Table 2

Fragmentation of quality conceptualizations across organizational levels, an overview

Organizational levelBasis of assessmentOutputConsequencesBarriers- challengers
National Quality registries Standardization of quality indicators No comparisons between hospital and units Impenetrable, increased administrative burden 
Managerial Production (access, available beds, patient flows) Budget and control No reflection on quality Stratification of knowledge bases between levels 
Operational Assessments, impressions of operations, experiences, knowledge of operation Collective knowledge of quality of operations No reflection or consensus on quality indicators Silos between professions and functions 
Organizational levelBasis of assessmentOutputConsequencesBarriers- challengers
National Quality registries Standardization of quality indicators No comparisons between hospital and units Impenetrable, increased administrative burden 
Managerial Production (access, available beds, patient flows) Budget and control No reflection on quality Stratification of knowledge bases between levels 
Operational Assessments, impressions of operations, experiences, knowledge of operation Collective knowledge of quality of operations No reflection or consensus on quality indicators Silos between professions and functions 
Source(s): Authors’ own work

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