Hospital Safety Climate and Safety Outcomes: Is There a Relationship in the VA?

Medical Care Research and Review

Volumn 67, Issue 5, 2010, Pages 590-608

  Gaba, David ^g,h   Meterko, Mark ^b,f  

^a VA BOSTON HEALTHCARE SYSTEM   (United States)

^b BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

^c HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^d MASSACHUSETTS GENERAL HOSPITAL   (United States)

^e VETERANS AFFAIRS MEDICAL CENTER   (United States)

^f Center for Organization Leadership and Management Research   (United States)

^g STANFORD UNIVERSITY   (United States)

^h VA PALO ALTO HEALTH CARE SYSTEM   (United States)

Author keywords

outcomes; patient safety; patient safety indicators; safety climate; safety culture; safety performance

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HEALTH CARE SURVEY; HOSPITAL MANAGEMENT; HUMAN; ORGANIZATION; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; PUBLIC HOSPITAL; SAFETY; STANDARD; UNITED STATES;

HEALTH CARE SURVEYS; HOSPITAL ADMINISTRATION; HOSPITALS, VETERANS; HUMANS; ORGANIZATIONAL CULTURE; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY INDICATORS, HEALTH CARE; SAFETY MANAGEMENT; UNITED STATES;

EID: 79952117134     PISSN: 10775587     EISSN: None     Source Type: Journal    
DOI: 10.1177/1077558709356703     Document Type: Article

References (33)

1. Agency for Healthcare Research and Quality. (2007). Guide to patient safety indicators Version 3.1. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
2. Ciavarelli, A. (2007). Assessing safety climate and organizational risk. Paper presented at the 51st annual meeting of Human Factors and Ergonomics Society, Baltimore.
3. Cooper, J.B., Blum, R.H., Carroll, J.S., Dershwitz, M., Feinstein, D.M., Gaba, D.M., et al. (2008). Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Anesthesia and Analgesia, 106, 574-584.
4. Flin, R., Burns, C., Mearns, K., Yule, S., & Robertson, E.M. (2006). Measuring safety climate in health care. Quality and Safety in Health Care, 15, 109-115.
5. Gaba, D.M. (2000). Structural and organizational issues in patient safety: A comparison of health care to other high-hazard industries. California Management Review, 43, 83-102.
6. Ginsburg, L., Norton, P.G., Casebeer, A., & Lewis, S. (2005). An educational intervention to enhance nurse leaders’ perceptions of patient safety culture. Health Services Research, 40, 997-1020.
7. Hartmann, C.W., Meterko, M., Rosen, A.K., Zhao, S., Shokeen, P., Singer, S., et al. (2009). Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration. Medical Care Research and Review, 66, 320-338.
8. Hartmann, C.W., Rosen, A.K., Meterko, M., Shokeen, P., Zhao, S., Singer, S., et al. (2008). An overview of patient safety climate in the VA. Health Services Research, 43, 1263-1284.
9. Healthcare Cost and Utilization Project. (2009). Comorbidity Software Version 3.4. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
10. Hofmann, D.A., & Mark, B. (2006). An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Personnel Psychology, 59, 847-869.
11. Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.
12. Jha, A.K., Perlin, J.B., Kizer, K.W., & Dudley, R.A. (2003). Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. New England Journal of Medicine, 348, 2218-2227.
13. Joint Commission on Accreditation of Health Care Organizations. (2002). Hospital Accreditation Standards. Oakbrook Terrace, IL: Joint Commission Resources.
14. Katz-Navon, T., Naveh, E., & Stern, Z. (2005). Safety climate in healthcare organizations: A multidimensional approach. Academy of Management Journal, 48, 1075-1089.
15. Neal, A., & Griffin, M. (2006). A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of Applied Psychology, 91, 946-953.
16. Ostroff, C., Kinicki, A.J., & Tamkins, M.M. (2003). Organizational culture and climate. In W. C. Borman, D. R. Ilgen, R. J. Klimoski, and I. B. Weiner (Eds.), Handbook of psychology, Vol. 12: Industrial and organizational psychology (pp. 565-594). Hoboken, NJ: Wiley.
17. PSI Composite Measure Workgroup. (2008). AHRQ Quality Indicators Patient Safety Indicator Composite Measure: Final report. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
18. Reason, J. (2000). Human error: models and management. British Medical Journal, 320, 768-770.
19. Remus, D., & Fraser, I. (2004). Guidance for using the AHRQ quality indicators for hospital-level public reporting or payment. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
20. Roberts, K.H. (1990). Some characteristics of on e type of high reliability organization. Organization Science, 1, 160-177.
21. Romano, P.S., Geppert, J.J., Davies, S., Miller, M.R., Elixhauser, A., & McDonald, K.M. (2003). A national profile of patient safety in U.S. hospitals. Health Affairs, 22, 154-166.
22. Rosen, A.K., Rivard, P., Zhao, S., Loveland, S., Tsilimingras, D., Christiansen, C., et al. (2005). Evaluating the Patient Safety Indicators (PSIs): How well do they perform on VA data? Medical Care, 43, 873-884.
23. Ruchlin, H.S., Dubbs, N.L., & Callahan, M.A. (2004). The role of leadership in instilling a culture of safety: Lessons from the literature. Journal of Healthcare Management, 49, 47-58.
24. Singer, S.J., Falwell, A., Gaba, D., & Baker, L. (2008). Hospital patient safety climate: Variation by management level. Medical Care, 46, 1149-1156.
25. Singer, S.J., Gaba, D.M., Falwell, A., Lin, S., Hayes, J., & Baker, L. (2009). Patient safety climate in 92 U.S. hospitals: Differences by work area and discipline. Medical Care, 47, 23-31.
26. Singer, S.J., Hartmann, C., Hanchate, A., Zhao, S., Meterko, M., Shokeen, P., et al. (2009). Comparing safety climate between two populations of hospitals in the United States. Health Services Research, 44, 1563-1584.
27. Singer, S.J., Lin, S., Falwell, A., Gaba, D., & Baker, L. (2009). Relationship of safety climate and safety performance in hospitals. Health Services Research, 44, 399-421.
28. VA Information Resource Center. (2009, February 9). Data topics by category. Retrieved March 2, 2009, from http://www.virec.research.va.gov/DataSourcesCategory/DataCategory.htm#Inpatient
29. VA National Center for Patient Safety (NCPS). (2009, February 10). NCPS home page. Retrieved March 2, 2009, from http://www.patientsafety.gov
30. Vogus, T.J., & Sutcliffe, K.M. (2007). The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Medical Care, 45, 997-1002.
31. Weeks, W.B., & Bagian, J.P. (2000). Developing a culture of safety in the Veterans Health Administration. Effective Clinical Practice, 3, 270-276.
32. Weick, K.E., & Sutcliffe, K.M. (2001). Managing the unexpected: Assuring high performance in an age of complexity. San Francisco: Jossey-Bass.
33. Weiner, B.J., Alexander, J.A., Baker, L.C., Shortell, S.M., & Becker, M. (2006). Quality improvement implementation and hospital performance on Patient Safety Indicators. Medical Care Research and Review, 63, 29-57.