Using regulatory enforcement theory to explain compliance with quality and patient safety regulations: the case of internal audits.

ABSTRACT:

Background

Implementing an accredited quality and patient safety management system is inevitable for hospitals. Even in the case of an obligatory rule system, different approaches to implement such a system can be used: coercive (based on monitoring and threats of punishment) and catalytic (based on dialogue and suggestion). This study takes these different approaches as a starting point to explore whether and how implementation actions are linked to compliance. By doing so, this study aims to contribute to the knowledge on how to increase compliance with obligatory rules and regulations.

Methods

The internal audit system (the 'tracer system') of a large Dutch academic hospital is used as a case to investigate different implementation approaches and their effect on complianc

SUBMITTER: Weske U 

PROVIDER: S-EPMC5791382 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature