AI Article Synopsis

  • The study investigated how health care employees' perceptions of their workplaces relate to actual performance metrics in the health care system.
  • A national survey conducted by the VA in 2001 examined these perceptions and their correlation with employee and patient care outcomes.
  • Findings indicate that positive employee perceptions of organizational climate can significantly enhance system performance, suggesting that improving workplace conditions could lead to better care quality and safety.

Article Abstract

Objective: The authors explored the association between health care employees' perceptions of their organizations and objective measures of system performance.

Methods: A national survey of employees conducted in 2001 by the Veterans Administration (VA) assessed employee perceptions of hospital organizational characteristics. The authors analyzed cross-sectional associations between these perceptions and objective measures of health care system performance--employee and patient care outcomes.

Results: Employee perceptions of organizational climate (indicators of the organizational culture) were strongly related to overall satisfaction and measures of system performance. Overall, change in perceptions of organizational climate by 1 standard deviation (SD) was potentially associated with changes of 2% to 35% in selected outcomes.

Conclusions: Organizational climate, policies, and resultant working conditions in health care institutions appear to be strong drivers of system performance. Interventions directed toward improving care quality and safety should address these factors.

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http://dx.doi.org/10.1097/JOM.0b013e31803b94ceDOI Listing

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