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Organizational and Individual Contributing Factors to Safety Climate in Healthcare Industries-Bayesian Network
Yimin He1, Jin Lee, Yueng-Hsiang Huang
1From the University of Georgia, Athens, Georgia (Y.H.); Kansas State University, Manhattan, Kansas (J.L.); Oregon Health & Science University, Portland, Oregon (Y.-H.H.); and National Chengchi University, Taipei, Taiwan (C.H.).
Journal of Occupational and Environmental Medicine
|August 16, 2024
Summary
Interpersonal trust and locus of control are key drivers for healthcare safety climate. Enhancing error disclosure culture and trust, or error disclosure and self-efficacy, significantly improves workplace safety.
Area of Science:
- Healthcare Management
- Occupational Safety
- Psychology
Background:
- Workplace safety is crucial in healthcare industries.
- Understanding drivers of safety climate is essential for improvement.
Purpose of the Study:
- To identify individual and joint drivers influencing healthcare safety climate.
- To utilize Bayesian network (BN) simulations for in-depth analysis.
Main Methods:
- Collected survey data from 452 hospital employees in China.
- Employed a Bayesian network (BN) model, refined with expert knowledge and machine learning.
- Analyzed interrelationships among variables to identify key drivers and strategies.
Main Results:
- Interpersonal trust and locus of control showed the strongest independent effects on safety climate.
- Joint strategies, especially combining error disclosure culture with interpersonal trust or self-efficacy, were most effective.
- The BN model demonstrated a good overall fit for assessing variable influence.
Conclusions:
- A psychologically safe error disclosure culture is vital for hospital safety.
- Enhancing interpersonal trust and employee self-efficacy can significantly improve safety climate.
- Targeted joint strategies are more effective than individual factors alone.
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