Jason M Etchegaray1, Eric J Thomas2, Jochen Profit3. 1. RAND Corporation, Santa Monica, CA, USA. 2. The University of Texas - Memorial Hermann Center for Healthcare Quality and Safety, The University of Texas Health Science Center at Houston, Houston, TX, USA. 3. Division of Neonatal and Developmental Medicine, Stanford University.
Abstract
OBJECTIVE: To create, administer, and psychometrically examine a survey to measure two new organizational culture factors - preoccupation with failure and adherence to shared baselines - in healthcare settings. METHOD: Direct care providers (n = 4484) from a large healthcare system in the Southern United States completed a survey as part of their annual safety culture assessment. RESULTS: We provide evidence about the internal consistency (Cronbach's alpha ranged from .80 to .89) factor structure, concurrent validity (correlation with overall patient safety grade ranged from .60 to .67, p <.05), and discriminant validity (correlations less than .85 with safety and teamwork culture) of these two factors. CONCLUSIONS: We established evidence for internal consistency and validity of two new factors that measure aspects of organizational culture - preoccupation with failure and adherence to shared baselines - that are distinct from safety culture and teamwork culture.
OBJECTIVE: To create, administer, and psychometrically examine a survey to measure two new organizational culture factors - preoccupation with failure and adherence to shared baselines - in healthcare settings. METHOD: Direct care providers (n = 4484) from a large healthcare system in the Southern United States completed a survey as part of their annual safety culture assessment. RESULTS: We provide evidence about the internal consistency (Cronbach's alpha ranged from .80 to .89) factor structure, concurrent validity (correlation with overall patient safety grade ranged from .60 to .67, p <.05), and discriminant validity (correlations less than .85 with safety and teamwork culture) of these two factors. CONCLUSIONS: We established evidence for internal consistency and validity of two new factors that measure aspects of organizational culture - preoccupation with failure and adherence to shared baselines - that are distinct from safety culture and teamwork culture.
Entities:
Keywords:
Organisational learning; adherence to shared baselines; high reliability; preoccupation with failure; safety culture
Authors: Stephen J Swensen; Gregg S Meyer; Eugene C Nelson; Gordon C Hunt; David B Pryor; Jed I Weissberg; Gary S Kaplan; Jennifer Daley; Gary R Yates; Mark R Chassin; Brent C James; Donald M Berwick Journal: N Engl J Med Date: 2010-01-20 Impact factor: 91.245
Authors: P J Pronovost; B Weast; C G Holzmueller; B J Rosenstein; R P Kidwell; K B Haller; E R Feroli; J B Sexton; H R Rubin Journal: Qual Saf Health Care Date: 2003-12
Authors: Mats Hedsköld; Magna Andreen Sachs; Torleif Rosander; Mia von Knorring; Karin Pukk Härenstam Journal: BMC Health Serv Res Date: 2021-01-08 Impact factor: 2.655