Accreditation-To-Frontline Translation For Saudi Hospital Security: Building Auditable Standard Work, Competency Checks, And KPI Loops—An Integrative Review
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Abdulrahman Rumayh Abdullah Alshammari, Abdullah Ayyadah E Alanazi, Ali Abdullah Orayfij Aljameeli, Waleed Ayyadah K Aldhafeeri, Abdulkarim Meshal Almutairi, Marai Haroush Ka Alanazi, Atiah Atallah Eid Alanazi, Abdullah Khalaf M Almutairi
Abstract
Background: Healthcare security in Saudi Arabian hospitals faces mounting pressure to simultaneously meet international accreditation standards while maintaining operational effectiveness at the frontline. The gap between accreditation documentation and actual security practice represents a critical vulnerability affecting patient safety, staff protection, regulatory compliance, and organizational reputation.
Objective: This integrative review examines frameworks for translating accreditation requirements into actionable frontline security protocols through three interconnected mechanisms: auditable standard work providing clear procedures accessible to security personnel; competency-based assessment systems ensuring personnel capability; and key performance indicator (KPI) feedback loops enabling continuous improvement.
Methods: A comprehensive literature review was conducted examining healthcare security accreditation standards, operational protocols, competency frameworks, performance measurement systems, and implementation strategies within Saudi Arabian and international contexts. Databases including PubMed, Scopus, Web of Science, and regional healthcare databases were searched for publications from 2014-2025.
Results: Effective accreditation translation requires structured approaches addressing common barriers including complex regulatory language, insufficient security personnel training, fragmented documentation systems, limited feedback mechanisms, and cultural-organizational disconnects. Solutions involve developing standard work documents translating accreditation requirements into step-by-step procedures; implementing competency verification systems with initial validation, ongoing assessment, and remediation pathways; establishing KPI frameworks measuring compliance, quality, efficiency, and outcomes; and creating continuous improvement loops incorporating performance data into practice refinement.
Conclusion: Saudi Arabian healthcare security can bridge the accreditation-practice gap through systematic implementation of standard work, competency systems, and KPI loops aligned with Vision 2030 healthcare transformation objectives. Success requires leadership commitment, adequate resources, staff engagement, cultural adaptation, and sustained effort transforming compliance from paper exercise into operational reality.
Keywords :
healthcare security, accreditation standards, Saudi Arabia, standard operating procedures, competency assessment, key performance indicators, quality improvement, hospital safety.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty