Medical Errors Management Before and After Implementation of Accreditation in Hospital

Background and purpose: this study aimed to manage medical errors before and after theimplementation of accreditation in public, private, and social security hospitals of mazandaran, iran.materials and methods: this descriptive study has been done in 38 hospitals. data werecollected through documents reviewed relating to 2013 and 2014. the paired t-test andfriedman test were used by statistical software spss.results: results showed that the most and the least percent of reported errors, beforeaccreditation, in sequence, were related to public clinical unit (55.9%) and operating rooms(0.6%), and after accreditation in public clinical unit (46.6%) and operating rooms (2.3%) inteaching centers. the most errors (before accreditation) occurred in the morning (62%) and theleast, in the evening (8.3%) in teaching centers. furthermore, after accreditation, the most errorsoccurred in the morning (64.8%) and the least, in the night (17.3%) in therapeutic hospitals.paired t-test showed that there is no significant difference between medical errors before andafter accreditation. friedman test showed that structural/systemic errors reported were the mostimportant medical errors in teaching centers after accreditation and therapeutic hospitals beforeaccreditation (p < 0.05).conclusion: there is no significant difference between the rate of reported errors before andafter the implementation of accreditation. this illustrates that the role of management incontrolling of medical errors has been poor, and stronger management should be applied inproviding health care services.