The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals
Identifieur interne : 003F31 ( Main/Exploration ); précédent : 003F30; suivant : 003F32The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals
Auteurs : Charles D. Shaw [Australie] ; Oliver Groene [Royaume-Uni] ; Daan Botje [Pays-Bas] ; Rosa Sunol [Espagne] ; Basia Kutryba [Pologne] ; Niek Klazinga [Pays-Bas] ; Charles Bruneau [France] ; Antje Hammer [Allemagne] ; AOLIN WANG [États-Unis] ; Onyebuchi A. Arah [États-Unis] ; Cordula Wagner [Pays-Bas]Source :
- International journal for quality in health care [ 1353-4505 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique, Hospitalisation.
English descriptors
- KwdEn :
Abstract
Objective. To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. Design. A mixed method multi-level cross-sectional design in seven countries. External teams assessed clinical services on the use of quality management systems, illustrated by four clinical pathways. Setting and Participants. Seventy-three acute care hospitals with a total of 291 services managing acute myocardial infarction (AMI), hip fracture, stroke and obstetric deliveries, in Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey. Main Outcome Measure. Four composite measures of quality and safety [specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies (PSS) and clinical review (CR)] applied to four pathways. Results. Accreditation in isolation showed benefits in AMI and stroke more than in deliveries and hip fracture; the greatest significant association was with CR in stroke. Certification in isolation showed little benefit in AMI but had more positive association with the other conditions; greatest significant association was in PSS with stroke. The combination of accreditation and certification showed least benefit in EBOP, but significant benefits in SER (AMI), in PSS (AMI, hip fracture and stroke) and in CR (AMI and stroke). Conclusions. Accreditation and certification are positively associated with clinical leadership, systems for patient safety and clinical review, but not with clinical practice. Both systems promote structures and processes, which support patient safety and clinical organization but have limited effect on the delivery of evidence-based patient care. Further analysis of DUQuE data will explore the association of certification and accreditation with clinical outcomes.
Url:
Affiliations:
- Allemagne, Australie, Espagne, France, Pays-Bas, Pologne, Royaume-Uni, États-Unis
- Angleterre, Catalogne, Grand Londres, Hollande-Septentrionale, Nouvelle-Galles du Sud, Utrecht (province), Île-de-France
- Amsterdam, Barcelone, Londres, Paris, Sydney, Utrecht
- Université d'Amsterdam
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Objective. To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. Design. A mixed method multi-level cross-sectional design in seven countries. External teams assessed clinical services on the use of quality management systems, illustrated by four clinical pathways. Setting and Participants. Seventy-three acute care hospitals with a total of 291 services managing acute myocardial infarction (AMI), hip fracture, stroke and obstetric deliveries, in Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey. Main Outcome Measure. Four composite measures of quality and safety [specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies (PSS) and clinical review (CR)] applied to four pathways. Results. Accreditation in isolation showed benefits in AMI and stroke more than in deliveries and hip fracture; the greatest significant association was with CR in stroke. Certification in isolation showed little benefit in AMI but had more positive association with the other conditions; greatest significant association was in PSS with stroke. The combination of accreditation and certification showed least benefit in EBOP, but significant benefits in SER (AMI), in PSS (AMI, hip fracture and stroke) and in CR (AMI and stroke). Conclusions. Accreditation and certification are positively associated with clinical leadership, systems for patient safety and clinical review, but not with clinical practice. Both systems promote structures and processes, which support patient safety and clinical organization but have limited effect on the delivery of evidence-based patient care. Further analysis of DUQuE data will explore the association of certification and accreditation with clinical outcomes.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Espagne</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Pologne</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>Catalogne</li>
<li>Grand Londres</li>
<li>Hollande-Septentrionale</li>
<li>Nouvelle-Galles du Sud</li>
<li>Utrecht (province)</li>
<li>Île-de-France</li>
</region>
<settlement><li>Amsterdam</li>
<li>Barcelone</li>
<li>Londres</li>
<li>Paris</li>
<li>Sydney</li>
<li>Utrecht</li>
</settlement>
<orgName><li>Université d'Amsterdam</li>
</orgName>
</list>
<tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Shaw, Charles D" sort="Shaw, Charles D" uniqKey="Shaw C" first="Charles D." last="Shaw">Charles D. Shaw</name>
</region>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Groene, Oliver" sort="Groene, Oliver" uniqKey="Groene O" first="Oliver" last="Groene">Oliver Groene</name>
</region>
</country>
<country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Botje, Daan" sort="Botje, Daan" uniqKey="Botje D" first="Daan" last="Botje">Daan Botje</name>
</region>
<name sortKey="Klazinga, Niek" sort="Klazinga, Niek" uniqKey="Klazinga N" first="Niek" last="Klazinga">Niek Klazinga</name>
<name sortKey="Wagner, Cordula" sort="Wagner, Cordula" uniqKey="Wagner C" first="Cordula" last="Wagner">Cordula Wagner</name>
<name sortKey="Wagner, Cordula" sort="Wagner, Cordula" uniqKey="Wagner C" first="Cordula" last="Wagner">Cordula Wagner</name>
</country>
<country name="Espagne"><noRegion><name sortKey="Sunol, Rosa" sort="Sunol, Rosa" uniqKey="Sunol R" first="Rosa" last="Sunol">Rosa Sunol</name>
</noRegion>
<name sortKey="Sunol, Rosa" sort="Sunol, Rosa" uniqKey="Sunol R" first="Rosa" last="Sunol">Rosa Sunol</name>
</country>
<country name="Pologne"><noRegion><name sortKey="Kutryba, Basia" sort="Kutryba, Basia" uniqKey="Kutryba B" first="Basia" last="Kutryba">Basia Kutryba</name>
</noRegion>
</country>
<country name="France"><region name="Île-de-France"><name sortKey="Bruneau, Charles" sort="Bruneau, Charles" uniqKey="Bruneau C" first="Charles" last="Bruneau">Charles Bruneau</name>
</region>
</country>
<country name="Allemagne"><noRegion><name sortKey="Hammer, Antje" sort="Hammer, Antje" uniqKey="Hammer A" first="Antje" last="Hammer">Antje Hammer</name>
</noRegion>
</country>
<country name="États-Unis"><noRegion><name sortKey="Aolin Wang" sort="Aolin Wang" uniqKey="Aolin Wang" last="Aolin Wang">AOLIN WANG</name>
</noRegion>
<name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A." last="Arah">Onyebuchi A. Arah</name>
<name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A." last="Arah">Onyebuchi A. Arah</name>
</country>
</tree>
</affiliations>
</record>
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