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Medical Care Research and Review
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Article

Relationship of Hospital Organizational Culture to Patient Safety Climate in the Veterans Health Administration

Christine W. Hartmann*, Mark Meterko, Amy K. Rosen, Shibei Zhao, Priti Shokeen, Sara Singer, and David M. Gaba

* To whom correspondence should be addressed. E-mail: cwhrtmnn{at}bu.edu.


  Abstract
Improving safety climate could enhance patient safety, yet little evidence exists regarding the relationship between hospital characteristics and safety climate. This study assessed the relationship between hospitals’ organizational culture and safety climate in Veterans Health Administration (VA) hospitals nationally. Data were collected from a sample of employees in a stratified random sample of 30 VA hospitals over a 6-month period (response rate = 50%; n = 4,625). The Patient Safety Climate in Healthcare Organizations (PSCHO) and the Zammuto and Krakower surveys were used to measure safety climate and organizational culture, respectively. Higher levels of safety climate were significantly associated with higher levels of group and entrepreneurial cultures, while lower levels of safety climate were associated with higher levels of hierarchical culture. Hospitals could use these results to design specific interventions aimed at improving safety climate.

First published on February 24, 2009, doi:10.1177/1077558709331812

Medical Care Research and Review 2009;66:320.

A more recent version of this article appeared on June 1, 2009

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