Hospital Staffing Patterns and Safety Culture Perceptions: The Mediating Role of Perceived Teamwork and Perceived Handoffs

Document Type

Article

Publication Date

10-25-2019

Publication Title

Health Care Management Review

Volume

46

Issue

1

First page number:

1

Last page number:

11

Abstract

Background: As hospitals are under increasing pressure to improve quality and safety, safety culture has become a focal issue for high-risk organizations, including hospitals. Prior research has examined how structural characteristics directly impact safety culture. However, and based on Donabedian’s structure–process–outcome quality model, there is a need to understand the processes that intermediate the relationship between structural characteristics and safety culture perceptions. Purpose: The processes by which registered nurse (RN) and hospitalist staffing may affect safety culture perceptions were examined in this study. Specifically, this study investigates the processes of perceived teamwork across units and perceived handoffs. Methodology: Data sources for this research included Hospital Survey on Patient Safety Culture from the Agency for Healthcare Research and Quality, the American Hospital Association’s Annual Survey Data, the American Hospital Association Information Technology supplement, and the Area Health Resource File. Two separate mediation models.

Keywords

Handoffs; Staffing; Safety Culture; Teamwork

Disciplines

Medicine and Health Sciences | Public Health

Language

English

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