establishment of hospital accreditation programs is increasingly growing across numerous developing nations. such initiatives aim to improve quality of care. however, such establishments, mainly incentivized by successful and famous accreditation plans in developed countries, usually suffer from lack of necessary arrangements which, in turn, result in undesired consequences. indeed, the first p...

Academic hospital medicine can be described as comprising periods of "systole," during which hospitalists provide clinical care, and periods of "diastole," the portion of a hospitalist's time spent in nonclinical activities. Far from being a period of relaxation, diastole is an active component of a hospitalist's work, the time devoted to the pursuit of career advancement. This period is a crit...

Accreditation is widely considered to be a vital tool for quality assurance in higher education; however, there disagreement the academic community on intended benefits of accreditation. Preparing accreditation requires extensive financial and human resources complete required documentation. All agencies require improvements institutional infrastructure, enhanced student support, appropriate le...

In the years 2004–06, the Journal has published 192 papers (excluding editorials and letters) of which eight (4.2%) were randomized experiments [1–8]. Four per cent is not enough, considering that randomization is the most direct path to a causal inference. To be effective, we need to understand what causes what in quality improvement. This aim is not compatible with weak research methods. Some...

précis: this debate article highlights some questions from critics of qualitative research. planning for proper design, philosophical background, researcher as a research instrument in the study, trustworthiness and application of findings are main debates in this field. one of the issues that have been received little attention is report of qualitative inquiry. a qualified report can answer th...