tailieunhanh - báo cáo khoa học: "Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations | Pomey et al. Implementation Science 2010 5 31 http content 5 1 31 IMPLEMENTATION SCIENCE Implementation Science RESEARCH ARTICLE Open Access Does accreditation stimulate change A study of the impact of the accreditation process on Canadian healthcare organizations Marie-Pascale Pomey 1 2 Louise Lemieux-Charles22 Francois Champagne21 Doug Angus23 Abdo Shabah24 and André-Pierre Contandriopoulos21 Abstract Background One way to improve quality and safety in healthcare organizations HCOs is through accreditation. Accreditation is a rigorous external evaluation process that comprises self-assessment against a given set of standards an on-site survey followed by a report with or without recommendations and the award or refusal of accreditation status. This study evaluates how the accreditation process helps introduce organizational changes that enhance the quality and safety of care. Methods We used an embedded multiple case study design to explore organizational characteristics and identify changes linked to the accreditation process. We employed a theoretical framework to analyze various elements and for each case we interviewed top managers conducted focus groups with staff directly involved in the accreditation process and analyzed self-assessment reports accreditation reports and other case-related documents. Results The context in which accreditation took place including the organizational context influenced the type of change dynamics that occurred in HCOs. Furthermore while accreditation itself was not necessarily the element that initiated change the accreditation process was a highly effective tool for i accelerating integration and stimulating a spirit of cooperation in newly merged HCOs ii helping to introduce continuous quality improvement programs to newly accredited or not-yet-accredited organizations iii creating new leadership for quality improvement initiatives iv increasing social capital by giving staff the opportunity to

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