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Dear Editor,
We read the editorial entitled ‘Accreditation in Interventional Radiology: Why it Matters and Why we Sought IASIOS Certification’ with great interest [1]. First of all, we would like to congratulate them on IASIOS accreditation, a unique tool to improve interventional oncology services around the globe. However, we believe that the authors’ implication from a systemic review should be clarified, as it might lead to ambiguity for interested readers. They stated that ‘accreditation does have a net positive effect on patient safety, culture, and efficiency; however, it can enhance institutional and clinical performance when appropriately applied’.
Indeed, Hussein et al. [2] reported a positive accreditation effect on process-related performance measures, safety culture, hospital efficiency, and patient length of stay. Due to the heterogeneity of the data, they had inconclusive evidence on causality. On the other hand, a positive effect was found barely 55% of the contained studies [2].
Accreditation was introduced into healthcare services about two decades ago to ensure the quality and safety of patient care. Early studies demonstrated that it could promote professional development and change [3]. Although it is generally taken as a part of institutional accreditation, specialty or disease-specific accreditations are also present [4]. In parallel with the authors, we think that modernizing accreditation and moving towards specific needs could be beneficial for consistent and sustainable results.
References
Tashi S, Chandramohan S, Adam A, Tan BS. Accreditation in interventional radiology: why it matters and why we sought IASIOS certification. Cardiovasc Intervent Radiol. 2022. https://doi.org/10.1007/s00270-022-03201-3.
Hussein M, Pavlova M, Ghalwash M, Groot W. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Serv Res. 2021. https://doi.org/10.1186/s12913-021-07097-6.
Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care. 2008. https://doi.org/10.1093/intqhc/mzn005.
Araujo CAS, Siqueira MM, Malik AM. Hospital accreditation impact on healthcare quality dimensions: a systematic review. Int J Qual Health Care. 2020. https://doi.org/10.1093/intqhc/mzaa090.
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Dökdök, M. Perspective to Accreditation Along IASIOS Journey. Cardiovasc Intervent Radiol 46, 165 (2023). https://doi.org/10.1007/s00270-022-03294-w
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DOI: https://doi.org/10.1007/s00270-022-03294-w