Universität zu Köln

Shaw, Charles D., Groene, Oliver ORCID: 0000-0002-1099-2950, Botje, Daan, Sunol, Rosa, Kutryba, Basia, Klazinga, Niek, Bruneau, Charles, Hammer, Antje, Wang, Aolin ORCID: 0000-0002-3490-648X, Arah, Onyebuchi A. and Wagner, Cordula (2014). The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals. Int. J. Qual. Health Care, 26. S. 100 - 108. OXFORD: OXFORD UNIV PRESS. ISSN 1464-3677

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Shaw, Charles D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Groene, Oliver UNSPECIFIED orcid.org/0000-0002-1099-2950 UNSPECIFIED Botje, Daan UNSPECIFIED UNSPECIFIED UNSPECIFIED Sunol, Rosa UNSPECIFIED UNSPECIFIED UNSPECIFIED Kutryba, Basia UNSPECIFIED UNSPECIFIED UNSPECIFIED Klazinga, Niek UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruneau, Charles UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammer, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Wang, Aolin UNSPECIFIED orcid.org/0000-0002-3490-648X UNSPECIFIED Arah, Onyebuchi A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Cordula UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-441173
DOI:	10.1093/intqhc/mzu023
Journal or Publication Title:	Int. J. Qual. Health Care
Volume:	26
Page Range:	S. 100 - 108
Date:	2014
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1464-3677
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44117