Saudi Cultural Missions Theses & Dissertations
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Item Restricted A Systematic Review: What Impact Did the Central Board for Accreditation of Healthcare Institutions (CBAHI) Program Have on Healthcare Outcomes in Tertiary and Secondary Hospitals in Saudi Arabia from 2014 to 2024?(University of Leicester, 2024-09) Jad, Rosa; Armstrong, NatalieBackground: Saudi healthcare has massively developed recently, spurred by immense investment and service user population changes. Saudi healthcare institution standardization by the “Central Board for Accreditation of Healthcare Institutions” (CBAHI) enforces stringent accreditation specifications addressing various dimensions to improve service and care quality and patient and staff safety, but few studies have explored specific outcomes. Aim: this study aims to explore the full picture of which impact CBAHI-A has on multiple healthcare outcomes in the context of these healthcare institutions in Saudi Arabia from 2014 to 2024. Study Design: Systematic literature review with narrative synthesis. Setting: Secondary and tertiary Saudi hospitals. Methodology and Methods: A systematic review as per “2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” guidelines, with a systematic literature search and analysis with analytical narrative synthesis. Results: Accreditation by CBAHI achieves specific enhancements in the quality and safety of care, as reflected in fewer errors in medication and improved infection guideline compliance. Nevertheless, mixed findings were reported for the rate of mortality and hospitalization duration, suggesting more modest net impacts on core indicators. Differing levels of enhancement were reported for service user satisfaction and resource deployment efficiency. Conclusion: CBAHI accreditation significantly enhances certain outcomes for care and safety quality in Saudi secondary and tertiary hospitals, but it does not produce substantive, provable breakthroughs in important clinical and organizational indicators. Ongoing monitoring and studies are needed, especially longitudinal ones over time, and studies of specific factors of Saudi contexts.5 0Item Restricted Improving Dental Antibiotic Stewardship Through Quality Improvement Process In A Regional Dental Hospital(Saudi Digital Library, 2023-09-04) Alonazi, Mona; Chambers, StephanieAntibiotic resistance is a global issue that continue to rise. Unnecessary antibiotic prescriptions in healthcare contribute to this issue to which antibiotic stewardship programs emerged to reduce the impact of this behaviour. This paper reviews the contribution dental prescribing involvement in this topic. It starts by reviewing the impact of antibiotic resistance, the prescription pattern of antibiotic dentistry, and the impact of antibiotics stewardship programmes. Then it aimed to improve dental antibiotic stewardship through quality improvement process in a Scottish health board. The methods follow a quality improvement model that involve collecting data regarding antibiotic prescription, analysis, and development of actions to be implemented to improve the intervention in place. This involves data collection of antibiotic prescription in a Scottish health board dental hospital over the period 2020-2023. The collected data involved the antibiotic name, issuing department, date, duration, dose and diagnosis for the prescribed antibiotic. Data of dental antibiotic prescription was also obtained from NHS covering Greater Glasgow and Clyde. The results showed a total of 1486 antibiotic were prescribed over the investigated period. The findings deprescribe a rise in an antibiotics prescription over the investigated period, and presents description of prescription pattern regrading date, dose, duration, diagnosis, and type of antibiotic. The main limitation was the lack of vital information that needed to be recorded for the proposes of investigating if the prescription was justifiable or not according to clinical guidelines in place. It concludes that the focus of the next quality improvement cycle should be directed towards action plans that aim to improve data completion rate, and staff training regarding the importance of documentation.18 0