | ||||
---|---|---|---|---|---|---|---|---|
Value | P-value | Value | P-value | Value | P-value | Value | P-value | |
Hand hygiene compliance† | 41.08 | P<0.001 | 1.5 | P<0.001 | ↓-3.09 | 0.32 | ↑0.18 | P<0.001 |
Nosocomial infections¶ | 2.84 | P<0.001 | −0.12 | P<0.001 | ↓2.56 | P<0.001 | ↓-0.05 | 0.03 |
Patient identification† | 59.9 | P<0.001 | 2.3 | 0.03 | ↓-4.23 | 0.54 | ↑0.11 | 0.03 |
Radiology reporting† | 78.37 | P<0.001 | −5.45 | P<0.001 | ↓23.12 | 0.03 | ↓0.34 | 0.18 |
Lab reporting† | 99.37 | P<0.001 | 0.03 | P<0.001 | ↓-0.32 | P<0.001 | 0 | P<0.001 |
Pressure ulcer¶ | 0.12 | 0.58 | 0.09 | P<0.001 | ↓1.14 | 0.01 | ↑-0.04 | P<0.001 |
OR cancelations† | 45.32 | P<0.001 | −0.10 | 0.90 | ↓7.20 | 0.44 | ↓0.19 | 0.62 |
Patients leaving ER without being seen § | 228.14 | P<0.001 | −1.27 | 0.68 | ↓257.48 | P<0.001 | ↓9.11 | P<0.001 |
Mortality rate§ | 11.51 | P<0.001 | 1.43 | P<0.001 | ↑-3.34 | 0.38 | ↑-0.51 | P<0.001 |
Patient falls¶ | 0.79 | P<0.001 | 0.01 | 0.55 | ↓0.01 | 0.97 | ↓0.01 | 0.33 |
Average length of stay¶ | 7.62 | P<0.001 | 0.17 | 0.01 | ↑-2.44 | P<0.001 | ↓0.01 | 0.72 |
Bed Occupancy † | 63.25 | P<0.001 | −0.04 | 0.86 | ↓3.54 | 0.31 | ↑-0.12 | 0.20 |
Notes: *KPI refers to key performance indicators. P ≤ 0.004 is considered significant using the Bonferroni correction. †Indicates that a KPI is expressed in percentages. §Rate per 10,000 patients. ¶Rate per 1000 Patients’ Days. ↑Indicates that the outcome improved whether it was an increase or a decrease. ↓Indicates that the outcome did not improve whether it was an increase or a decrease.