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The impact of hospital accreditation on the quality of healthcare: a systematic literature review
Background
Accreditation is viewed as a reputable tool to evaluate and enhance the quality of health care. However, its effect on performance and outcomes remains unclear. This review aimed to identify and analyze the evidence on the impact of hospital accreditation.
Methods
We systematically searched electronic databases (PubMed, CINAHL, PsycINFO, EMBASE, MEDLINE (OvidSP), CDSR, CENTRAL, ScienceDirect, SSCI, RSCI, SciELO, and KCI) and other sources using relevant subject headings. We included peer-reviewed quantitative studies published over the last two decades, irrespective of its design or language. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, two reviewers independently screened initially identified articles, reviewed the full-text of potentially relevant studies, extracted necessary data, and assessed the methodological quality of the included studies using a validated tool. The accreditation effects were synthesized and categorized thematically into six impact themes.
Results
We screened a total of 17,830 studies, of which 76 empirical studies that examined the impact of accreditation met our inclusion criteria. These studies were methodologically heterogeneous. Apart from the effect of accreditation on healthcare workers and particularly on job stress, our results indicate a consistent positive effect of hospital accreditation on safety culture, process-related performance measures, efficiency, and the patient length of stay, whereas employee satisfaction, patient satisfaction and experience, and 30-day hospital readmission rate were found to be unrelated to accreditation. Paradoxical results regarding the impact of accreditation on mortality rate and healthcare-associated infections hampered drawing firm conclusions on these outcome measures.
Conclusion
There is reasonable evidence to support the notion that compliance with accreditation standards has multiple plausible benefits in improving the performance in the hospital setting. Despite inconclusive evidence on causality, introducing hospital accreditation schemes stimulates performance improvement and patient safety. Efforts to incentivize and modernize accreditation are recommended to move towards institutionalization and sustaining the performance gains.
PROSPERO
registration number CRD42020167863.
Journal Article
Second-Life Electric Vehicle Batteries for Home Photovoltaic Systems: Transforming Energy Storage and Sustainability
Solar-based home PV systems are the most amazing eco-friendly energy innovations in the world, which are not only climate-friendly but also cost-effective solutions. The tropical environment of Malaysia makes it difficult to adopt photovoltaic (PV) systems because of the protracted rainy monsoon season, which makes PV systems useless without backup batteries. Large quantities of lithium-ion battery (LIB) trash are being produced by the electric vehicle (EV) sector. A total of 75% of the highest capacity levels have been discarded. By 2035, it is predicted that the wasted LIBs held as a result of expensive recycling and difficult material separation would carry up to 1200 GWh. An economical and sustainable option is offered by our study, which prototypes a replicated LIB pack that is incorporated into a PV home system. This study investigates the transformational power of second-life electric vehicle batteries (SLEVBs) when incorporated into home photovoltaic (PV) systems. The concept entails reusing existing electric vehicle batteries for stationary applications, offering a unique approach to extending the life of these batteries while meeting the growing need for sustainable domestic energy storage. The study looks at the technological feasibility, economic viability, and environmental effect of introducing SLEVBs into household PV systems, giving vital insight into their role in revolutionizing energy storage techniques and promoting sustainability. In comparison to the Lead–Acid Battery (LAB) system, the SLEVB system has a cheaper total cost of ownership, with savings of 12.62% compared with new LABs. A CO2 emission reduction of at least 20% is achieved by using the SLEVB system compared with LABs. Electricity can be provided in houses in rural areas where there is no electricity. As a result, the security and superiority of the life of rural residents will improve. It is anticipated that the suggested strategy will lower EV pricing, enabling EV adoption for M40 and B40 groups. Consequently, the Malaysian and worldwide EV business will remain viable.
Journal Article
Comparative Assessment of SSR and RAPD markers for genetic diversity in some Mango cultivars
Genetic improvement mainly depends on the level of genetic variability present in the population, and the degree of genetic diversity in a population largely determines the rate of genetic advancement. For analyzing genetic diversity and determining cultivar identities, a molecular marker is a useful tool. Using 30 SSR (simple sequence repeat) and 30 RAPD (randomly amplified polymorphic DNA) markers, this study evaluated the genetic divergence of 17 mango cultivars. The effectiveness of the two marker systems was evaluated using their genetic diversity characteristics. Additionally, the effects of SM (simple matching) and Dice similarity coefficients and their effects on mango clustering were evaluated. The findings showed that SSR markers generated 192 alleles, all of which were polymorphic (100%). With RAPD markers, 434 bands were obtained, 361 of which were polymorphic (83%). The average polymorphic information content (PIC) for RAPD and SSR was 0.378 and 0.735, respectively. Using SSR markers resulted in much higher values for other genetic diversity parameters compared to RAPD markers. Furthermore, grouping the genotypes according to the two similarity coefficients without detailed consideration of these coefficients could not influence the study results. The RAPD markers OPA_01, OPM_12 followed by OPO_12 and SSR markers MIAC_4, MIAC_5 followed by mMiCIR_21 were the most informative in terms of describing genetic variability among the cultivars under study; they can be used in further investigations such as genetic mapping or marker-assisted selection. Overall, ‘Zebda’ cultivar was the most diverse of the studied cultivars.
Journal Article
Experimental investigation of turbulent counter-rotating Taylor–Couette flows for radius ratio η = 0.1
Turbulent Taylor–Couette flow between two concentric independently rotating cylinders with a radius ratio of $\\eta = 0.1$ is studied experimentally. While the scope is to study the counter-rotating cases between both cylinders, the radial and azimuthal velocity components are recorded at different horizontal planes with high-speed particle image velocimetry. The parametric study considered a set of different shear Reynolds numbers in the range of $20\\,000 \\leq Re_s \\leq 1.31 \\times 10^5$, with different rotation ratios of $-0.06 \\leq \\mu \\leq +0.008$. The observed flow fields had a clear dependence on the rotation ratio, where flow patterns evolved with a more pronounced axial dependence. The angular momentum transport is computed as a result of the recorded flow fields and given by a quasi-Nusselt number. The dependence of the Nusselt number on the different rotation ratios shows a maximum for the low counter-rotating case and $\\mu _{max}$ is found between $-0.011 < \\mu _{max} < -0.0077$. The Nusselt number decreases for stronger counter-rotation until a minimum is reached, where it tends to increase again for higher counter-rotation rates. The space–time behaviour of the turbulent flow showed the existence of patterns propagating from the inner region towards the outer region for all studied counter-rotating cases. In addition, patterns have been found that tend to propagate from the outer region towards the inner region with a novel character at high counter-rotation cases. These patterns enhance the angular momentum transport where a second maximum in the transport mechanism has to be expected.
Journal Article
A New Approach for Solving Nonlinear Fractional Ordinary Differential Equations
Recently, researchers have been interested in studying fractional differential equations and their solutions due to the wide range of their applications in many scientific fields. In this paper, a new approach called the Hussein–Jassim (HJ) method is presented for solving nonlinear fractional ordinary differential equations. The new method is based on a power series of fractional order. The proposed approach is employed to obtain an approximate solution for the fractional differential equations. The results of this study show that the solutions obtained from solving the fractional differential equations are highly consistent with those obtained by exact solutions.
Journal Article