2011
DOI: 10.1002/hpm.1095
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A multilevel model of patient safety culture: cross‐level relationship between organizational culture and patient safety behavior in Taiwan's hospitals

Abstract: Overall, organizational culture plays an important role in patient safety activities. Safety behaviors of hospital staff are partly influenced by the prevailing cultural norms in their organizations and work groups. For management implications, constructed patient priority from management commitment to leadership is necessary. For academic implications, research on patient safety should consider leadership, group dynamics and organizational learning. These factors are important for understanding the barriers a… Show more

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Cited by 29 publications
(31 citation statements)
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“…Investing in practices that tackle these issues and prioritizing patient safety are both essential for improving patient safety in hospitals in Iran (38). Furthermore, the strength of organizational culture was negatively correlated with the variability of patient safety culture (39), thereby identifying it a significant factor in medical management.…”
Section: Discussionmentioning
confidence: 99%
“…Investing in practices that tackle these issues and prioritizing patient safety are both essential for improving patient safety in hospitals in Iran (38). Furthermore, the strength of organizational culture was negatively correlated with the variability of patient safety culture (39), thereby identifying it a significant factor in medical management.…”
Section: Discussionmentioning
confidence: 99%
“…Other criterion studies examining the relationships between HSOPSC and patient experiences with hospital care and services by using the Consumer Assessment of Healthcare Providers and Systems Hospital Survey (Hospital CAHPS) found that higher overall HSOPSC composite average scores were associated with higher overall Hospital CAHPS [17]. There is some evidence that safety culture impacts on staff outcomes, but less evidence of an impact on patient outcomes [30][31][32][33][34][35][36][37][38][39]. This study explored the correlation between safety culture on patient outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Koberg and Chusmir (1987) also found that bureaucratic culture had a significant negative impact on satisfaction and involvement and an increased propensity to leave. This may be because such organisational members have a distinct sense of authority in their highly standardised, regular, ordered, cautious and systematic ways of working (Chen, Ng, & Li, 2012). As a result, employees may experience lower levels of well-being because such an organisational culture may deprive them of their sense of autonomy, self-determination and independence.…”
Section: Organisational Culture and Employees' Sense Of Well-beingmentioning
confidence: 99%
“…Koberg and Chusmir (1987) and Chen et al (2012) further state that an organisation belonging to a supportive culture will provide a harmonious atmosphere in which its members can work with other colleagues. One important element of psychological well-being, namely positive relations with others, concerns the importance of warm, friendly and trusting interpersonal relationships in the environment; this may also be linked to the perspective of social well-being (Keyes, 1998).…”
Section: H2 a Bureaucratic Organisational Culture Negatively Affectsmentioning
confidence: 99%
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