title: The effect of workforce issues on patient safety.
abstract: The workforce of any health care organization is vital to its continued survival, but a highly competent and committed workforce is vital to its success. The evidence is clear: employees influence not only the financial performance of the organization, but also the safety and quality of the clinical care provided to patients. Health care organizations must understand these important linkages and have in place corporate strategies to manage workforce issues with a systems focus that ensures excellent leadership and operational processes, a healthy culture, and optimum patient outcomes. New levels of knowledge, resources, and implementation are needed to move health care in the United States to the next level of quality performance. Staff satisfaction and retention should be at the heart of the clinical improvement strategies. Such an approach will allow organizations to cope and thrive in an environment of workforce shortages and increasing consumer demand for quality. To quote Robert Waller, MD, of the Mayo Clinic, "The goal is the best care for every patient, every day. Our patients deserve nothing less.
authors.affiliation: VHA, Inc, Irving, TX, USA.
authors.forename: Lillee S
authors.initials: LS
authors.lastname: Gelinas
authors.forename: David Yik-Hin
authors.initials: DY
authors.lastname: Loh
mesh_terms: D019985:Benchmarking / Q000458:organization & administration; D002983:Clinical Competence / Q000592:standards; D006801:Humans; D016294:Models, Nursing; D020380:Needs Assessment; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration*; D015279:Organizational Culture; D010560:Personnel Selection; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D010563:Personnel Turnover; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration*