A cross sectional study on effectiveness of implementation of nabh standards among health care worker in a tertiary care centre in India

Background: Avedis Donabedian defined the quality of care as the kind of care, which is expected to maximize an inclusive measure of patient welfare, after taking into account the balance of expected gains and losses associated with the process of care in all its segments. According to the World Medical Assembly, physicians and health care institutions have an ethical and professional obligation to strive for continuous quality improvement of services and patient safety with the ultimate goal to improve both individual patient outcomes as well as population health. National Accreditation Board for Hospital and Healthcare Providers (NABH), is a constituent board under Quality Council of India set up to establish and operate accreditation program for healthcare organizations to assure quality of care. The tertiary care centre where the study was conducted, is accredited by NABH since January, 2012. Aim: The purpose of the study was to assess the effect of NABH accreditation on the hospital services as per the healthcare workers employed in the centre, the effect they observe post NABH accreditation and the level of job satisfaction among them post NABH accreditation. Methodology: A cross sectional study using simple random sampling was done among employees consisting of pool of doctors, therapists, nurses, pharmacists and administrative staff. A total of 151 staff participated in the study. A self-administered, pre tested, structured questionnaire with 10 questions was used for data collection. Only staff (doctors, therapists, nurses, pharmacists and the administrative staff) working for more than 5 years i.e. who were associated with the organization before and after NABH Accreditation were included in the study. Results and Conclusion: More than 80% of participants perceives that there is positive effect of NABH accreditation on the hospital services and the processes has improved in the hospital post NABH accreditation. 85% participants felt an impact on the level of job satisfaction among them post NABH accreditation.