Qualitätsmanagement nach DIN EN ISO 9001:2000

Helbig, M.; Kahla-Witzsch, Heike Anette; Helbig, Silke; Knecht, Robert; Gstöttner, Wolfgang

doi:10.1007/s00106-006-1467-7

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…As stated above, there are many studies which have investigated the benefits of accreditation of health care providers [16,25-27]. Accreditation may be advantageous regarding standardization of procedures, cost containment or marketing.…”

Section: Discussionmentioning

confidence: 99%

“…The process of accreditation requires resources and time [16,31]. For example, Staines [31] describes the process of a ISO accreditation of a small Swiss hospital, required three years of work from three full time staff members.…”

Section: Discussionmentioning

confidence: 99%

“…A number of previous studies have investigated the benefits of accreditation of health care providers [16], and describe the different accreditation standards. Many papers have addressed accreditation standards which are similar to American or Australian standardization.…”

Section: Introductionmentioning

confidence: 99%

“…Many papers have addressed accreditation standards which are similar to American or Australian standardization. In addition, some researchers indicate that the accreditation improves their operations and performance in terms of effectiveness and efficiency [16]. All accreditation efforts require resources and regarding the aim of evidence based management the rationale for allocation of resources and the return of investment should be measured.…”

Section: Introductionmentioning

confidence: 99%

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Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology

Sack

Lütkes

Wolfram³

et al. 2010

BMC Health Serv Res

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BackgroundSubjective parameters such as quality of life or patient satisfaction gain importance as outcome parameters and benchmarks in health care. In many countries hospitals are now undergoing accreditation as mandatory or voluntary measures. It is believed but unproven that accreditations positively influence quality of care and patient satisfaction. The present study aims to assess in a defined specialty (cardiology) the relationship between patient satisfaction (as measured by the recommendation rate) and accreditation status.MethodsConsecutive patients discharged from 25 cardiology units received a validated patient satisfaction questionnaire. Data from 3,037 patients (response rate > 55%) became available for analysis. Recommendation rate was used as primary endpoint. Different control variables such as staffing level were considered.ResultsThe 15 accredited units did not differ significantly from the 10 non-accredited units regarding main hospital (i.e. staffing levels, no. of beds) and patient (age, gender) characteristics. The primary endpoint "recommendation rate of a given hospital" for accredited hospitals (65.6%, 95% Confidence Interval (CI) 63.4 - 67.8%) and hospitals without accreditation (65.8%, 95% CI 63.1 - 68.5%) was not significantly different.ConclusionOur results support the notion that - at least in the field of cardiology - successful accreditation is not linked with measurable better quality of care as perceived by the patient and reflected by the recommendation rate of a given institution. Hospital accreditation may represent a step towards quality management, but does not seem to improve overall patient satisfaction.

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Section: Discussionmentioning

confidence: 99%