External inspection of compliance with standards for improved healthcare outcomes

Flodgren, Gerd; Gonçalves‐Bradley, Daniela C; Pomey, Marie‐Pascale

doi:10.1002/14651858.cd008992.pub3

Cited by 51 publications

(77 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some view these programs as effective for development of organizational processes and patient safety, while others have concerns about the bureaucratic burden, the financial and human resources that are required, and the efforts to meet a large number of standards [15]. There is scarce evidence of the impact of care outcome measures [13,16]. However, previous research has documented how accreditation has potential impact on organizational processes, changes in professional practice, and cultural change concerned with quality of care [17][18][19] and that certification and accreditation may be better than no external assessment when associated to hospital outputs and quality and safety structures [3,20].…”

Section: Iso (International Organization For Standardization)mentioning

confidence: 99%

Exploring hospital certification processes from the certification body’s perspective - a qualitative study

Johannesen

Wiig

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Hospital certification is an external assessment mechanism to assure quality and safety systems. Auditors representing the certification body play a key role in certification processes, as they perform the assessment activities and interact with the involved healthcare organizations. There is limited knowledge about the approaches and methods that auditors use, such as role repertoire, conduct, and assessment practice. The purpose of this study was to explore auditors' practice in hospital certification processes, guided by the following research questions: What styles do auditors apply in hospital certification processes, and how do auditors perceive their role in hospital certification processes? Methods: The study was performed in two stages. In the first stage, non-participant observations (59 h) were conducted, to explore the professional practice of three lead auditors in certification processes of Norwegian hospitals. In the second stage, semi-structured interviews were conducted with these three observed lead auditors. The role repertoires and conducts identified were analyzed by using a deductive approach according to a surveyor (equivalent with auditor) styles typology framework. Results: Two distinct auditor styles ("explorer" and "discusser") were identified among the three studied auditors. Both styles were characterized by their preference for an opportunistic and less structured type of interview practice during certification audits. All three auditors embedded a guiding approach (reflections about findings, stimulate improvements, experience transfer from other industries) to their perception and practice of certification audits, interacting with the auditees. The use of group interviews instead of individual interviews during certification audits, was the rule of their professional practice. Conclusion: The auditors' perceptions and styles demonstrated a multifaceted certification reality, in contrast to what is often presumed as consistent, stringent and independent practices. These findings may have implications for reliability judgements when developing hospital certification programs, and for the refinement of the current framework used here to study the different auditing practices.

show abstract

Section: Iso (International Organization For Standardization)mentioning

confidence: 99%

Exploring hospital certification processes from the certification body’s perspective - a qualitative study

Johannesen

Wiig

2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…In addition to quality standards and quality indicators, QI in hospitals often relies on accreditation, external inspection (117) and RP (118). Accreditation in hospitals has a long history (119) and continues to grow (120).…”

Section: Recognizing Performance By Accreditation External Inspectiomentioning

confidence: 99%

Fast-track implementation of clinical health promotion

Svane¹

2018

clinhp

View full text Add to dashboard Cite

This thesis covers a project on fast-track implementation of clinical health promotion addressing daily smoking, malnutrition and overweight/obesity, hazardous alcohol consumption and insufficient physical activity. It took place in 36 hospitals in 8 countries, all of which were members of the International Network of Health Promoting Hospitals & Health Services (HPH) initiated by the World Health Organization (WHO). The overall aim of the research project was to add new evidence on the implementation of effective clinical health promotion services, such as smoking cessation interventions, in hospitals, for the benefit of patients, staff and communities. The thesis includes the following 4 scientific papers:

show abstract

“…A systematic review of the effects of hospital accreditation did not find evidence of improvements in quality management . Another review concluded that the paucity of high‐quality controlled evaluations makes it difficult to say whether the external inspection systems actually improved hospital outcomes . Despite this lack of evidence, most hospitals show keen interests in obtaining accreditation, especially the ones trying to distinguish themselves in the market.…”

Section: Introductionmentioning

confidence: 99%

“…8 Another review concluded that the paucity of high-quality controlled evaluations makes it difficult to say whether the external inspection systems actually improved hospital outcomes. 9 Despite this lack of evidence, most hospitals show keen interests in obtaining accreditation, especially the ones trying to distinguish themselves in the market. Accreditation and certification status are often used as a marketing tool, and consumers tend to view this as an external validation of quality and safety of the services delivered.…”

mentioning

confidence: 99%

Effect of accreditation and certification on the quality management system: Analysis based on Turkish hospitals

Yıldız

Öztürk

Topal

et al. 2019

Health Planning & Management

View full text Add to dashboard Cite

Summary Effects of certification and accreditation on hospital quality management systems (QMS) are measured to better understand the value of external recognitions. This study identifies the QMS dimensions that show significant improvements with hospital certification and/or accreditation. Data were collected from 350 Turkish hospitals using a structured questionnaire. Mean scores of nine domains of QMS were used as outcome variables. Although quality policy documents, quality monitoring by board, and training of professionals are the focus of generic QMS, ISO certification did not affect these scores significantly. Formal protocols for infection control scores are affected by hospital size and certification status. Adoption of Ministry of Health's (MOH) infection control initiatives has improved this score for all hospital types. Formal protocols for medication and patient handling, analyzing performance of care processes, and evaluating results improved with accreditation and certification status. Larger hospitals were better able to implement application of protocols, analyzing care process and evaluating results. For improvements in the QMS scores, external assessments are valuable, but quality‐focused governmental regulations appear important for improving QMS of small and medium‐sized hospitals. Higher QMS scores, however, may not lead to improved quality. Future studies should explore the relationship between QMS scores and service quality.

show abstract

External inspection of compliance with standards for improved healthcare outcomes

Cited by 51 publications

References 20 publications

Exploring hospital certification processes from the certification body’s perspective - a qualitative study

Exploring hospital certification processes from the certification body’s perspective - a qualitative study

Fast-track implementation of clinical health promotion

Effect of accreditation and certification on the quality management system: Analysis based on Turkish hospitals

Contact Info

Product

Resources

About