A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.

Journal Article (Journal Article)

Leadership walkrounds (WRs) are widely used in health care organizations to improve patient safety. This retrospective, cross-sectional study evaluated the association between WRs and caregiver assessments of patient safety climate and patient safety risk reduction across 49 hospitals in a nonprofit health care system. Linear regression analyses using units' participation in WRs were conducted. Survey results from 706 hospital units revealed that units with ≥ 60% of caregivers reporting exposure to at least 1 WR had a significantly higher safety climate, greater patient safety risk reduction, and a higher proportion of feedback on actions taken as a result of WRs compared with those units with <60% of caregivers reporting exposure to WRs. WR participation at the unit level reflects a frequency effect as a function of units with none/low, medium, and high leadership WR exposure.

Full Text

Duke Authors

Cited Authors

  • Schwendimann, R; Milne, J; Frush, K; Ausserhofer, D; Frankel, A; Sexton, JB

Published Date

  • September 2013

Published In

Volume / Issue

  • 28 / 5

Start / End Page

  • 414 - 421

PubMed ID

  • 23354869

Electronic International Standard Serial Number (EISSN)

  • 1555-824X

Digital Object Identifier (DOI)

  • 10.1177/1062860612473635


  • eng

Conference Location

  • Netherlands