Find out more. ISO Guest user Created: Jul 07, Last commented: Jul 07, Assign topic to the user. Without certification it is excluded from many bidding processes. ISO is less widely used in B2C supplier relationships and therefore it is generally of lesser value for a B2C company that is, a business that has the public rather than another business as its customer.
In situations where ISO is not actually NEEDED for contractual purposes, it can help a company develop a platform for a management system and therefore a consistent way of doing things. Obviously a company may well be able to develop a management system using its own gumption without going anywhere near ISO , so the benefits it can deliver can be achieved by other means.
It does, however, provide a ready made off-the-shelf package for management system development. Remember, they may have a vested interest in having you believe that. So what is it? In addition, Elsevier and Springer were searched as main publishers in the field of health sciences. Data were collected and tabulated into a data extraction sheet that was specifically designed for this study. Seven out of the studies that were retrieved met the inclusion criteria.
Use of the EFQM model increased the degree of patient satisfaction and the number of hospital admissions and reduced the average length of stay, the delay on the surgical waiting list, and the number of emergency re-admissions. ISO also increased the degree of patient satisfaction and patient safety, increased cost-effectiveness, improved the hospital admissions process, and reduced the percentage of unscheduled returns to the hospital.
Generally, there is a lack of robust and high quality empirical evidence regarding the effects of ISO and the EFQM model on the quality care provided by and the performance of hospitals. There is an increasing concern about the quality and safety of healthcare services. Quality management systems are broadly used in healthcare 1 - 3. Many hospital departments have applied a quality management system to improve the efficiency and quality of healthcare services 4 , 5.
ISO was founded in to provide standardization for technical specifications for products traded in the international marketplace. The ISO family of quality management system standards can be applied to any type of organization seeking to improve the quality of the production of its goods or services. Another international model that is used to conduct quality improvement processes is the European foundation for quality management EFQM Excellence Model.
EFQM was founded in with the approval of the European commission. This model has been well accepted in the public sector in Europe in recent years. Its non-prescriptive framework is based on nine criteria 9. The EFQM Excellence Model is a valuable tool to help organizations recognize quality management gaps and monitor their improvement.
This framework is widely used in the industry, as well as in the healthcare sector 11 , There are several systematic reviews regarding the effect of quality improvement methods in healthcare. Some of the published studies in those systematic literature reviews have studied the effectiveness of Six Sigma and Lean Six Sigma 13 - Other reviews have looked at broader system-wide quality improvement QI models or collaborations 16 and have highlighted their context-dependent nature, the degree of overlap between models, and the need for an effective organization-specific implementation method and infrastructures for success 17 , We did not find any systematic review about the effect of the ISO standard and the EFQM model, which is the subject of this review.
The aim of this systematic review was to examine the literature concerning the effects of ISO and the EFQM model on improving hospital performance. In addition, Elsevier to September and Springer to September were searched as the main publishers in the field of health sciences.
Studies that had addressed the use of an intervention, such as ISO or the EFQM model, and that had assessed the effect of that intervention on hospital performance over a specific period of time, were included.
Theoretical studies, editorials, letters, opinions, audits, and reviews were excluded. We also excluded self-assessment papers that only addressed hospital scores. All the papers that were retrieved from the search strategy were imported into an Endnote database. Their titles, abstracts and, if necessary, the full texts were then scanned by a reviewer and checked by a second reviewer against the inclusion criteria.
The quality assessment for non-experimental studies has not been well developed Therefore, a combination of available checklists was used to design a list of criteria that was applied to appraise the quality of the included studies 20 , The following criteria were used to appraise the quality of the included studies: the adequacy of the description of methods, the appropriateness of the research methods to the study question, the quality of the data collection, the quality of the data analysis, and the quality of the data presentation.
A descriptive synthesis of the results was performed giving consideration to the risk of bias and the quality of the studies. The search strategy yielded studies. After removing the duplicates, 96 of these studies were excluded after checking the titles and abstracts. The full texts of the 25 studies were checked and seven of them met the inclusion criteria Figure 1. Two studies were published after Five studies had a quasi-experimental design; one study had a survey design and one was an observational study.
Four articles reported a follow up period greater than two years, and all of the included studies were performed in hospitals 22 - Furthermore, three studies addressed the degree of patient satisfaction. Sanchez et al. Rodriguez-Cerrillo et al.
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