Safety climate evolves in reflection of the effectiveness of organizational safety management efforts. The present study identified patterns of safety climate change over time and examined the role of error disclosure climate and counterfactual sharing in relation to safety climate change patterns. Online surveys were administered in a Chinese hospital three times at approximately 1-month intervals; the final sample included 451 healthcare workers nested within 62 teams. A latent growth mixture modeling approach was adopted to identify representative patterns of safety climate change at both individual and team levels and the predictors of those patterns. Three patterns of safety climate trajectories, declining (16%), improving (39%), and maintaining (45%), were identified at the individual level. Positive error disclosure climate and counterfactual sharing were significantly associated with increased probability of membership in the improving and maintaining trajectories compared to the declining trajectories. Counterfactual sharing mediated the relation between error disclosure climate and membership of safety climate trajectories. At the team level, two patterns of safety climate change, declining (15%) and improving (85%), were identified. Team counterfactual sharing was significantly associated with increased probability of membership in the improving trajectories compared to the declining trajectories. The current study demonstrated that an open and non-judgmental culture and the practice of sharing errors can contribute to improving safety climate over time.
- Error disclosure climate
- Safety climate
ASJC Scopus subject areas
- Business and International Management
- Business, Management and Accounting(all)
- Applied Psychology