Organisational culture: Variation across hospitals and connection to patient safety climate

Quality and Safety in Health Care

Volumn 19, Issue 6, 2010, Pages 592-596

  Speroff, T ^a,b,f   Nwosu, S ^a,b   Greevy, R ^a,b   Weinger, M B ^a,b   Talbot, T R ^b   Wall, R J ^c   Deshpande, J K ^b   France, D J ^b   Ely, E W ^a,b   Burgess, H ^d   Englebright, J ^d   Williams, M V ^e   Dittus, R S ^a,b  

^a Education   (United States)

^b VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Valley Medical Center   (United States)

^d HOSPITAL CORPORATION OF AMERICA   (United States)

^e NORTHWESTERN UNIVERSITY   (United States)

^f VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL PRACTICE; CROSS-SECTIONAL STUDY; HEALTH PERSONNEL ATTITUDE; HOSPITAL PERSONNEL; HUMAN; MEDICAL ERROR; METHODOLOGY; ORGANIZATION; SAFETY; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; CROSS-SECTIONAL STUDIES; HUMANS; MEDICAL ERRORS; ORGANIZATIONAL CULTURE; PERSONNEL, HOSPITAL; PHYSICIAN'S PRACTICE PATTERNS; SAFETY MANAGEMENT; UNITED STATES;

EID: 78650387351     PISSN: 14753898     EISSN: 14753901     Source Type: Journal    
DOI: 10.1136/qshc.2009.039511     Document Type: Article

References (37)

1. Deming WE. Out of the Crisis. Cambridge, MA: Massachusetts Institute of Technology, 1986.
2. 2009-2010 Health Care Criteria for Performance Excellence, the Baldrige National Quality Program at the National Institute of Standards and Technology in Gaithersburg, MD. http://www.Baldrige.nist.gov (accessed Oct 2009).
3. Ovretveit J, Bate P, Cleary P, et al. Quality collaboratives: Lessons from research. Qual Saf Health Care 2002;11:345-51.
4. Alexander JA, Weiner BJ, Shortell SM, et al. Does quality improvement implementation affect hospital quality of care. Hosp Top Res Perspect Healthc 2007;85:3-12.
5. Strasser DC, Smits SJ, Falconer JA, et al. The influence of hospital culture on rehabilitation team functioning in VA hospitals. J Rehab Res Dev 2002;39:115-25.
6. Shortell SM, Jones RH, Rademaker AW, et al. Assessing the impact of total quality management and organisational culture on multiple outcomes of care for coronary artery bypass graft surgery patients. Med Care 2000;38:207-17.
7. Shortell SM, Zazzali JL, Burns LR, et al. Implementing evidence-based medicine; the role of market pressures, compensation incentives, and culture in physician organizations. Medical Care 2001;39S:62-78.
8. Shortell SM, Marsteller JA, Lin M, et al. The role of perceived team effectiveness in improving chronic illness care. Med Care 2004;42:1040-8.
9. http://www.rand.org/health.projects/icice (accessed Oct 2009).
10. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: Cross sectional surveys. BMJ 2000;320:745-9.
11. Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: Results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 2003;12:112-18.
12. Quinn RE, Rohrbaugh J. A spatial model of effectiveness criteria: Towards a competing values approach to organisational analysis. Manage Sci 1983;29:363-77.
13. Quinn R, Spreitzer. The psychometrics of the Competing Values Culture Instrument and an analysis of the impact of organisational culture on quality of life. In: Woodman RW, Pasmore WA, eds. Research in Organisational Change and Development. Greenwich, CT: JAI Press, 1991;5:115-42.
14. Zammuto RF, Krakower JY. Quantitative and qualitative studies of organizational culture. In: Woodman RW, Pasmore WA, eds. Research in Organizational Change and Development. Greenwich, CT: JAI Press, 1991;5:83-114.
15. Davies HTO, Mannion R, Jacobs R, et al. Exploring the relationship between senior management team culture and hospital performance. Med Care Res Rev 2007;64:46-65.
16. Cameron KS, Quinn RE. Diagnosing and Changing Organizational Culture. Supper Saddle River, NJ: Prentice Hall Series in Organizational Development, 1999.
17. Adler PS, Borys B. Two types of bureaucracy: Enabling and coercive. Admin Sci Quart 1996;41:61-89.
18. Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006;6:44-53.
19. Kho ME, Carbone JM, Lucas J, et al. Safety climate survey: Reliability of results from a multicenter ICU survey. Qual Saf Health Care 2005;14:273-8.
20. Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: Survey of clinicians and managers in an academic medical center. Qual Saf Health Care 2003;12:405-10.
21. Cretin S, Shortell SM, Keeler EB. An evaluation of collaborative interventions to improve chronic illness care: Framework and study design. Eval Rev 2003;28:28-51.
22. Nunnally JC. Psychometric Theory, 2nd edn. New York: McGraw-Hill, 1978.
23. Merterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Med Care 2004;42:492-8.
24. Carman JM, Shortell SM, Foster RW, et al. Keys for successful implementation of total quality management in hospitals. Health Care Manage Rev 1996;21:48-60.
25. Singer S, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manage Rev 2009;34:300-11.
26. Huang DT, Clermont G, Sexton JB, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med 2007;35:165-76.
27. Marsden PV, Landon BE, Wilson IB, et al. The reliability of survey assessments of characteristics of medical clinics. Health Serv Res 2006;41:265-83.
28. France DJ, Greevy R, Liu X, et al. Measuring and comparing safety climate in intensive care units. Medical Care 2009;48:279-84.
29. Shortell SM, O'Brien JL, Carman JM, et al. Assessing the impact of continuous quality improvement/total quality management: Concept versus implementation. Health Serv Res 1995;30:377-401.
30. Hartmann CW, Meterko M, Rosen AK, et al. Relationship of hospital organizational culture to patient safety climate in the veterans health administration. Med Care Res Rev 2009;66:320-38.
31. Davidoff F, Batalden P, Stevens D, et al. SQUIRE Development Group. Publication guidelines for quality improvement in health care: Evolution of the SQUIRE project. Qual Saf Health Care 2008;(Suppl 1):3-9.
32. Mohr JJ, Batalden P, Barach P. Integrating patient safety into the clinical microsystem. Qual Saf Health Care 2004;13S:34-8.
33. Westrum R. A typology of organizational cultures. Qual Saf Health Care 2004;13S:22-7.
34. Carroll JS, Quijada MA. Redirecting traditional professional values to support safety: Changing organizational culture in health care. Qual Saf Health Care 2004;13S:16-21.
35. Rushmer R, Davies HTO. Unlearning in health care. Qual Saf Health Care 2004;13S:10-15.
36. Cohen MM, Eustis MA, Gribbins RE. Changing the culture of patient safety: Leadership's role in health care quality improvement. Joint Commiss J Qual Saf 2003;29:329-35.
37. Davies HTO, Nutley SM, Mannion R. Organisational culture and quality of health care. Qual Saf Health Care 2000;9:111-19.