caa a22 4500 397519478 CHVBK 20180308164628.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/intqhc/7.4.419 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.4.419 BROWN LORI DIPRETE Deputy Director, The Quality Assurance Project, University Research Corporation/Center for Human Services, Bethesda, MD 20816, USA Lessons Learned in Institutionalization of Quality Assurance Programs: an International Perspective [Elektronische Daten] [LORI DIPRETE BROWN] A sustainable quality assurance (QA) program depends on development of a QA structure, ongoing standard setting, routine monitoring, quality improvement activities and the development of a culture of quality. A review of QA implementation in five countries identifies some practical guidelines for successful institutionalization of QA. These experiences underscore the importance of organizational assessment and provide insight about the advantages and disadvantages of an initial QA assessment. Developing a methodology that is both standardized and flexible is stressed, as well as a training strategy that integrates classroom learning, coaching and application. Gradual development of QA structure, based closely on existing systems, is recommended. Issues relating to gaining and sustaining political support, dealing with personnel changes, using appropriate incentives and dissemination are also discussed. Finally, the definition and dimensions of quality are put forth as the foundation for a culture of quality, which develops as individuals and groups commit themselves to their quality ideal. © 1996 Elsevier Science Ltd Articles nationallicence International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 419-425 1353-4505 7:4<419 1995 7 intqhc https://doi.org/10.1093/intqhc/7.4.419 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.4.419 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- BROWN LORI DIPRETE Deputy Director, The Quality Assurance Project, University Research Corporation/Center for Human Services, Bethesda, MD 20816, USA NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 419-425 1353-4505 7:4<419 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford