Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing\nof healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors\nadversely influence patient outcomes, employee satisfaction, retention, productivity, absenteeism,\nand employee engagement. Our objective was to examine the presence of negative behaviors within a\nhealthcare system and the influence of negative behaviors among healthcare workers on perceptions\nof patient safety culture. Using a cross-sectional design, the negative behaviors in healthcare survey\n(NBHC) and selected composites of the Agency for Healthcare Research and Quality (AHRQ) Hospital\nSurvey on Patient Safety Culture (HSOPS) were combined within an electronic survey which was\nadministered to physicians, clinical and managerial staff. Exposure to contributing factors of negative\nbehaviors was moderately correlated with elements of HSOPS, including perceptions of teamwork\nwithin units, management response to error, and overall patient safety grade. Use of aggression\nand fear of retaliation were moderately correlated with HSOPS management response to error.\nReducing healthcare worker exposure to contributing factors of negative behavior may result in\nincreased perceptions of teamwork within a hospital unit, while addressing use of staff aggression\nand fear of retaliation potentially positively influences management response to error.
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