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Researching the reliability of accreditation survey teams: lessons learnt when things went awry.
- Source :
-
Health information management : journal of the Health Information Management Association of Australia [Health Inf Manag] 2013; Vol. 42 (1), pp. 4-10. - Publication Year :
- 2013
-
Abstract
- Accreditation of health organisations, occurring in over 70 countries, is predicated upon the reliability of survey teams judgements, but we do not know the extent to which survey teams are reliable. To contribute evidence to this issue, we investigated the reliability of two survey teams simultaneously assessing an organisation. The setting was a large Australian teaching hospital, and data were derived from interviews, observations and survey documents. Participants were from four groups: hospital staff, accreditation agency personnel and surveyors, and research staff. Thematic analysis was employed to identify significant factors that influenced the study. The two survey teams ratings and recommendations demonstrated high levels of agreement. However, while a common understanding of the study existed, the research was compromised. There were difficulties enacting the study. Contrary to negotiated arrangements, the pressure of the study resulted in surveyors discussing evidence and their interpretation of standards. Uncontrollable circumstances (late changes of personnel), and unexpected events (a breakdown of working relationships), challenged the study. The twin lessons learnt are that a consistent survey outcome is likely to be reached when reliability of process and consistent application of standards are pursued, and research requires negotiating challenges and relationships.
- Subjects :
- Accreditation methods
Accreditation statistics & numerical data
Health Care Surveys methods
Health Care Surveys statistics & numerical data
Hospitals, Teaching statistics & numerical data
Humans
Judgment
New South Wales
Observer Variation
Peer Review methods
Reproducibility of Results
Accreditation standards
Health Care Surveys standards
Hospitals, Teaching standards
Peer Review standards
Subjects
Details
- Language :
- English
- ISSN :
- 1833-3575
- Volume :
- 42
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Health information management : journal of the Health Information Management Association of Australia
- Publication Type :
- Academic Journal
- Accession number :
- 23640917
- Full Text :
- https://doi.org/10.1177/183335831304200101