Hospital Staffing Patterns and Safety Culture Perceptions: The Mediating Role of Perceived Teamwork and Perceived Handoffs
Health Care Management Review
First page number:
Last page number:
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.
Handoffs; Staffing; Safety Culture; Teamwork
Medicine and Health Sciences | Public Health
Lemak, C. H.,
Stephenson, A. L.,
Smith, D. G.
Hospital Staffing Patterns and Safety Culture Perceptions: The Mediating Role of Perceived Teamwork and Perceived Handoffs.
Health Care Management Review, 46(1),