Accreditation and quality in the Italian national health care system: A 10 yearslong review

Background: Italian accreditation and OECI accreditation are recognized as tools to ensure an adequate level of quality in healthcare setting. The aim of our study was to review the scientific literature about these topics looking for original experiences of accreditation.Methods: In March-April 2019 we conducted a search on original peer-reviewed papers in the electronic database PubMed (MEDLINE). The key search terms were "accreditation AND Italy", "hospital accreditation AND Italy". We looked for studies published between 2009 and 2019, reporting information about Accreditation experiences. 13.Results: The literature search yielded 562 publications. Finally, we identified 16 manuscripts eligible for the review. The studies were published between 2010 and 2016; they were conducted from 2007 to 2015; they involved a minimum of 1 to a maximum of 183 centres located in different Italian regions and cities. They concerned different fields such as oncology, haematology, health physics, health direction, paediatrics, and surgery. Accreditation led to a general enhancement of quality, and offered suggestions for further improvement.Conclusion: Each healthcare system should achieve the best possible levels of quality and safety.Accreditation, combined with further strategies could ensure the highest level of quality.