Loma Linda University School of Medicine, Loma Linda, California 92354, USA.
J Patient Saf. 2012 Dec;8(4):194-201. doi: 10.1097/PTS.0b013e3182699942.
Demonstrate the relationship between employee engagement and workplace safety for predicting patient safety culture.
Patient safety is an issue for the U.S. health-care system, and health care has some of the highest rates of nonfatal workplace injuries. Understanding the types of injuries sustained by health-care employees, the type of safety environment employees of health-care organizations work in, and how employee engagement affects patient safety is vital to improving the safety of both employees and patients.
The Gallup Q survey and an approved, abbreviated, and validated subset of questions from the Hospital Survey on Patient Safety Culture were administered to staff at a large tertiary academic medical center in 2007 and 2009. After controlling for demographic variables, researchers conducted a longitudinal, hierarchical linear regression analysis to study the unique contributions of employee engagement, changes in employee engagement, and employee safety in predicting patient safety culture.
Teams with higher baseline engagement, more positive change in engagement, fewer workers' compensation claims, and fewer part-time associates in previous years had stronger patient safety cultures in 2009. Baseline engagement and change in engagement were the strongest independent predictors of patient safety culture in 2009. Engagement and compensation claims were additive and complimentary predictors, independent of other variables in the analysis, including the demographic composition of the workgroups in the study.
A synergistic effect exists between employee engagement and decreased levels of workers' compensation claims for improving patient safety culture. Organizations can improve engagement and implement safety policies, procedures, and devices for employees with an ultimate effect of improving patient safety culture.
展示员工敬业度与工作场所安全之间的关系，以预测患者安全文化。
患者安全是美国医疗保健系统面临的一个问题，而医疗保健行业的非致命性工作场所伤害率最高。了解医疗保健员工所遭受的伤害类型、医疗保健组织员工所处的安全环境类型，以及员工敬业度如何影响患者安全，对于提高员工和患者的安全性至关重要。
2007 年和 2009 年，在一家大型三级学术医疗中心，对员工进行了盖洛普 Q 调查和医院患者安全文化调查的经过批准的简化和验证的子集中的问题。在控制人口统计学变量后，研究人员进行了纵向分层线性回归分析，以研究员工敬业度、敬业度变化和员工安全对预测患者安全文化的独特贡献。
基线敬业度较高、敬业度变化更为积极、前几年工人赔偿索赔较少且兼职员工较少的团队在 2009 年具有更强的患者安全文化。基线敬业度和敬业度变化是 2009 年患者安全文化的最强独立预测因素。敬业度和赔偿索赔是附加且互补的预测因素，独立于分析中的其他变量，包括研究中工作组的人口统计学构成。
员工敬业度与工人赔偿索赔水平降低之间存在协同效应，可提高患者安全文化。组织可以提高员工敬业度并为员工实施安全政策、程序和设备，最终提高患者安全文化。
