Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.

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Show simple item record Braithwaite, J Greenfield, D Westbrook, J Pawsey, M Westbrook, M Gibberd, R Naylor, J Nathan, S Robinson, M Runciman, B Jackson, M Travaglia, J Johnston, B Yen, D McDonald, H Low, L Redman, S Johnson, B Corbett, A Hennessy, D Clark, J Lancaster, J 2011-02-07T06:24:29Z 2010-02
dc.identifier.citation Quality & safety in health care, 2010, 19 (1), pp. 14 - 21
dc.identifier.issn 1475-3898
dc.identifier.other C1 en_US
dc.description.abstract BACKGROUND: Despite the widespread use of accreditation in many countries, and prevailing beliefs that accreditation is associated with variables contributing to clinical care and organisational outcomes, little systematic research has been conducted to examine its validity as a predictor of healthcare performance. OBJECTIVE: To determine whether accreditation performance is associated with self-reported clinical performance and independent ratings of four aspects of organisational performance. DESIGN: Independent blinded assessment of these variables in a random, stratified sample of health service organisations. SETTINGS: Acute care: large, medium and small health-service organisations in Australia. Study participants Nineteen health service organisations employing 16 448 staff treating 321 289 inpatients and 1 971 087 non-inpatient services annually, representing approximately 5% of the Australian acute care health system. MAIN MEASURES: Correlations of accreditation performance with organisational culture, organisational climate, consumer involvement, leadership and clinical performance. Results Accreditation performance was significantly positively correlated with organisational culture (rho=0.618, p=0.005) and leadership (rho=0.616, p=0.005). There was a trend between accreditation and clinical performance (rho=0.450, p=0.080). Accreditation was unrelated to organisational climate (rho=0.378, p=0.110) and consumer involvement (rho=0.215, p=0.377). CONCLUSIONS: Accreditation results predict leadership behaviours and cultural characteristics of healthcare organisations but not organisational climate or consumer participation, and a positive trend between accreditation and clinical performance is noted.
dc.format Print
dc.language eng
dc.relation.isbasedon 10.1136/qshc.2009.033928
dc.title Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.
dc.type Journal Article
dc.parent Quality & safety in health care
dc.journal.volume 1
dc.journal.volume 19
dc.journal.number 1 en_US
dc.publocation London en_US
dc.identifier.startpage 14 en_US
dc.identifier.endpage 21 en_US LAW.Faculty of law en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 940003
dc.personcode 106396
dc.percentage 100 en_US Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords Humans
dc.description.keywords Leadership
dc.description.keywords Consumer Participation
dc.description.keywords Accreditation
dc.description.keywords Quality Indicators, Health Care
dc.description.keywords Organizational Culture
dc.description.keywords Outcome Assessment (Health Care)
dc.description.keywords Quality Assurance, Health Care
dc.description.keywords Australia
dc.description.keywords Health Services
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Law
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)

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