Table 1

Mission statement

91

73

68

Quality policy

56

37

56

Quality action plan

41

35

27

Annual quality report

97

43

25

Quality manual

10

47

10

Human Resources Management

Feedback to staff about results

19

40

34

New staff selected on positive attitude

29

41

44

Professionals trained in QM

74

70

95

Management trained in QM

77

68

86

Training based on quality policy

39

41

34

QM-activities within regular working hours

88

73

93

New staff trained in QM

12

24

29

Management explains quality requirements

65

60

51

Management controls compliance with procedures

30

52

34

Practice guidelines for ...

Medical treatment

96

87

80

Patient information

74

36

92

Medical aids

65

66

81

Critical incidents

56

35

48

Diagnostic related groups

85

62

88

The routing of the patient

46

43

56

Cooperation with other providers

67

26

59

QI-activities

Monodisciplinary peer review

70

28

59

Multidisciplinary peer review

60

21

63

Care plan management

81

72

81

Incident and infection committees

98

96

96

Job assessment interviews

97

97

100

Internal audits

44

65

53

Accreditation/certification

54

53

48

Management information system

58

83

63

User satisfaction surveys

82

95

100

Staff satisfaction surveys

54

49

92

Need surveys among users

25

84

46

Need surveys among referrers

36

53

53

Complaints registrations

93

96

78

Patient participation in ....

Evaluating quality goals

22

20

22

Development of quality criteria

39

38

14

Committees & improvement projects

28

20

20

Development of guidelines

18

18

19

Average number of QM-activities

22 (SD = 6)

Range 11–38

20 (SD = 8)

Range 5–39

22 (SD = 6)

Range 9–36