Relationship of Hospital Organizational Culture to Patient Safety Climate in the Veterans Health Administration

被引：74

作者：

Hartmann, Christine W. ^{[1
,6
]}

Meterko, Mark ^{[1
,2
]}

Rosen, Amy K. ^{[1
,6
]}

Zhao, Shibei ^{[6
]}

Shokeen, Priti ^{[6
]}

Singer, Sara ^{[3
]}

Gaba, David M. ^{[4
,5
]}

机构：

[1] Boston Univ, Boston, MA 02215 USA

[2] Ctr Org Leadership & Management Res, Boston, MA USA

[3] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA

[4] Stanford Univ, Palo Alto, CA 94304 USA

[5] VA Palo Alto Healthcare Syst, Palo Alto, CA USA

[6] Ctr Hlth Qual Outcomes & Econ Res, Bedford, MA USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2009年 / 66卷 / 03期

关键词：

patient safety; safety culture; safety climate; organizational culture; survey research; TOTAL-QUALITY-MANAGEMENT; MEDICATION ERRORS; METHOD VARIANCE; CARE-SYSTEM; TEAMWORK; PERFORMANCE; WORK; INTERVENTION; PERCEPTIONS; VALIDATION;

D O I：

10.1177/1077558709331812

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Improving safety climate could enhance patient safety, yet little evidence exists regarding the relationship between hospital characteristics and safety climate. This study assessed the relationship between hospitals' organizational culture and safety climate in Veterans Health Administration (VA) hospitals nationally. Data were collected from a sample of employees in a stratified random sample of 30 VA hospitals over a 6-month period (response rate = 50%; n = 4,625). The Patient Safety Climate in Healthcare Organizations (PSCHO) and the Zammuto and Krakower surveys were used to measure safety climate and organizational culture, respectively. Higher levels of safety climate were significantly associated with higher levels of group and entrepreneurial cultures, while lower levels of safety climate were associated with higher levels of hierarchical culture. Hospitals could use these results to design specific interventions aimed at improving safety climate.

引用

页码：320 / 338

页数：19

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