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| Title: | CLINICAL HYPERBARIC FACILITY ACCREDITATION: AN EARLY ANALYSIS OF SURVEY OUTCOMES |
| Authors: | Workman, WT |
| Keywords: | multiplace
hyperbaric
equipment
infection
human
monoplace
chamber
safety
ACCREDITATION
FACILITY
business |
| Issue Date: | 2003 |
| Abstract: | BACKGROUND: In 2001, the Undersea and Hyperbaric Medical Society began development of a clinical hyperbaric facility accreditation program. The key objectives of this voluntary program are to ensure that clinical hyperbaric facilities are 1) staffed with the proper specialists who are well-trained; 2) using quality equipment that has been properly installed and maintained, and being operated with the highest level of safety possible; 3) providing high quality of hyperbaric patient care; and, 4) maintaining the appropriate documentation of informed consent, patient assessment, patient treatment procedures, physician involvement, etc. METHODS: Survey teams comprised of specially trained hyperbaric physicians, certified hyperbaric nurses and technicians conducted detailed assessments at 13 hospital and non-hospital based clinical hyperbaric facilities during 2002. Both monoplace and multiplace facilities were represented. Survey teams focused their assessments on compliance with published standards from the Joint Commission on Accreditation of Healthcare Organizations, the National Fire Protection Association, the Compressed Gas Association, the UHMS Operations Committee Report, etc. Standards were grouped into 24 concentration areas. RESULTS: Due to survey confidentiality, findings from a specific facility cannot be presented. However, a discussion of trends is possible. Early analysis of composite data allows each concentration area to be ordered from the most compliant to the least as follows: clinical research, teaching and publication activities, facility construction, chamber fabrication, fire protection, infection control, electrical systems, gas handling, environment of care, performance improvement, chamber ventilation, hyperbaric operations, patient rights, information management, governance, human resources, administration, patient care, leadership, patient assessment, patient education and quality improvement. CONCLUSIONS: Quality improvement opportunities are beginning to emerge from analysis of survey results. For example, patient education may benefit from enhanced educational emphasis on those "best practices" noted during survey. To varying degrees, each of the other 23 survey categories is also defining opportunities for process improvement within specific programs. |
| Description: | Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) |
| URI: | http://archive.rubicon-foundation.org/1327 |
| Appears in Collections: | UHMS Meeting Abstracts
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