title: [Changing of the patient safety culture in the pilot institutes of the Hungarian accreditation program].
abstract: BACKGROUND
  The accreditation system for health care providers was developed in Hungary aiming to increase safety, efficiency, and efficacy of care and optimise its organisational operation.
  
  
  OBJECTIVE
  The aim of this study was to assess changes of organisational culture in pilot institutes of the accreditation program.
  
  
  METHODS
  7 volunteer pilot institutes using an internationally validated questionnaire were included. The impact study was performed in 2 rounds: the first before the introduction of the accreditation program, and the second a year later, when the standards were already known. Data were analysed using descriptive statistics and logistic regression models.
  
  
  RESULTS
  Statistically significant (p<0.05) positive changes were detected in hospitals in three dimensions: organisational learning - continuous improvement, communication openness, teamwork within the unit while in outpatient clinics: overall perceptions of patient safety, and patient safety within the unit.
  
  
  CONCLUSIONS
  Organisational culture in the observed institutes needs improvement, but positive changes already point to a safer care. Orv. Hetil., 2016, 157(42), 1667-1673.
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.
authors.forename: Judit
authors.initials: J
authors.lastname: Lám
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.|Doktori Iskola, Semmelweis Egyetem Budapest.
authors.forename: Gergő
authors.initials: G
authors.lastname: Merész
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.
authors.forename: Gyula
authors.initials: G
authors.lastname: Bakacsi
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.
authors.forename: Éva
authors.initials: É
authors.lastname: Belicza
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.|Doktori Iskola, Semmelweis Egyetem Budapest.
authors.forename: Cecília
authors.initials: C
authors.lastname: Surján
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.
authors.forename: Erika
authors.initials: E
authors.lastname: Takács
mesh_terms: D000068:Accreditation / Q000592:standards*; D003695:Delivery of Health Care / Q000592:standards; D006801:Humans; D006814:Hungary; D015279:Organizational Culture; D061214:Patient Safety / Q000592:standards*; D017751:Safety Management / Q000458:organization & administration*
keywords: accreditation; akkreditáció; betegbiztonság; betegbiztonságot támogató szervezeti kultúra; organizational culture; patient safety; safety culture; szervezeti kultúra