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Bienvenido

Titulo Artículo : Understanding the impact of accreditation on quality in healthcare: A grounded theory approach.
Titulo Revista: International Journal for Quality in Health Care,

ISBN

1464-3677
Autores N M Ivers
J I Mitchell
J Shaw
L Desveaux
Año de publicacion 2017

Suplemento

Numero 7 Volumen 29
Pagina Inicial 941 Pagina Final 947
Idioma: Inglés Base de datos bibliográfica: Biblioteca Virtual en Salud(BVS)
Resumen : Objective To explore how organizations respond to and interact with the accreditation process and the actual and potential mechanisms through which accreditation may influence quality. Design Qualitative grounded theory study. Setting Organizations who had participated in Accreditation Canada’s Qmentum program during January 2014–June 2016. Participants Individuals who had coordinated the accreditation process or were involved in managing or promoting quality. Results The accreditation process is largely viewed as a quality assurance process, which often feeds in to quality improvement activities if the feedback aligns with organizational priorities. Three key stages are required for accreditation to impact quality: coherence, organizational buy-in and organizational action. These stages map to constructs outlined in Normalization Process Theory. Coherence is established when an organization and its staff perceive that accreditation aligns with the organization’s beliefs, context and model of service delivery. Organizational buy-in is established when there is both a conceptual champion and an operational champion, and is influenced by both internal and external contextual factors. Quality improvement action occurs when organizations take purposeful action in response to observations, feedback or self-reflection resulting from the accreditation process. Conclusions The accreditation process has the potential to influence quality through a series of three mechanisms: coherence, organizational buy-in and collective quality improvement action. Internal and external contextual factors, including individual characteristics, influence an organization’s experience of accreditation.
Palabras Claves : Accreditation
Quality Management
Qualitative Methods

Tipo de acceso:

libre Disponibilidad Link Externo
Publico Objetivo: Decanatura , Docentes , Educadores Medicos ,