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Table 1 Included systematic reviews

From: A systematic review of hospital accreditation: the challenges of measuring complex intervention effects

Reference

Search date

Aim of review

Study design included

Number of included studies

Main conclusion stated by authors

Studies that match our inclusion criteria

Flodgren et al. 2011 [15]

May 2011

Evaluate the effectiveness of external inspection of compliance with standards in improving healthcare organizations behavior, healthcare professionals behavior and patient outcomes

RCT, CCT, ITS, CBA

Two in total, 1 RCT, 1 ITS

No firm conclusion were drawn due to paucity of high-quality controlled evaluations

Salmon et al. [18]

Matrix Knowledge group 2010 [16]

August 2010

Produce a general overview of results obtained and methodologies used to assess impact of accreditation

Studies containing an element of comparison

56 in total, 40 studies with quantitative design of which 1 study presented empirical data

Most studies suggest that accreditation/certification has an impact on the organization or on the professional practice. The impact on health outcomes or improvement in these outcomes was not demonstrated.

Salmon et al. [18]

Alkhenizan & Shaw 2011 [17]

June 2009

Evaluate the impact of accreditation programs on the quality of healthcare services

Clinical trials, observational studies and qualitative studies

26 in total, 10 studied accreditation of hospitals of which 1 had a hospital control group

Accreditation improves the process of care provided by healthcare services

Salmon et al. [18]

  1. A synthesis of the three included systematic reviews