Assessment of International Joint Commission (IJC) accreditation standard in a military hospital laboratory

Expected hospital standards of the Health Ministry should be studied and investigated and existing weak points should be detected through continuous investigation of primary service providing centers, by valid local and international standards. The aim of this study was to assess the rate of observing the joint commission international standards in the laboratory of a military hospital in Tehran. In this cross-sectional study conducted by qualitative method, was carried out in a military specialty and subspecialty hospital in Tehran. The international joint commission standard checklist was translated and after interviewing the laboratory expert and personnel (20 people), the interviews’ text was given to 10 accreditation specialists. The score of each section was extracted from interview text by consensus of accreditation specialists. Finally, Excel software was used for drawing diagrams. The studied laboratory gained the complete score of JCI standards in 52% of cases and gained partial score in 40% of cases. In addition, it didn’t follow JCI Standards in 8% of questions. Generally, the studied hospital libratory had 71.52% of JCI standards and therefore the evaluation was in favorable level. Regarding the incomplete accordance of the studied hospital situation in health ministry evaluation and JCI standards, it is necessary to take measures for more attention to international standards. The absence or imperfection of policies and necessary documentations is the most important weak point of the studied laboratory; therefore, determining strategies and needed documentations can considerably increase the obtained score.