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Exploring hospital certification processes from the certification body's perspective - a qualitative study.

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Hospital auditors use distinct "explorer" and "discusser" styles, often employing guiding approaches and group interviews. Their practices reveal a more multifaceted certification reality than typically assumed.

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Area of Science:

  • Healthcare Management
  • Quality Assurance
  • Organizational Studies

Background:

  • Hospital certification is crucial for ensuring healthcare quality and safety.
  • Auditors are key figures in certification, assessing healthcare organizations.
  • Limited understanding exists regarding auditors' methods and role perceptions.

Purpose of the Study:

  • To explore auditor practices in hospital certification.
  • To identify auditor styles and their perceived roles.

Main Methods:

  • Conducted 59 hours of non-participant observations of three lead auditors in Norwegian hospitals.
  • Performed semi-structured interviews with the observed lead auditors.
  • Analyzed auditor styles using a deductive approach based on a surveyor typology framework.

Main Results:

  • Identified two distinct auditor styles: 'explorer' and 'discusser'.
  • Both styles favored opportunistic and less structured interview practices.
  • Auditors utilized guiding approaches, including reflection and experience transfer, often using group interviews.

Conclusions:

  • Auditor styles and perceptions indicate a complex certification reality, challenging assumptions of consistent practices.
  • Findings impact reliability assessments for hospital certification programs.
  • Results suggest refining frameworks for studying auditing practices.