Children’s rights through the accreditation of the hospitals

Zisovska, Elizabeta and Isahi, Lirim and Darkovska, Tanja (2015) Children’s rights through the accreditation of the hospitals. In: 6-th Congress of pediatrics with international participation, 8-11 Oct 2015, Ohrid, Macedonia.


Download (514Kb) | Preview

Download (4Mb) | Preview
Official URL:


The process of accreditation ensures and confirms the quality of health care for the patients. The evaluation of the quality could be performed directly (observation, procedures’ checks, documents, proofs of implementation of predefined standards and criteria, quantitative and qualitative results of the hospital care), and indirectly, through patient satisfaction analysis.The aim of this paper is to discuss some social and ethical problems and obstacles in the evaluation of the QuHC in pediatric practice. The most frequent dilemma is in the field of standards concerning collaboration with the patients and their associations. Within the set of standards Management and Stewardship, critical are standards for patient safety and reporting adverse events. In this important topic, patients’ associations play a role, but the associations are constituted of parents of children, as their guardians. There are also two more standards different of those aimed for the care of adults, as for example respecting the rights of the patients, and conducting clinical trials, which are very few in pediatric population, just because understandably strict eligible criteria. The plan for improvement of the quality of care comprises also of survey for patient satisfaction. But, are pediatric patients appropriately represented by their parents/guardians in the survey? Is there possibility for discordance between patient satisfaction (children) and their parents? In the Chapter Risk management and patient safety, there are many dilemmas regarding participatory approach by the patient. The prevention of the intrahospital infections requires collaboration of the patient. In what extent the child as a patient can participate in this procedure? Children carry many risks regarding transmission, taking into consideration their way of living, behaving, communication, and using same toys, cups and plates. What is the role of the health care professionals in protection of the children’s rights and obligations in such cases? In the Chapter for patient’s treatment, the treatment plan has to be reviewed together with the patient, in pediatrics, with the parents. Do always parents have enough knowledge and awareness about the treatment benefit? Is it a case that insufficient information leads to harmful decisions (negative campaigns led by the parents in terms of treatment of their children)? The last Chapter, specific clinical services, the section about intensive care requires strict control over the risk of adverse events. The literature data report 3-4 fold increased risk in pediatric intensive care, and even higher risk in neonatal intensive care units. Does the registration and reporting is appropriate, because the children and neonates cannot react properly and on time? What is the strength of the control over the medical errors, especially for neonates, where the medications sometimes are more than ten times diluted?

Item Type: Conference or Workshop Item (Lecture)
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Elizabeta Zisovska
Date Deposited: 17 Nov 2015 10:37
Last Modified: 17 Nov 2015 10:45

Actions (login required)

View Item View Item