The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals
Identifieur interne : 001855 ( Ncbi/Curation ); précédent : 001854; suivant : 001856The 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 ; Rosa Sunol [Espagne] ; Basia Kutryba [Pologne] ; Niek Klazinga ; Charles Bruneau [France] ; Antje Hammer [Allemagne] ; Aolin Wang [États-Unis] ; Onyebuchi A. Arah [États-Unis] ; Cordula WagnerSource :
- International Journal for Quality in Health Care [ 1353-4505 ] ; 2014.
Abstract
To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals.
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.
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.
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.
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).
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.
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DOI: 10.1093/intqhc/mzu023
PubMed: 24615598
PubMed Central: 4001697
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Daan Botje<affiliation><nlm:aff id="af3"><institution>NIVEL, Netherlands Institute for Health Services Research</institution>,<addr-line>Utrecht</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation><affiliation><nlm:aff id="af7"><addr-line>Department of Public Health, Academic Medical Center</addr-line>,<institution>University of Amsterdam</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation><affiliation><nlm:aff id="af3"><institution>NIVEL, Netherlands Institute for Health Services Research</institution>,<addr-line>Utrecht</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation><affiliation><nlm:aff id="af12"><addr-line>Department of Public and Occupational Health</addr-line>,<institution>EMGO Institute for Health and Care Research, VU University Medical Center</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation><affiliation><nlm:aff id="af12"><addr-line>Department of Public and Occupational Health</addr-line>,<institution>EMGO Institute for Health and Care Research, VU University Medical Center</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation>Le document en format XML
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Shaw</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Centre for Clinical Governance Research</addr-line>,<institution>University of New South Wales</institution>,<addr-line>Sydney</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Groene, Oliver" sort="Groene, Oliver" uniqKey="Groene O" first="Oliver" last="Groene">Oliver Groene</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>London School of Hygiene and Tropical Medicine</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Botje, Daan" sort="Botje, Daan" uniqKey="Botje D" first="Daan" last="Botje">Daan Botje</name><affiliation><nlm:aff id="af3"><institution>NIVEL, Netherlands Institute for Health Services Research</institution>,<addr-line>Utrecht</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Sunol, Rosa" sort="Sunol, Rosa" uniqKey="Sunol R" first="Rosa" last="Sunol">Rosa Sunol</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>Avedis Donabedian Institute, Universitat Autonoma de Barcelona</institution>,<addr-line>Catalonia</addr-line>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barcelona</addr-line>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kutryba, Basia" sort="Kutryba, Basia" uniqKey="Kutryba B" first="Basia" last="Kutryba">Basia Kutryba</name><affiliation wicri:level="1"><nlm:aff id="af6"><addr-line>Polish Society for Quality Promotion in Healthcare, Krakow</addr-line>,<country>Poland</country></nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Klazinga, Niek" sort="Klazinga, Niek" uniqKey="Klazinga N" first="Niek" last="Klazinga">Niek Klazinga</name><affiliation><nlm:aff id="af7"><addr-line>Department of Public Health, Academic Medical Center</addr-line>,<institution>University of Amsterdam</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Bruneau, Charles" sort="Bruneau, Charles" uniqKey="Bruneau C" first="Charles" last="Bruneau">Charles Bruneau</name><affiliation wicri:level="1"><nlm:aff id="af8"><institution>Haut Autorité de Santé</institution>,<addr-line>Paris</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hammer, Antje" sort="Hammer, Antje" uniqKey="Hammer A" first="Antje" last="Hammer">Antje Hammer</name><affiliation wicri:level="1"><nlm:aff id="af9"><addr-line>Institute for Medical Sociology, Health Services Research and Rehabilitation Science</addr-line>,<institution>Faculty of Human Science and Faculty of Medicine, University of Cologne</institution>,<addr-line>Cologne</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Aolin" sort="Wang, Aolin" uniqKey="Wang A" first="Aolin" last="Wang">Aolin Wang</name><affiliation wicri:level="1"><nlm:aff id="af10"><addr-line>Department of Epidemiology</addr-line>,<institution>Fielding School of Public Health, University of California, Los Angeles (UCLA)</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A." last="Arah">Onyebuchi A. Arah</name><affiliation wicri:level="1"><nlm:aff id="af10"><addr-line>Department of Epidemiology</addr-line>,<institution>Fielding School of Public Health, University of California, Los Angeles (UCLA)</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af11"><institution>UCLA Center for Health Policy Research</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wagner, Cordula" sort="Wagner, Cordula" uniqKey="Wagner C" first="Cordula" last="Wagner">Cordula Wagner</name><affiliation><nlm:aff id="af3"><institution>NIVEL, Netherlands Institute for Health Services Research</institution>,<addr-line>Utrecht</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation><affiliation><nlm:aff id="af12"><addr-line>Department of Public and Occupational Health</addr-line>,<institution>EMGO Institute for Health and Care Research, VU University Medical Center</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24615598</idno><idno type="pmc">4001697</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001697</idno><idno type="RBID">PMC:4001697</idno><idno type="doi">10.1093/intqhc/mzu023</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002612</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002612</idno><idno type="wicri:Area/Pmc/Curation">002462</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002462</idno><idno type="wicri:Area/Pmc/Checkpoint">001302</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001302</idno><idno type="wicri:Area/Ncbi/Merge">001855</idno><idno type="wicri:Area/Ncbi/Curation">001855</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals</title><author><name sortKey="Shaw, Charles D" sort="Shaw, Charles D" uniqKey="Shaw C" first="Charles D." last="Shaw">Charles D. Shaw</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Centre for Clinical Governance Research</addr-line>,<institution>University of New South Wales</institution>,<addr-line>Sydney</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Groene, Oliver" sort="Groene, Oliver" uniqKey="Groene O" first="Oliver" last="Groene">Oliver Groene</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>London School of Hygiene and Tropical Medicine</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Botje, Daan" sort="Botje, Daan" uniqKey="Botje D" first="Daan" last="Botje">Daan Botje</name><affiliation><nlm:aff id="af3"><institution>NIVEL, Netherlands Institute for Health Services Research</institution>,<addr-line>Utrecht</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Sunol, Rosa" sort="Sunol, Rosa" uniqKey="Sunol R" first="Rosa" last="Sunol">Rosa Sunol</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>Avedis Donabedian Institute, Universitat Autonoma de Barcelona</institution>,<addr-line>Catalonia</addr-line>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barcelona</addr-line>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kutryba, Basia" sort="Kutryba, Basia" uniqKey="Kutryba B" first="Basia" last="Kutryba">Basia Kutryba</name><affiliation wicri:level="1"><nlm:aff id="af6"><addr-line>Polish Society for Quality Promotion in Healthcare, Krakow</addr-line>,<country>Poland</country></nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Klazinga, Niek" sort="Klazinga, Niek" uniqKey="Klazinga N" first="Niek" last="Klazinga">Niek Klazinga</name><affiliation><nlm:aff id="af7"><addr-line>Department of Public Health, Academic Medical Center</addr-line>,<institution>University of Amsterdam</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Bruneau, Charles" sort="Bruneau, Charles" uniqKey="Bruneau C" first="Charles" last="Bruneau">Charles Bruneau</name><affiliation wicri:level="1"><nlm:aff id="af8"><institution>Haut Autorité de Santé</institution>,<addr-line>Paris</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hammer, Antje" sort="Hammer, Antje" uniqKey="Hammer A" first="Antje" last="Hammer">Antje Hammer</name><affiliation wicri:level="1"><nlm:aff id="af9"><addr-line>Institute for Medical Sociology, Health Services Research and Rehabilitation Science</addr-line>,<institution>Faculty of Human Science and Faculty of Medicine, University of Cologne</institution>,<addr-line>Cologne</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Aolin" sort="Wang, Aolin" uniqKey="Wang A" first="Aolin" last="Wang">Aolin Wang</name><affiliation wicri:level="1"><nlm:aff id="af10"><addr-line>Department of Epidemiology</addr-line>,<institution>Fielding School of Public Health, University of California, Los Angeles (UCLA)</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A." last="Arah">Onyebuchi A. Arah</name><affiliation wicri:level="1"><nlm:aff id="af10"><addr-line>Department of Epidemiology</addr-line>,<institution>Fielding School of Public Health, University of California, Los Angeles (UCLA)</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af11"><institution>UCLA Center for Health Policy Research</institution>,<addr-line>Los Angeles, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wagner, Cordula" sort="Wagner, Cordula" uniqKey="Wagner C" first="Cordula" last="Wagner">Cordula Wagner</name><affiliation><nlm:aff id="af3"><institution>NIVEL, Netherlands Institute for Health Services Research</institution>,<addr-line>Utrecht</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation><affiliation><nlm:aff id="af12"><addr-line>Department of Public and Occupational Health</addr-line>,<institution>EMGO Institute for Health and Care Research, VU University Medical Center</institution>,<addr-line>Amsterdam</addr-line>,<country>the Netherlands</country></nlm:aff><wicri:noCountry code="nlm country">the Netherlands</wicri:noCountry></affiliation></author></analytic><series><title level="j">International Journal for Quality in Health Care</title><idno type="ISSN">1353-4505</idno><idno type="eISSN">1464-3677</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals.</p></sec><sec><title>Design</title><p>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.</p></sec><sec><title>Setting and Participants</title><p>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.</p></sec><sec><title>Main Outcome Measure</title><p>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.</p></sec><sec><title>Results</title><p>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).</p></sec><sec><title>Conclusions</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey=" Vretveit, J" uniqKey=" Vretveit J">J Øvretveit</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Shaw, Cd" uniqKey="Shaw C">CD Shaw</name></author><author><name sortKey="Bruneau, C" uniqKey="Bruneau C">C Bruneau</name></author><author><name sortKey="Kutryba, B" uniqKey="Kutryba B">B Kutryba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shaw, Cd" uniqKey="Shaw C">CD Shaw</name></author><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shaw, Cd" uniqKey="Shaw C">CD Shaw</name></author><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Mora, N" uniqKey="Mora N">N Mora</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Secanell, M" uniqKey="Secanell M">M Secanell</name></author><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Arah, Oa" uniqKey="Arah O">OA Arah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Klazinga, N" uniqKey="Klazinga N">N Klazinga</name></author><author><name sortKey="Wagner, C" uniqKey="Wagner C">C Wagner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagner, C" uniqKey="Wagner C">C Wagner</name></author><author><name sortKey="Groene, O" uniqKey="Groene O">O Groene</name></author><author><name sortKey="Thompson, Ca" uniqKey="Thompson C">CA Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosa, Sunol" uniqKey="Rosa S">Sunol Rosa</name></author><author><name sortKey="Cordula, Wagner" uniqKey="Cordula W">Wagner Cordula</name></author><author><name sortKey="Onyebuchi, A Arah" uniqKey="Onyebuchi A">A. Arah Onyebuchi</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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