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

机译：研究认证调查团队的可靠性：出现问题时的经验教训

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摘要

Accreditation of health organisations, occurring in over 70 countries, is predicated upon the reliability of survey teams' 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 Australian 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 teams' 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.
机译：在70多个国家/地区中，对卫生组织的认可取决于调查小组的判断的可靠性，但我们不知道调查团队的可靠程度。为了对此问题提供证据，我们调查了两个同时评估组织的调查团队的可靠性。该机构是一家大型的澳大利亚教学医院，其数据来自访谈，观察和调查文件。参加者来自四组：医院工作人员，鉴定机构人员和测量员以及研究人员。主题分析用于确定影响研究的重要因素。两个调查小组的评级和建议显示出很高的一致性。但是，尽管对研究存在共识，但研究受到了损害。进行这项研究有困难。与协商安排相反，研究的压力导致测量师讨论了证据及其对标准的解释。难以控制的环境（人员的后期变更）和突发事件（工作关系破裂）对这项研究提出了挑战。从中学到的两个经验教训是，当追求过程的可靠性和标准的一致应用时，很可能会获得一致的调查结果，并且研究需要就挑战和关系进行谈判。

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