title: The Relationship Between Nurse-Reported Safety Culture and the Patient Experience.
abstract: OBJECTIVE
  The purpose of this study was to better understand the relationship between nurse-reported safety culture and the patient experience in a multistate sample of nurses and patients, matched by hospital unit/service line and timeframe of care delivery.
  
  
  BACKGROUND
  Nurses play a key role in the patient experience and patient safety. A strong safety culture may produce positive spillover effects throughout the nurse caregiving experience, resulting in patient perception of a high-quality experience.
  
  
  METHODS
  Multivariate mixed-effects regression models were specified using data from a multistate sample of hospital units that administered both the Agency for Healthcare Research and Quality (AHRQ) staff safety culture survey and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey over a 12-month period. Survey response variables are measured at the unit (service line) and hospital level.
  
  
  RESULTS
  Key variables in the HCAHPS and AHRQ surveys were significantly correlated. Findings highlight the relationship between 3 safety culture domains: teamwork, adequate staffing, and organizational learning on the achievement of a positive patient experience.
  
  
  CONCLUSIONS
  Modifiable aspects of hospital culture can influence the likelihood of achieving high HCAHPS top box percentages in the nursing and global domains, which directly impact hospital reimbursement.
authors.affiliation: Author Affiliations: Associate Professor (Dr Abrahamson) and PhD Candidate (Mr Hass), Purdue University, West Lafayette; Research Scientist (Drs Morgan and Fulton), Press Ganey Associates, South Bend, Indiana; and Professor (Dr Ramanujam), Vanderbilt University, Nashville, Tennessee.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Abrahamson
authors.forename: Zach
authors.initials: Z
authors.lastname: Hass
authors.forename: Kristopher
authors.initials: K
authors.lastname: Morgan
authors.forename: Bradley
authors.initials: B
authors.lastname: Fulton
authors.forename: Rangaraj
authors.initials: R
authors.lastname: Ramanujam
mesh_terms: D001291:Attitude of Health Personnel; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000191:economics / Q000331:legislation & jurisprudence*; D019538:Health Care Surveys; D006801:Humans; D015337:Multicenter Studies as Topic; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D015279:Organizational Culture; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000592:standards*; D061214:Patient Safety / Q000592:standards* / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D012044:Regression Analysis; D014481:United States; D062505:Value-Based Purchasing / Q000331:legislation & jurisprudence