Table 1 Dimensions, factors and items to assess context for success in the accreditation process (adapted from the MUSIQ [9] model)

Environment

External incentives/market

1

Board of Trustees/ directors strategic decision

2

External sponsorship for the development QI projects

3

Institutional prestige

4

Macrosystem

Management leadership for QI at the hospital

5

Existence of Director or Manager for quality

6

Culture for QI in the organization [24]

7–10

Organizational maturity for QI

11

Priority for development of human talent for QI [25]

12–15

Availability of resources for QI

16

Information systems support for QI

17

Employment stability

18

Microsystem

Leadership for QI in the Microsystem [26]

19,20,23

Motivation for QI

21

Skills for utilization of tools for QI

22

Culture for QI in the Microsystem [24]

23–25

Involvement of physicians

26

Quality Improvement team

Leadership for managing quality

27

Diversity of the quality team

28

Experience and specific knowledge on QI

29

Teamwork [27]

30–33

Skills in procedures and techniques for QI

34

Stability of the quality team

35