ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014
The associations between organizational culture, organizational structure and quality management in European hospitals.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between organisational and workplace cultures, and patient outcomes: systematic review.BMJ open · 2017Pooled it
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- Hospitals accreditation status in Indonesia: associated with hospital characteristics, market competition intensity, and hospital performance?BMC health services research · 2019Article
- Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital.International journal of environmental research and public health · 2018Article
- Interventionalists' perceptions on a culture of radiation protection.SA journal of radiology · 2018Article
- Assessing archetypes of organizational culture based on the Competing Values Framework: the experimental use of the framework in Japanese neonatal intensive care units.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017Article
- Association between organisational and workplace cultures, and patient outcomes: systematic review protocol.BMJ open · 2016Article
- Design and validation of a questionnaire to assess organizational culture in French hospital wards.BMC health services research · 2016Article
- Article
- Patient Experience Shows Little Relationship with Hospital Quality Management Strategies.PloS one · 2015Article
- Deepening our understanding of quality improvement in Europe (DUQuE): overview of a study of hospital quality management in seven countries.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo better understand associations between organizational culture (OC), organizational management structure (OS) and quality management in hospitals.
designA multi-method, multi-level, cross-sectional observational study. SETTING AND
participantsAs part of the DUQuE project (Deepening our Understanding of Quality improvement in Europe), a random sample of 188 hospitals in 7 countries (France, Poland, Turkey, Portugal, Spain, Germany and Czech Republic) participated in a comprehensive questionnaire survey and a one-day on-site surveyor audit. Respondents for this study (n = 158) included professional quality managers and hospital trustees.
main outcome measuresExtent of implementation of quality management systems, extent of compliance with existing management procedures and implementation of clinical quality activities.
resultsAmong participating hospitals, 33% had a clan culture as their dominant culture type, 26% an open and developmental culture type, 16% a hierarchical culture type and 25% a rational culture type. The culture type had no statistically significant association with the outcome measures. Some structural characteristics were associated with the development of quality management systems.
conclusionThe type of OC was not associated with the development of quality management in hospitals. Other factors (not culture type) are associated with the development of quality management. An OS that uses fewer protocols is associated with a less developed quality management system, whereas an OS which supports innovation in care is associated with a more developed quality management system.
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