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In March 2014, we wrote a letter to the 18 county governor offices in Norway and asked them to send us the correspondence of two recently finalized inspections for review.
This pattern was the most dominant for finalizing inspections carried out in specialized care.
A more thorough and meticulous follow up process characterized the second pattern that we identified for finalizing inspections.
The second pattern for finalizing inspections was characterized by documented changes in the structural and process deficiencies addressed in the nonconformity statement.
Based on this information, the county governor finalized the inspection.
In the case illustrated above, the county governor finalized the inspection based on documentation of implemented measures aimed at improving structural elements, without documentation of whether the measures affected the processes.
We identified two distinct patterns as to how the county governors subsequently followed up and finalized the inspections.
In cases following this pattern, the county governors did not finalize the inspection until the inspected organization had properly documented that expedient measures had been implemented to correct both the structural and the process elements of the nonconformity statement.
Despite this shortcoming, we assert that the main means of communication during the enforcement phase was based on written documents, and the decision to finalize the inspection was always conveyed to the inspected organization by means of a written document.
Therefore, we suggest that finalizing an inspection based on documented changes in structure and process elements addressed in the nonconformity statement is more likely to contribute to improved quality of care than solely finalizing the inspection based on documented changes in the structure deficiencies addressed in the nonconformity statement.
Final inspection.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com