van Gennip E M, Linnebank F, Sillevis Smitt P A, Geldof C A
TNO Preventie en Gezondheid, divisie Volksgezondheid, Leiden.
Ned Tijdschr Geneeskd. 1999 Jan 9;143(2):89-93.
The development of the Netherlands system for accreditation of hospitals started in 1989 in the Pilotproject Accreditation (PACE). This resulted in the establishment of the Netherlands Institute for Accreditation of Hospitals (NAIH) early 1999, by the Dutch Association of Hospitals, the Dutch Association of University Hospitals, the Dutch Organisation of Medical Specialists and the PACE foundation. Dutch hospitals may request (voluntary) for an accredition for their whole organisation or for parts of it, independent of the used quality system. An accreditation assesses whether organizational requirements are available for quality assurance. Accreditation is not primarily aimed to account for organizational quality, but rather to find points for improvement. The survey is carried out by peers: experts from other Dutch hospitals. The frame of reference used in accreditation is composed of 35 departmentwise standards and a hospitalwide standard 'Quality system'. All standards are developed by people in Dutch hospitals. NIAH can accept certificates for parts of the hospital (e.g. laboratoria) issues by organisations. The system is complementary to the 'visitities' which are organized by the medical specialist societies in the Netherlands. From 1996-1998 trial accreditations were carried out in 19 Dutch hospitals. These showed that the accreditation system has an added value for Dutch hospitals.
荷兰医院认证体系的发展始于1989年的“认证试点项目（PACE）”。1999年初，荷兰医院协会、荷兰大学医院协会、荷兰医学专家组织和PACE基金会共同成立了荷兰医院认证研究所（NAIH）。荷兰医院可以（自愿）申请对其整个组织或部分组织进行认证，无论采用何种质量体系。认证评估组织质量保证的要求是否具备。认证主要目的不是评估组织质量，而是找出改进之处。调查由同行进行：来自其他荷兰医院的专家。认证所使用的参考框架由35个部门标准和一个全院范围的标准“质量体系”组成。所有标准均由荷兰医院的人员制定。NAIH可以接受其他组织颁发的医院部分科室（如实验室）的证书。该体系是荷兰医学专家协会组织的“巡查”的补充。1996年至1998年，在19家荷兰医院进行了试点认证。结果表明，认证体系对荷兰医院具有附加价值。
