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Hospital accreditation: staff experiences and perceptions

Søren Bie Bogh (Centre for Quality, Region of Southern Denmark, Vejle, Denmark) (Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark)
Ane Blom (Healthcare Quality and Patient Safety, City of Aarhus, Denmark, Aarhus, Denmark)
Ditte Caroline Raben (Centre for Quality, Region of Southern Denmark, Vejle, Denmark) (Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark)
Jeffrey Braithwaite (Australian Institute of Health Innovation, Macquarie University, Sydney, Australia) (Centre for Quality, Region of Southern Denmark, Vejle, Denmark) (Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark)
Bettina Thude (Centre for Quality, Region of Southern Denmark, Vejle, Denmark) (Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark)
Erik Hollnagel (Centre for Quality, Region of Southern Denmark, Vejle, Denmark) (Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark)
Christian von Plessen (Centre for Quality, Region of Southern Denmark, Vejle, Denmark) (Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 11 June 2018

Abstract

Purpose

The purpose of this paper is to understand how staff at various levels perceive and understand hospital accreditation generally and in relation to quality improvement (QI) specifically.

Design/methodology/approach

In a newly accredited Danish hospital, the authors conducted semi-structured interviews to capture broad ranging experiences. Medical doctors, nurses, a quality coordinator and a quality department employee participated. Interviews were audio recorded and subjected to framework analysis.

Findings

Staff reported that The Danish Healthcare Quality Programme affected management priorities: office time and working on documentation, which reduced time with patients and on improvement activities. Organisational structures were improved during preparation for accreditation. Staff perceived that the hospital was better prepared for new QI initiatives after accreditation; staff found disease specific requirements unnecessary. Other areas benefited from accreditation. Interviewees expected that organisational changes, owing to accreditation, would be sustained and that the QI focus would continue.

Practical implications

Accreditation is a critical and complete hospital review, including areas that often are neglected. Accreditation dominates hospital agendas during preparation and surveyor visits, potentially reducing patient care and other QI initiatives. Improvements are less likely to occur in areas that other QI initiatives addressed. Yet, accreditation creates organisational foundations for future QI initiatives.

Originality/value

The authors study contributes new insights into how hospital staff at different organisational levels perceive and understand accreditation.

Keywords

Citation

Bogh, S.B., Blom, A., Raben, D.C., Braithwaite, J., Thude, B., Hollnagel, E. and Plessen, C.v. (2018), "Hospital accreditation: staff experiences and perceptions", International Journal of Health Care Quality Assurance, Vol. 31 No. 5, pp. 420-427. https://doi.org/10.1108/IJHCQA-06-2017-0115

Publisher

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Emerald Publishing Limited

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