title: Determinants of adverse events in hospitals--the potential role of patient safety culture.
abstract: This study investigated two contributing factors in predicting adverse events in hospital settings. We approached this issue using the statistical procedure of hierarchical linear modeling to test for multilevel relationships. We found that the resource intensity of the presenting case was related to the severity level of negative incidents in hospital settings in a large metropolitan center. More important, we found that a more positive culture of patient safety within hospital units was related to lower incident severity. More than 8,000 admissions within 40 different units in three hospitals were included in the analyses.
authors.affiliation: Department of Psychology, University of Calgary, Alberta, Canada. babbitt@ucalgary.ca
authors.forename: Theresa J B
authors.initials: TJ
authors.lastname: Kline
authors.forename: Chelsea
authors.initials: C
authors.lastname: Willness
authors.forename: William A
authors.initials: WA
authors.lastname: Ghali
mesh_terms: D019992:Databases as Topic; D006761:Hospitals / Q000592:standards*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D015279:Organizational Culture; D017751:Safety Management; D014481:United States