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p-Index From 2021 - 2026
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All Journal International Journal of Patient Safety and Quality
Radwa Mohamed Rashed
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Medicine & Pharmacology Nursing Public Health

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ASSOCIATION BETWEEN HEALTHCARE ACCREDITATION AND CARDIOPULMONARY RESUSCITATION OUTCOMES: A FISHBONE-BASED ANALYSIS OF IN-HOSPITAL CARDIAC ARREST Kinawy, Sayed; Ahmed Hamed Mohamed Eldarsy; Shimaa Abdelfatah Abdelmuniem Mohamed; Abdulhakim Ahmed Assalahi; Radwa Mohamed Rashed; Amr Refat Elsafty; Dafer saleh AlBahri; Mustafa Fadlalla Mohamed Ali Fadlalla; Mohammed Hammed Alswaidan; Mohammed Abdullah Morshed; Nasser Hebah Thabit Almakrami; Mohammad Abdelrahman Hussein; Aldhili Mohammed Khalid
International Journal of Patient Safety and Quality Vol. 3 No. 1 (2026): International Journal of Patient Safety and Quality, April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v3i1.88440

Abstract

Background:Cardiopulmonary resuscitation (CPR) outcomes for in-hospital cardiac arrest (IHCA) are critical indicators of hospital performance. This study assessed the impact of accreditation by the Central Board for Accreditation of Healthcare Institutions (CBAHI) on CPR outcomes at New Najran General Hospital in Saudi Arabia, using a fishbone analysis to identify contributing factors. Methods:As retrospective pre–post observational study was conducted on 251 adult ICU patients who experienced IHCA and received CPR between 2021 and 2022. Data were collected from hospital records, focusing on return of spontaneous circulation (ROSC) and survival to discharge (STD). A fishbone diagram was used to analyze potential factors influencing CPR outcomes. Results: ROSC was achieved in 69.4% of patients, and the STD rate improved from 2.3% in 2021 to 4.8% in 2022. Survival was significantly associated with younger age (P < 0.001), witnessed arrests (P = 0.017), and shockable rhythms (P < 0.001). Following accreditation, ACLS certification among staff rose from 60% to 95%, correlating with better outcomes. Gender, illness category, and mechanical ventilation showed no significant association on survival, However, adjusted analyses did not demonstrate a statistically significant independent association between accreditation-related variables and survival to discharge. Conclusion: The observed improvements in outcomes appear to be multifactorial, with accreditation serving as one contributing element alongside broader system-level and clinical care enhancements.
Co-Authors Abdulhakim Ahmed Assalahi Ahmed Hamed Mohamed Eldarsy Aldhili Mohammed Khalid Amr Refat Elsafty Dafer saleh AlBahri Kinawy, Sayed Mohammad Abdelrahman Hussein Mohammed Abdullah Morshed Mohammed Hammed Alswaidan Mustafa Fadlalla Mohamed Ali Fadlalla Nasser Hebah Thabit Almakrami Shimaa Abdelfatah Abdelmuniem Mohamed