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Researching the reliability of accreditation survey teams: lessons learnt when things went awry


Greenfield, D and Pawsey, M and Naylor, J and Braithwaite, J, Researching the reliability of accreditation survey teams: lessons learnt when things went awry, Health Information Management Journal, 42, (1) pp. 4-10. ISSN 1833-3583 (2013) [Contribution to Refereed Journal]

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Accreditation of health organisations, occurring in over 70 countries, is predicated upon the reliability of survey teamsí 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 A ustralian 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 teamsí 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.

Item Details

Item Type:Contribution to Refereed Journal
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Greenfield, D (Professor David Greenfield)
ID Code:110958
Year Published:2013
Deposited By:TSBE
Deposited On:2016-08-24
Last Modified:2017-01-10

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