The quality of regulatory judgments of health care inspectors

摘要: The results of this study increased insight into factors that explain differences in the judgments IGZ inspectors. This shows inspectors systematically differ regulatory they assign to similar health care institutions. also tend are too positive compared with corporate standards. In it was examined whether reliability and validity varied between two types instruments: a lightly structured instrument (LSI) used for regulation hospital highly (HSI) nursing home care. indicated problems assigned HSI; however, could not be calculated LSI. showed using an HSI is preferable To analyze interventions professionals carry out improve reliability, systematic meta-analytic review research literature performed. Three defined: improving diagnostic instrument, training professional, combination both. On average, although all effective, seems most effective; especially case technical instruments, improvement has proven very effective. Because instrumental variables constitute major source error, important approach. However, offers solid arguments can complement practice, focus on user instrument. An experimental performed determine what kind intervention would effective A set up examine effect participating consensus meeting when used, improved both judgments. Adjusting influenced but did means changing without use adjusted does These outcomes emphasize importance human factor explaining variance inspectors, highlight significance instruments. increasing number per calculated.