title: [Evaluation of intra-organisational effects after use of certification programmes in hospital].
abstract: OBJECTIVE
  The introduction of quality management systems might be promoted by use of recognised certification programmes. Over the years, in health care organisations the certification model named KTQ has gained more and more importance. The aim of this study is to evaluate intra-organisational effects in a clinic after introduction of quality management on the basis of KTQ.
  
  
  METHODS
  The evaluation was performed using a 2-step approach: first, before starting the implementation process of KTQ in the year 2008, and second, after the implementation process had become successful. Data were obtained by a systematic questionnaire survey. Hospital staff (physicians, nurses, and others like administration staff, technical and medical assistants) were asked to appraise the quality management, to give own preferences, and rate their overall satisfaction with the process.
  
  
  RESULTS
  Response rates were 56% in the year 2008 and 50% in the year 2010. Subjects regarding the working atmosphere, leading of superiors, organisational issues, and pervasion of quality management predominantly were found to be improved, almost with high statistical significance. At the same time, higher satisfaction values could be determined.
  
  
  CONCLUSIONS
  There might be high acceptance to the undergone changes from the staff members' point of view. It appears that the implementation process has led to higher satisfaction values. Moreover it can be concluded that certification programmes might be able to promote the needed pervasion of quality management throughout the institution.
authors.affiliation: Sozialdienst und Case Management, Universitätsklinikum Münster, Münster.
authors.forename: F
authors.initials: F
authors.lastname: Neugebauer
authors.forename: M
authors.initials: M
authors.lastname: Schiller
authors.forename: T A
authors.initials: TA
authors.lastname: Luger
authors.forename: P
authors.initials: P
authors.lastname: Hensen
mesh_terms: D001291:Attitude of Health Personnel; D002568:Certification / Q000458:organization & administration*; D017598:Efficiency, Organizational / Q000592:standards / Q000706:statistics & numerical data*; D005858:Germany; D006739:Hospital Administration / Q000592:standards* / Q000706:statistics & numerical data; D015274:Interdepartmental Relations; D011785:Quality Assurance, Health Care / Q000592:standards* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000592:standards* / Q000706:statistics & numerical data