Primerjava akreditacijskih standardov DNV-GL in JCI z vidika zdravstvene nege v enoti intenzivne terapije 3 – pregled literature : diplomsko delo

Smajlović, Melisa (author), Ivanc, Blaž (mentor)

Uvod: Akreditacija bolnišnic je program, ki je namenjen standardizaciji, katere cilj je zagotavljati varnost in kakovost oskrbe bolnikov ter njuno nenehno izboljševanje. Poznamo dve obliki akreditacije bolnišnic: nacionalno, ki jo izvaja nacionalno akreditacijsko telo, in mednarodno akreditacijo, ki jo izvajajo priznane samostojne akreditacijske organizacije. V Republiki Sloveniji nimamo nacionalnega akreditacijskega telesa, zato akreditacijo bolnišnic izvajajo mednarodne organizacije. V Sloveniji je najpogosteje uporabljena akreditacija po standardu DNV-GL. Drugod po svetu je najbolj uveljavljena akreditacija bolnišnic po mednarodnem standardu JCI. Mednarodni akreditacijski standardi se med seboj razlikujejo in zato niso enako primerni za uporabo na vseh področjih delovanja bolnišnice. Eno izmed takih področij je vsekakor enota za intenzivno terapijo 3, kjer se zdravijo najbolj ogroženi bolniki in so zato zahteve za zdravstveno nego najvišje. Namen in cilji: Namen diplomskega dela je primerjava dveh uveljavljenih mednarodnih akreditacijskih standardov DNV-GL in JCI v enoti za intenzivno terapijo 3 na področju zdravstvene nege. Cilj diplomskega dela je na podlagi analize ugotoviti, kateri od obeh navedenih mednarodnih akreditacijskih standardov je najprimernejši za uporabo na področju zdravstvene nege v enoti za intenzivno terapijo 3. Metode dela: V diplomskem delu je bila uporabljena deskriptivna metoda dela s sistematičnim pregledom literature. Rezultati: Nobeden izmed obeh mednarodnih akreditacijskih standardov nima posebnega poglavja o enotah intenzivne terapije. Mednarodni akreditacijski standard JCI standarde, ki veljajo za anestezijo, uveljavi tudi v enotah za intenzivno terapijo, ker se tam izvaja globoka sedacija bolnikov. Med mednarodnima standardoma JCI in DNV-GL obstajajo tudi pomembne razlike v strukturi in zahtevah na področjih priprave in intravenske aplikacije zdravil, bolnišničnih okužb, pooperativne obravnave bolnikov v enoti intenzivne terapije, obvladovanja bolečine, reguliranja pretoka informacij ipd. Na vseh naštetih področjih je standard JCI zahtevnejši. Sklep: Glede na rezultate in glede na zahtevo dosegati najvišjo kakovost zdravstvene oskrbe je mednarodni akreditacijski standard JCI primernejši za uporabo na področju zdravstvene nege v enoti intenzivne terapije 3.

• Language: Slovenian
• Keywords: akreditacija bolnišnic, akreditacijski standardi, DNV-GL, JCI, zdravstvena nega, intenzivna terapija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-99038
• COBISS.SI-ID: 5381995
• Publication date in RUL: 22.12.2017

Secondary language

• Language: English
• Title: Comparison of DNV-GL and JCI standards of hospital accreditation regarding to nursing in the level 3 intensive care unit – a review of the literature : graduation thesis

Abstract

Introduction: Accreditation of hospitals is a program for standardisation with an emphasis on the patient safety and quality of care. It represents means of continual improvement of hospitals. Two basic forms of hospital accreditation exist: national and international. National accreditation of hospitals is performed by national accreditation agencies. International hospital accreditation is performed by independent and acclaimed international accreditation agencies. Republic of Slovenia does not have a national accreditation agency due to the small size of the country and the lack of financial resources needed for a functional national accreditation agency. The accreditation of hospitals is therefore performed by international accreditation agencies. The most common hospital accreditation standard in use in the republic of Slovenia is DNV – GL (Det Norske Veritas – Germanic Lloyd). In the other parts of the world the most common hospital accreditation standard in use is JCI (Joint Commision International). International accreditation standards differ and are therefore not equally suited for use in every hospital segment. One of such hospital segments is intensive care 3, where the patients who are most ill, and need artificial life support, are treated and the demands for excellency are the highest. Aim: The aim of this graduation thesis is to compare the DNV – GL and the JCI hospital accreditation standards with regards to the field of nursing in intensive care 3. Goal of the comparison is to ascertain whether any differences between the standards exist and if so, which of the two standards is best suited for the use in the field of nursing in intensive care 3. Methods: The method used in the graduation thesis was the review of literature. Results: None of the two international accreditation standards (DNV-GL, JCI) has a chapter dedicated to the intensive care. JCI standard prescribes the standards valid for the anesthesiology to be valid in the intensive care also. The reason for doing this is the use of deep sedation in the field of intensive care. The review of literature found important differences between the both standards in the general structure of standards, in the field of preparation and administration of intravenous drugs, hospital infections, postoperative treatment of patients, pain control, patient information management and others. The JCI standard was found to be most stringent and demanding of the two standards. Conclusion: Given the results we fell that the JCI international accreditation standard of hospitals is much more suited for the use in the field of nursing in the intensive care level 3.

• Keywords: accreditation of hospitals, accreditation standards, DNV – GL, JCI, nursing, intensive care