Comparing safety climate between two populations of hospitals in the United States.

Abstract:

OBJECTIVE:To compare safety climate between diverse U.S. hospitals and Veterans Health Administration (VA) hospitals, and to explore the factors influencing climate in each setting. DATA SOURCES:Primary data from surveys of hospital personnel; secondary data from the American Hospital Association's 2004 Annual Survey of Hospitals. STUDY DESIGN:Cross-sectional study of 69 U.S. and 30 VA hospitals. DATA COLLECTION:For each sample, hierarchical linear models used safety-climate scores as the dependent variable and respondent and facility characteristics as independent variables. Regression-based Oaxaca-Blinder decomposition examined differences in effects of model characteristics on safety climate between the U.S. and VA samples. PRINCIPAL FINDINGS:The range in safety climate among U.S. and VA hospitals overlapped substantially. Characteristics of individuals influenced safety climate consistently across settings. Working in southern and urban facilities corresponded with worse safety climate among VA employees and better safety climate in the U.S. sample. Decomposition results predicted 1.4 percentage points better safety climate in U.S. than in VA hospitals: -0.77 attributable to sample-characteristic differences and 2.2 due to differential effects of sample characteristics. CONCLUSIONS:Results suggest that safety climate is linked more to efforts of individual hospitals than to participation in a nationally integrated system or measured characteristics of workers and facilities.

journal_name

Health Serv Res

journal_title

Health services research

authors

Singer SJ,Hartmann CW,Hanchate A,Zhao S,Meterko M,Shokeen P,Lin S,Gaba DM,Rosen AK

doi

10.1111/j.1475-6773.2009.00994.x

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1563-83

issue

5 Pt 1

eissn

0017-9124

issn

1475-6773

pii

HESR994

journal_volume

44

pub_type

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