PT  - JOURNAL ARTICLE
AU  - Braithwaite, Jeffrey
AU  - Greenfield, David
AU  - Westbrook, Johanna
AU  - Pawsey, Marjorie
AU  - Westbrook, Mary
AU  - Gibberd, Robert
AU  - Naylor, Justine
AU  - Nathan, Sally
AU  - Robinson, Maureen
AU  - Runciman, Bill
AU  - Jackson, Margaret
AU  - Travaglia, Joanne
AU  - Johnston, Brian
AU  - Yen, Desmond
AU  - McDonald, Heather
AU  - Low, Lena
AU  - Redman, Sally
AU  - Johnson, Betty
AU  - Corbett, Angus
AU  - Hennessy, Darlene
AU  - Clark, John
AU  - Lancaster, Judie
TI  - Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study
AID  - 10.1136/qshc.2009.033928
DP  - 2010 Feb 01
TA  - Quality and Safety in Health Care
PG  - 14--21
VI  - 19
IP  - 1
4099  - http://qualitysafety.bmj.com/content/19/1/14.short
4100  - http://qualitysafety.bmj.com/content/19/1/14.full
SO  - Qual Saf Health Care2010 Feb 01; 19
AB  - Background Despite the widespread use of accreditation in many countries, and prevailing beliefs that accreditation is associated with variables contributing to clinical care and organisational outcomes, little systematic research has been conducted to examine its validity as a predictor of healthcare performance.Objective To determine whether accreditation performance is associated with self-reported clinical performance and independent ratings of four aspects of organisational performance.Design Independent blinded assessment of these variables in a random, stratified sample of health service organisations.Settings Acute care: large, medium and small health-service organisations in Australia.Study participants Nineteen health service organisations employing 16 448 staff treating 321 289 inpatients and 1 971 087 non-inpatient services annually, representing approximately 5% of the Australian acute care health system.Main measures Correlations of accreditation performance with organisational culture, organisational climate, consumer involvement, leadership and clinical performance.Results Accreditation performance was significantly positively correlated with organisational culture (rho=0.618, p=0.005) and leadership (rho=0.616, p=0.005). There was a trend between accreditation and clinical performance (rho=0.450, p=0.080). Accreditation was unrelated to organisational climate (rho=0.378, p=0.110) and consumer involvement (rho=0.215, p=0.377).Conclusions Accreditation results predict leadership behaviours and cultural characteristics of healthcare organisations but not organisational climate or consumer participation, and a positive trend between accreditation and clinical performance is noted.