Authors (including presenting author) :
Yuen MSY (1), Kwok FY (1), Kwok WS (1), Luk YM (1), Mak HM (1), Wong MY (1), Yip MF (1), Siu YCA (1)
Affiliation :
(1) Department of Accident and Emergency, Pamela Youde Nethersole Eastern Hospital
Introduction :
Introduction
Hospital Accreditation was introduced to Hospital Authority (HA) in 2010 to assure and enhance quality and safety in health care institution.
In line with the policy direction of Chief Executive of HKSARS, SHARC (the International recognized Hospital Accreditation Standards) was introduced in HA in 2024. PYNEH was the first hospital in HA accredited for ACHS in 2010 and SHARC in 2024.
Objectives :
Objective
To report strategies of introduction and implementation of SHARC in A&E
Methodology :
Method
The direction of reactivating Hospital Accreditation was received at HA Convention 2023. To prepare for accreditation, agreement was made with A&E Management of using the strategies of soft landing, gradual staffs’ engagement and no overloading. Two Quality Champions were appointed taking the lead on accreditation; Team work was formed to address issues on accreditation, Department website was redesigned to address issues of accreditation and for staffs’ revision, SAG and COC (A&E) were connected and agreement were made on the selected 4 types of diseases (AMI, Stroke, Sepsis and Trauma) for Green Channel in A&E, Multi-disciplinary Team cooperation were made to follow through Green Channel. Colleagues were encouraged attending seminars and forums of accreditation organized in department and hospital periodically.
Results
By interacting with surveyors at the consultancy visits in March and June 2024; the requirements, expectations and culture differences were raised and addressed
Result & Outcome :
The on-site Survey was held on October 14 to 18th 2024, A&E was visited by 5 groups of surveyors, there were bright spots in A&E on patient’s identification, intrahospital transfer and clinical handover, diseases management for Green Channel and performance pledge of managing Triage Category 1 and 2 group of patients.
With reference to the on-site Survey in hospital, it was suggested promoting Vision-Mission-Value in hospital, differentiating the Key Performance Indicators with Quality Indicators, paying attention to Risk Control and Quality Control in department, proposing having coding of diseases for green channel and Fever in eAED system for analysis. The findings were disseminated to colleagues and experience of accreditation was shared with others.
Conclusion
Through strategies of introducing SHARC to colleagues, the implementation was smooth and results in having several bright spots in A&E in Hospital Accreditation.
