The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals

This study examined the determinants of patient safety in public hospitals in Saudi Arabia. Specifically, it aimed to investigate the effect of transformational leadership, high performance work system (HPWS), and effective reporting system on patient safety. This study also explored the mediating...

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Main Author: Aiyadh, Al Otaibi Eqab
Format: Thesis
Language:eng
eng
Published: 2014
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Online Access:https://etd.uum.edu.my/4330/1/s93655.pdf
https://etd.uum.edu.my/4330/2/s93655_abstract.pdf
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id my-uum-etd.4330
record_format uketd_dc
institution Universiti Utara Malaysia
collection UUM ETD
language eng
eng
advisor Yusof, Rushami Zien
topic HD58.9 Organizational Effectiveness.
RA410.55 Hospital Care.
spellingShingle HD58.9 Organizational Effectiveness.
RA410.55 Hospital Care.
Aiyadh, Al Otaibi Eqab
The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals
description This study examined the determinants of patient safety in public hospitals in Saudi Arabia. Specifically, it aimed to investigate the effect of transformational leadership, high performance work system (HPWS), and effective reporting system on patient safety. This study also explored the mediating effect of organizational climate on the relationship between HPWS and patient safety. The motivation of this study was driven by lack of studies and inconsistent findings in the previous literature regarding the relationship between HPWS and patient safety. To achieve this purpose, this study integrated different theories such as Donabedian theory (SPO), HROT theory, and transformational leadership theory to study the interaction between process and outcomes. The study utilized a survey questionnaire which was distributed to a sample of 182 public hospitals at 20 health regions in Saudi Arabia. PLS-SEM technique was used to analyze the direct and indirect relationships between the variables in this study. Result of this study found that transformational leadership had positively significant effect on HPWS and effective reporting system. In addition, the result found that effective reporting system had significant effect on the frequency of occurrence of negative errors that may threaten patient safety. This study also revealed that the level of organizational climate mediated the relationship between HPWS and overall perception of patient safety. The findings of this study suggest that managers and policy makers should emphasize developing transformational leadership style and ensuring the use of HPWS as an important organizational strategy to improve patient safety. Finally, theoretical implications and recommendations for future research are highlighted and discussed.
format Thesis
qualification_name Ph.D.
qualification_level Doctorate
author Aiyadh, Al Otaibi Eqab
author_facet Aiyadh, Al Otaibi Eqab
author_sort Aiyadh, Al Otaibi Eqab
title The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals
title_short The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals
title_full The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals
title_fullStr The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals
title_full_unstemmed The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals
title_sort relationship between transformational leadership, high performance work system, organizational climate, and patient safety in saudi public hospitals
granting_institution Universiti Utara Malaysia
granting_department Othman Yeop Abdullah Graduate School of Business
publishDate 2014
url https://etd.uum.edu.my/4330/1/s93655.pdf
https://etd.uum.edu.my/4330/2/s93655_abstract.pdf
_version_ 1747827715665297408
spelling my-uum-etd.43302022-04-09T23:20:42Z The relationship between transformational leadership, high performance work system, organizational climate, and patient safety in Saudi public hospitals 2014 Aiyadh, Al Otaibi Eqab Yusof, Rushami Zien Othman Yeop Abdullah Graduate School of Business Othman Yeop Abdullah Graduate School of Business HD58.9 Organizational Effectiveness. RA410.55 Hospital Care. This study examined the determinants of patient safety in public hospitals in Saudi Arabia. Specifically, it aimed to investigate the effect of transformational leadership, high performance work system (HPWS), and effective reporting system on patient safety. This study also explored the mediating effect of organizational climate on the relationship between HPWS and patient safety. The motivation of this study was driven by lack of studies and inconsistent findings in the previous literature regarding the relationship between HPWS and patient safety. To achieve this purpose, this study integrated different theories such as Donabedian theory (SPO), HROT theory, and transformational leadership theory to study the interaction between process and outcomes. The study utilized a survey questionnaire which was distributed to a sample of 182 public hospitals at 20 health regions in Saudi Arabia. PLS-SEM technique was used to analyze the direct and indirect relationships between the variables in this study. Result of this study found that transformational leadership had positively significant effect on HPWS and effective reporting system. In addition, the result found that effective reporting system had significant effect on the frequency of occurrence of negative errors that may threaten patient safety. This study also revealed that the level of organizational climate mediated the relationship between HPWS and overall perception of patient safety. The findings of this study suggest that managers and policy makers should emphasize developing transformational leadership style and ensuring the use of HPWS as an important organizational strategy to improve patient safety. Finally, theoretical implications and recommendations for future research are highlighted and discussed. 2014 Thesis https://etd.uum.edu.my/4330/ https://etd.uum.edu.my/4330/1/s93655.pdf text eng public https://etd.uum.edu.my/4330/2/s93655_abstract.pdf text eng public Ph.D. doctoral Universiti Utara Malaysia Aboshaiqah, A. E., & Baker, O. G. (2013). Assessment of nurses' perceptions of patient safety culture in a Saudi Arabia hospital. Journal of Nursing Care Quality, 28(3), 272-280. Adhikari, N. (2010). Residents' work schedule and patient safety. Journal of Nepal Medical Association, 50. Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. (2011). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49(12), 1047-1053. Aiken, L. H., Clarke, S. P., Cheung, R. B., Sloane, D. M., & Silber, J. H. (2003). Educational levels of hospital nurses and surgical patient mortality. JAMA, 290(12), 1617-1623. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987-1993. Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M. et al. (2012). Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344, e1717. Al Harby, N. (2012). Compensations for medical errors in Jeddah. Al Watan official newspaper. Available at http://www.alwatan.com.sa/Nation/New s_Detail.aspx?ArticleID=98719&CategoryID=3. Al Rifai, F. (2008). Nurse Excutives' Perception of Barriers and Facilitator. Al-Ahmadi, H., & Roland, M. (2005). Quality of primary health care in Saudi Arabia: a comprehensive review. International Journal for Quality in HealthcareInt, 17(4), 331-346. Al-Haider, A. S., & Wan, T. T. (1991). Modeling organizational determinants of hospital mortality. Health Services Research, 26(3), 303. Al-Husseini, H. A. (2006). Impediments of efficiency and performance of Saudi nurse in Riyadh region in ministry of health: study analysis: A field study analysis. Research Agency Assistance for the Preparation and Development Workforce, 1, 1-200.. Al-Osimy, M. (2008). Nursing standards policies & procedures manual (1st ed.). Riyadh: Ministry of Health.. Al-Saleh, K. S., & Ramadan, M. Z. (2012). Studying Medical Errors among Hospital-Staff at Saudi Health Providers. Journal of Materials Science and Engineering, 2(1), 43-54. Almalki, M., Fitzgerald, G., & Clark, M. (2011). Health care system in Saudi Arabia: an overview. Eastern Mediterranean Health Journal, 17(10), 784-793. Almaramhy, H., Al-Shobaili, H., El-Hadary, K., & Dandash, K. (2011). Knowledge and attitude towards patient safety among a group of undergraduate medical students in saudi arabia. International Journal of Health Sciences, 5(1), 59-67. Alsulami, Z., Conroy, S., & Choonara, I. (2013). Medication errors in the Middle East countries: A systematic review of the literature. European Journal of Clinical Pharmacology, 1-14. Altman, M. (2006). Handbook of contemporary behavioral economics: foundations and developments. Anderson, B. J., Manno, M., O'Connor, P., & Gallagher, E. (2010). Listening to nursing leaders: using national database of nursing quality indicators data to study excellence in nursing leadership. Journal of Nursing Administration, 40(4), 182-187. American Nurses Association. (2009). Nursing administration: Scope and standards of practice. Silver Spring, MD: Nursesbooks.org. Arab News. (2012). Saudi Arabia- Medical errors being contained. http://www.menafn.com/menafn/1093319644/Saudi- Arabia-Medical-errors-being-contained. Armstrong, J. U. S. T., & Overton, T. (1977). Estimating nonresponse bias in mail surveys. Journal of marketing research, 14, 396-402. Armutlu, M., Foley, M. L., Surette, J., Belzile, E., & McCusker, J. (2008). Survey of nursing perceptions of medication administration practices, perceived sources of errors and reporting behaviours. Healthcare Quarterly, 11(3). Arthur, J. B. (1994). Effects of human resource systems on manufacturing performance and turnover. Academy of Management Journal, 37(3), 670-687. Aryee, S., & Law, K. S. (2007). High-performance human resource practices, citizenship behavior, and organizational performance: A relational perspective. Academy of Management Journal, 50(3), 558-577. Asha, S. (2008). Organizational Climate and Employee Health. Journal of Organizational Behavior, 7(1), 61-65. Ashford, S. J., Lee, C., & Bobko, P. (1989). Content, cause, and consequences of job insecurity: A theory-based measure and substantive test. Academy of Management Journal, 32(4), 803-829. Aspden, P., Corrigan, J. M., Wolcott, J., & Erickson, S. M. (2004). Patient safety: achieving a new standard for care National Academies Press. Avolio, B. J. & Yammarino, F. J. (2002). Reflections, closing thoughts and future directions. Transformational and charismatic leadership: the road ahead, 385-406. Bader, B. M. (2008). Leader-member exchange and work outcomes: a multiple leadership perspective. Bailey Jr, D. B., McWilliam, R. A., Darkes, L. A., Hebbeler, K., Simeonsson, R. J., Spiker, D. et al. (2001). Family outcomes in early intervention: A framework for program evaluation and efficacy research. Exceptional Children. Barclay, D., Higgins, C., & Thompson, R. (1995). The partial least squares (PLS) approach to causal modeling: personal computer adoption and use as an illustration. Technology studies, 2(2): 285-309. Barling, J., Kelloway, E. K., & Iverson, R. D. (2003). High-quality work, job satisfaction, and occupational injuries. Journal of Applied Psychology, 88(2), 276. Baron, R. M., & Kenny, D. A. (1986). The moderatorG_ômediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51(6), 1173. Bass, B. M. (1990). Bass & Stogdill's handbook of leadership; theory, research, and managerial applications New York: The Free Press. Bass, B.M. & Avolio, B. J. (1990). Developing transformational leadership: 1992 and beyond. Journal of European industrial training, 14. Bass, B. M. & Riggio, R. (2006). Transformational leadership. Bates, D., Cohen, M., Leape, L., Overhage, J. M., Shabot, M. M., & Sheridan, T. (2001). Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 8(4), 299-308. Batt, R. (2002). Managing customer services: Human resource practices, quit rates, and sales growth. Academy of Management Journal, 45(3), 587-597. Becker, B. E., Huselid, M. A., Becker, B. E., & Huselid, M. A. (1998). High performance work systems and firm performance: A synthesis of research and managerial implications. Research in personnel and human resource management Citeseer. Behrens, K. (2008). Investigating the High Performance Work System: Employee Perceptions and Employment Conditions in a Health Care Setting. World Academy of Science, Engineering and Technology, 19, 298-303. Benner, P., Tanner, C. A., & Chesla, C. A. (1997). The social fabric of nursing knowledge. AJN The American Journal of Nursing, 97(7). Berg, P., Kalleberg, A., & Appelbaum, E. (2003). Balancing Work and Family: The Role of High Commitment Environments. Industrial Relations, 42, 168- 188. Berg, P. (1999). The effects of high performance work practices on job satisfaction in the United States steel industry. Relations industrielles/Industrial relations, 54(1), 111-135. Blake, R. R., & Mouton, J. S. (1968). The Managerial Grid; Key Orientations for Achieving Production through People. Blau, P. M. (1964). Exchange and power in social life Transaction Publishers. Boedker, C., Vidgen, R., & Meagher, K. (2011). Leadership, Culture and Management Practices of High Performing Workplaces in Australia: The High Performing Workplace Index. Bollen, K.A. (1989). Structural equations with latent variables, A Wiley-Interscience Publication. Bonnie M.J., J. D. L. S. (2008). Leadership. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses (pp. 1-23). Borg, I., & Elizur, D. (1992). Job insecurity: Correlates, moderators and measurement. International journal of manpower, 13(2), 13-26. Borucki, C. C., & Burke, M. J. (1999). An examination of serviceG__related antecedents to retail store performance. Journal of Organizational Behavior, 20(6), 943-962. Bourque, L. B., & Fielder, E. P. (2003). How to conduct self-administered and mail surveys. Sage Publications, Inc. Boxall, P., & Macky.K. (2009). Research and theory on high-performance work systems: progressing the high-involvement stream. Human Resource Management Journal, 19, 3-23. Brache, A. P., & Rummler, G. A. (1988). The three levels of quality. Quality Progress, 21(10), 46-51. Bradbury, R. C., Stearns Jr, F. E., & Steen, P. M. (1991). Interhospital variations in admission severity-adjusted hospital mortality and morbidity. Health Services Research, 26(4), 407. Brennan, T. A., Leape, L. L., Laird, N. M., Hebert, L., Localio, A. R., Lawthers, A. G. et al. (1991). Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N.Engl.J.Med., 324(6), 370-376. Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1(3), 185-216. Brown, R. L. (1997). Assessing specific mediational effects in complex theoretical models. Structural Equation Modeling: A Multidisciplinary Journal, 4(2), 142-156. Buchan, J. (2004). What difference does ("good") HRM make? Human Resources for Health, 2(6), 1-7. Buckingham, M., & Coffman, C. (1999). First, break all the rules: What the worlds greatest managers do differently Simon and Schuster. Burke, J. P. (2003) Infection control- a problem for patient safety. N.Engl.J Med, 348(7), 651-656. Burns, J.M. (1978) Leadership. New York. Harper & Row, Onursal Arkan. Burton, R. M., & Obel, B. R. (1998). Strategic organizational diagnosis and design: Developing theory for application Springer. Burton, R. M., Lauridsen, J., & Obel, B. (2004). The impact of organizational climate and strategic fit on firm performance. Human Resource Management, 43(1), 67-82. Byrne, B. (2010). Structural Equation Modeling With AMOS (Second edition ed.): Taylor & Francis Group. Cannon-Bowers, J. A., & Salas, E. (2001). Reflections on shared cognition. Journal of Organizational Behavior, 22(2), 195-202. Carayon, P. (2011). Handbook of human factors and ergonomics in health care and patient safety CRC Press. Catchpole, K. R., Giddings, A. E., Wilkinson, M., Hirst, G., Dale, T., & de Leval, M. R. (2007). Improving patient safety by identifying latent failures in successful operations. Surgery, 142(1), 102-110. Cheek, J. (1997). Nurses and the Administration of Medications Brodening the Focus. Clinical Nursing Research, 6(3), 253-274. Chen, G., Kirkman, B. L., Kanfer, R., Allen, D., & Rosen, B. (2007). A multilevel study of leadership, empowerment, and performance in teams. Journal of Applied Psychology, 92(2), 331. Chiang, H. Y., & Pepper, G. A. (2006). Barriers to nurses' reporting of medication administration errors in Taiwan. Journal of Nursing Scholarship, 38(4), 392-399. Chin, W.W. (1998). The partial least squares approach for structural equation modeling. Chin, W.W., & Newsted, P.R. (1999). Structural equation modeling analysis with small samples using partial least squares. Statistical strategies for small sample research, 2, 307-342. Chin, W.W., Marcolin, B.L., & Newsted, P.R. (2003) A partial least squares latent variable modeling approach for measuring interaction effects: Results from a Monte Carlo simulation study and an electronic-mail emotion/adoption study. Information Systems Research, 14(2): 189-217. Cho, S. H., Ketefian, S., Barkauskas, V. H., & Smith, D. G. (2003). The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. The Journal of Nursing Research, 52(2), 71-79. Chuang, C., & Liao, H. (2010). Strategic human resource management in service context: Taking care of business by taking care of employees and customers. Personnel Psychology, 63(1), 153-196. Chuang, E., Dill, J., Morgan, J. C., & Konrad, T. R. (2012). A Configurational Approach to the Relationship between High Performance Work Practices and Frontline Health Care Worker Outcomes. Health Services Research, 47(4), 1460-1481. Chuang, E., Jason, K., & Morgan, J. C. (2011). Implementing complex innovations: Factors influencing middle manager support. Health Care Management Review, 36(4), 369-379. Churchill, G. A. 1979. A paradigm for developing better measures of marketing constructs. Journal of Marketing Research 16, pp. 64-73 Clarke, J. R. (2006). How a system for reporting medical errors can and cannot improve patient safety. The American Surgeon, 72(11), 1088-1091. Clarke, S. P., Rockett, J. L., Sloane, D. M., & Aiken, L. H. (2002). Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. American Journal of Infection Control, 30(4), 207-216. Coakes, S. J., & Steed, L. (2003). SPSS: Analysis without anguish. John Wiley & Sons, Inc. Cohen, H., Robinson, E. S., & Mandrack, M. (2003). Getting to the Root of Medication. Nursing, 33(9), 36-45. Cohen, H., & Shastay, A. D. (2008). Getting to the root of medication errors. Nursing2012, 38(12), 39-47. Collins, C. J., & Smith, K. G. (2006). Knowledge exchange and combination: The role of human resource practices in the performance of high- technology firms. Academy of Management Journal, 49(3), 544-560. Combs, J., Liu, Y., Hall, A., & Ketchen, D. (2006). How much do high performance work practices matter? A meta analysis of their effects on organizational performance. Personnel Psychology, 59(3), 501-528. Committee on Quality of Health Care in America & Institute of Medicine. (2000). Compeau, D., Higgins, C.A., & Huff, S. (1999). Social Cognitive Theory and individual Reactions to Computing Technology - A Longitudinal-Study. MIS quarterly, 23(2): 145-158. Cook, A. F., Hoas, H., Guttmannova, K., & Joyner, J. C. (2004). An error by any other name. AJN The American Journal of Nursing, 104(6), 32-43. Cooper, D. R., & Schindler, P. S. (2008). Business research methods (10th ed.). USA, New York, NY: McGraw-Hill Companies, Ins. Cooper, D. R., & Schindler, P. S. (2003). Business Research Methods (8th ed.) McGraw-Hill, New York. Cortina, J.M. (1993), What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78(1): 98–104. Cotton, P. (2004). Developing an optimal organisational climate. Towards Australia Safest Workplaces, Australia. Coyle, G. A. (2005). Designing and implementing a close call reporting system. Nursing Administration Quarterly, 29(1), 57-62. Cropanzano, R., & Mitchell, M. S. (2005). Social exchange theory: An interdisciplinary review. Journal of Management, 31(6), 874-900. Cummings, G. G., MacGregor, T., Davey, M., Lee, H., Wong, C. A., Lo, E. et al. (2010). Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. International Journal of Nursing Studies, 47(3), 363-385. Datta, D. K., Guthrie, J. P., & Wright, P. M. (2005). Human resource management and labor productivity: does industry matter? Academy of Management Journal, 48, 135-145. Delery, J. E., & Shaw, J. D. (2001). The strategic management of people in work organizations: Review, synthesis, and extension. Research in personnel and human resources management, 20, 165-197. Denison, D. R. (1996). What is the difference between organizational culture and organizational climate? A native's point of view on a decade of paradigm wars. Academy of Management Review, 21(3), 619-654. De Vaus, D. A. (2002). Surveys in social research (5 ed.). London: UCL Press. DeVellis, R. F. (1991). Guidelines in scale development. Scale Development: Theory and Applications. Newbury Park, Calif: Sage, 51-91. Donabedian, A. (1982). Explorations in quality assessment and monitoring: the definition of quality and approaches to its assessment. Vol. II. The criteria and standards of quality. Ann Arbor: Health Administration Press. Donabedian, A. (1988). The quality of care: How can it he assessed. JAMA: the journal of the American Medical Association, 260(12), 1743-1748. Dubois, R. W., Rogers, W. H., Moxley, J. H., III, Draper, D., & Brook, R. H. (1987). Hospital inpatient mortality. Is it a predictor of quality? N.Engl.J Med, 317(26), 1674-1680. Durbin, J., Hansen, M. M., Sinkowitz-Cochran, R., & Cardo, D. (2006). Patient safety perceptions: A survey of Iowa physicians, pharmacists, and nurses. American journal of infection control, 34(1), 25-30. Dvir, T., Eden, D., Avolio, B.J., & Shamir, B. (2002) Impact of transformational leadership on follower development and performance: A field experiment. Academy of Management Journal, 45, 735-744 Eccles, R. G., & White, H. C. (1988). Price and authority in inter-profit center transactions. American Journal of Sociology, 17-51. Edwards, P., Geary, J., & Sisson, K. (2002). New forms of work organization in the workplace: Transformative, exploitative, or limited and controlled. Work and employment relations in the high performance workplace, Continuum, London/New York, 72-120. El-Jardali, F., & Lagace, M. (2005). Making hospital care safer and better: the structureprocess connection leading to adverse events. Healthcare quarterly (Toronto, Ont.), 8(2), 40. Emerson, R. M. (1962). Power-dependence relations. American Sociological Review, 31-41. Emerson, R. M. (1976). Social exchange theory. Annual review of sociology, 2, 335-362. Encinosa, W. E., & Bae, J. (2011). Health information technology and its effects on hospital costs, outcomes, and patient safety. Inquiry, 48(4), 288-303. Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C. (2010). Why the nation needs a policy push on patient-centered health care. Health Affairs, 29(8), 1489-1495. Evans, W. R., & Davis, W. D. (2005). High-performance work systems and organizational performance: The mediating role of internal social structure. Journal of Management, 31(5), 758-775. Ferris, G. R., Arthur, M. M., Berkson, H. M., Kaplan, D. M., Harrell-Cook, G., & Frink, D. D. (1998) Toward a social context theory of the human resource management organization effectiveness relationship. Human Resource Management Review, 8(3), 235-264. Fink, A. (2002). How to sample in surveys (2nd ed.). London: Sage Publications, Inc. Flood, A. B. (1994). The impact of organizational and managerial factors on the quality of care in health care organizations. Medical Care Research and Review, 51(4), 381-428. Fogarty, G. J., & McKeon, C. M. (2006). Patient safety during medication administration: the influence of organizational and individual variables on unsafe work practices and medication errors. Ergonomics, 49(5-6), 444-456. Fornell, C., & Larcker, D.F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 39-50. Fornell, C., & Bookstein, F. L. (1982), Two structural equation models: LISREL and PLS applied to consumer exit-voice theory. Journal of Marketing research, 440-452. Fornell, C., & Cha, J. (1994), Partial least squares. Advanced methods of marketing research, 407, 52-78. Frankel, A., Grillo, S. P., Baker, E. G., Huber, C. N., Abookire, S., Grenham, M. et al. (2005). Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Joint Commission Journal on Quality and Patient Safety, 31(8), 423-437. Gay, L. R., & Diehl, P. L. (1992). Research methods for business and management. New York: Macmillan. Gay, L. R., Mills, G. E., & Airasian, P.W. (2006). Educational research: Competencies for analysis and applications. Geisser, S. (1975), A predictive approach to the random effect model. Biometrika, 61(1), 101-107. Gelade, G. A. & Ivery, M. (2003). The impact of human resource management and work climate on organizational performance. Personnel Psychology, 56, 383-404 Gephart, M. A., & Van Buren, M. E. (1996). The power of high performance work System-Training and develoment, 50(10), 21-36. Gershon, R. R., Karkashian, C. D., Grosch, J. W., Murphy, L. R., Escamilla-Cejudo, A., Flanagan, P. A. et al. (2000). Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28(3), 211-221. Gershon, R. R., Stone, P. W., Zeltser, M., Faucett, J., MacDavitt, K., & Chou, S. S. (2007). Organizational climate and nurse health outcomes in the United States: a systematic review. Ind.Health, 45(5), 622-636. Ginsburg, L., Gilin, D., Tregunno, D., Norton, P. G., Flemons, W., & Fleming, M. (2009). Advancing measurement of patient safety culture. Health Services Research, 44(1), 205-224. Ginsburg, L. R., You-Ta, C., Blair Berta, W., Norton, P. G., Ng, P., Tregunno, D. et al. (2010). The Relationship between Organizational Leadership for Safety and Learning from Patient Safety Events. Health Services Research, 45(3), 607-632. doi:Article. Retrieved from http://eserv.uum.edu.my/login?url=http://search.ebsco- host.com/login.aspx?direct=true&db=aph&AN=50211675&site=ehos t-live&scope=site. Glick, W. H. (1985). Conceptualizing and measuring organizational and psychological climate: Pitfalls in multilevel research. Academy of Management Review, 601-616. Godard, J. (2004). A Critical Assessment of the High-Performance Paradig. British Journal of Industrial Relations, 42(2), 349-378. Graen, G., & Schiemann, W. (1978). LeaderG_ômember agreement: A vertical dyad linkage approach. Journal of Applied Psychology, 63(2), 206. Graen, G. B., & Scandura, T. A. (1987). Toward a psychology of dyadic organizing. Research in organizational behavior. Grojean, M. W., Resick, C. J., Dickson, M. W., & Smith, D. B. (2004). Leaders, values, and organizational climate: Examining leadership strategies for establishing an organizational climate regarding ethics. Journal of business ethics, 55(3), 223-241. Götz, O., Liehr-Gobbers, K., & Krafft, M. (2011). Evaluation of structural equation models using the partial least squares (PLS) approach. Handbook of Partial Least Squares: Concepts, Methods and Applications, 691-711. Gulf / Saudi Arabia. (2012). Medical errors in Saudi hospitals at alarming levels. http://gulfnews.com/news/gulf/saudi-arabia/medical-errors-in-saudi-hospitals-atalarming-levels-1.742903. Gustafsson, A., D, M., Johnson, & Roos, I. (2005), The Effects of Customer Satisfaction, Relationship Commitment Dimensions, and Triggers on Customer Retention. Journal of Marketing 69, 210–218. Guthrie, J. P. (2001). High- Involvement Work Practices, Turnover, and Productivity: Evidence from New Zealand. Academy of Management Journal, 44(1), 180-190. Guthrie, J. P., Spell, C. S., & Nyamori, R. O. (2002). Correlates and consequences of high involvement work practices: the role of competitive strategy. The International Journal of Human Resource Management, 13(1), 183-197. Gwinner, C. (2006). 5-point vs. 6-point likert scale. Retrieved 12 July, 2010, from http://www.infosurv.com /Insider/White_Papers/PDF/Likert_Scale_Debate.pdf. Hair, J. F., Tatham, R. L., Anderson, R. E., & Black, W. (2006). Multivariate data analysis (6 ed.) Pearson Prentice Hall Upper Saddle River, NJ. Hair, J. F., Money, A. H., Samouel, P., & Page, M. (2007). Research methods for business. USA, West Sussex: John Wiley & Sons. Hamad, A., Cavell, G., Wade, P., Hinton, J., & Whittlesea, C. (2013). Risk of medication safety incidents with antibiotic use measured by defined daily doses. International Journal of Clinical Pharmacy, 1-8. Hang-yue Ngo, H., Foley, Sh., & Loi, R. (2009) Family friendly work practices, organizational climate, and firm performance: A study of multinational corporations in Hong Kong. Journal of Organizational Behavior, 30(5), 665-680. Harley, B., Allen, B. C., & Sargent, L. D. (2007). High performance work systems and employee experience of work in the service sector: The case of aged care. British Journal of Industrial Relations, 45(3), 607-633. Hazell, L., & Shakir, S. A. (2006). Under-reporting of adverse drug reactions. Drug Safety, 29(5), 385-396. Herdman, A. O. (2008) Explaining the Relationship Between the HR System and Firm Performance: A Test of the Strategic HRM Framework (Virginia Polytechnic Institute and State University). Hodgson, L., Farrell, C. M., & Connolly, M. (2007). Improving UK public services: a review of the evidence. Public Administration, 85(2), 355-382. Hofmann, D. A., & Mark, B. (2006). An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Personnel Psychology, 59(4), 847-869. Hofmann, D. A., & Stetzer, A. (1996). A crossG__level investigation of factors influencing unsafe behaviors and accidents. Personnel Psychology, 49(2), 307- 339. Homans, G. C. (1961). Social behavior New York: Harcourt, Brace & World. Hosford, S. B. (2007). The impact of external interventions on improving the quality of patient safety in hospitals. Dissertation Abstracts International 68[05]. Hughes, C. M., & Lapane, K. L. (2006). Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. International Journal for Quality In Healthcare 18(4), 281-286. Hulland, J. (1999). Use of partial least squares (PLS) in strategic management research: a review of four recent studies. Strategic Management Journal, 20(2), 195-204. Huselid, M. (1995). The impact of human resource management practices on turnover, productivity, and corporate financial performance. Academy of Management Journal, 38(3), 635-672. Hussey, J., & Hussey, R. (1997). Business Research: A practical guide for undergraduate and postgraduate students. Macmillan, Basingstoke. Iacobucci, D., Saldanha, N., & Deng, X. (2007). A meditation on mediation: Evidence that structural equations models perform better than regressions. Journal of Consumer Psychology, 17(2), 139-153. Ichniowski, C., Kochan, T. A., Levine, D., Olson, C., & Strauss, G. (1996). What works at work: overview and assessment. Industrial Relations: A Journal of Economy and Society, 35(3), 299-333. Ida, H., Miura, M., Komoda, M., Yakura, N., Mano, T., Hamaguchi, T. et al. (2009). Relationship between stress and performance in a Japanese nursing organization. International Journal of Health Care Quality Assurance, 22(6), 642-657. Indik, B. P. (1968). Thre scope of the problem and some suggestions toward a solution. BP Indik & FW Berrien. Institute of Medicine (IOM). (2003). Employees. In our hands: how hospital leaders can build a thriving workforce. Trustee., 55, 30-31. Irvine, D., Sidani, S., Porter, H., Brien-Pallas, O., Simpson, B., McGillis Hall, L. et al. (2000) Organizational factors influencing nurse practitioners' role implementation in acute care settings. Canadian Journal of Nursing Leadership, 13(3), 28-35. James, B. C. (1989). Quality management for health care delivery Hospital Research and Educational Trust. James, L. R., & Jones, A. P. (1974). Organizational climate: A review of theory and research. Psychological bulletin, 81(12), 1096. James, L. R., Choi, C. C., Ko, C. H. E., McNeil, P. K., Minton, M. K., Wright, M. A. et al. (2008). Organizational and psychological climate: A review of theory and research. European Journal of Work and Organizational Psychology, 17(1), 5-32. Jao, C. S., & Hier, D. B. (2010). Clinical Decision Support Systems: An Effective Pathway to Reduce Medical Errors and Improve Patient Safety. Future, 4, 4. Jarman, B., Gault, S., Alves, B., Hider, A., Dolan, S., Cook, A. et al. (1999). Explaining differences in English hospital death rates using routinely collected data. BMJ, 318(7197), 1515-1520. Joshi, M. S., Anderson, J. F., & Marwaha, S. (2002). A systems approach to improving error reporting. Journal of Healthcare Information Management, 16(1), 40-45. Judge, T. A. & Bono, J. E. (2000)Five-factor model of personality and transformational leadership. Journal of Applied Psychology, 85, 751. Judge, T. A. & Piccolo, R. F. (2004). Transformational and transactional leadership: a meta-analytic test of their relative validity. Journal of Applied Psychology, 89, 755. Kannan, V.R., Tan, K.C., Handfield, R.B., & Ghosh, S. (1999), Tools and techniques of quality management: an empirical investigation of their impact on performance. Quality Management Journal, 6(3). Kanse, L., van der Schaaf, T. W., Vrijland, N. D., & van, M. H. (2006). Error recovery in a hospital pharmacy. Ergonomics, 49(5-6), 503-516. Kayser, K., Walker, D., & Demaio, J. (2000). Understanding social workers' sense of competence within the context of organizational change. Administration in social work, 24(4), 1-20. Kerlinger, F. N. &Lee, H. B. (2000). Foundations of behavioral research. 4th ed. Harcourt College Publishers: Orlando, US. Kinnaman, K. (2007). Patient safety and quality improvement Act of 2005. Orthopaedic Nursing, 26(1), 14-16. Kirkman, B. L., Lowe, K. B., & Young, D. P. (1998). The Challenge of Leadership in High Performance Work. The Journal of Leadership Studies, 5(2), 2-13. Kirkman, B. L., Shapiro, D. L., Novelli Jr, L., & Brett, J. M. (1996). Employee concerns regarding self-managing work teams: A multidimensional justice perspective. Social Justice Research, 9(1), 47-67. Kline, R. B. (1998). Principles and practice of structural equation modeling. Guilford, New York. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: building a safer health system. Washington, DC: National Academy Press. Kopelman, R. E. (1990). The role of climate and culture productivity. Organizational climate and culture, 282-318. Koppel, R., Wetterneck, T., Telles, J. L., & Karsh, B. T. (2008). Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Journal of the American Medical Informatics Association, 15(4), 408-423. Koys, D. J., & DeCotiis, T. A. (1991). Inductive measures of psychological climate. Human Relations, 44(3), 265-285. Kozlowski, S. W., & Doherty, M. L. (1989). Integration of climate and leadership: Examination of a neglected issue. Journal of Applied Psychology, 74(4), 546. Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610. Kutney-Lee, A., & Kelly, D. (2011). The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J.Nurs.Adm, 41(11), 466-472. Lang, T. A., Hodge, M., Olson, V., Romano, P. S., & Kravitz, R. L. (2004). Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. Journal of Nursing Administration, 34(7-8), 326- 337. Larson, E. L., Early, E., Cloonan, P., Sugrue, S., & Parides, M. (2000). An organizational climate intervention associated with increased handwashing and decreased nosocomial infections. Behavioral Medicine, 26(1), 14-22. Laschinger, H. K., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J.Nurs.Adm, 36(5), 259-267. Laschinger, H. K. S., & Leiter, M. P. (2012). The impact of nursing work environments on patient safety outcomes. The Journal of Nursing Administration, 36, 259-267. Laschinger, H. K. S., Shamian, J., & Thomson, D. (2001). Impact of magnet hospital characteristics on nurses' perceptions of trust, burnout quality of care, and work satisfaction. Nursing Economics, 19(5), 209-219. Lawton, R., McEachan, R. R., Giles, S. J., Sirriyeh, R., Watt, I. S., & Wright, J. (2012). Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. BMJ Qual.Saf Leape, LL., Woods, DD., Hatlie, MJ., Kizer, KW., Schroeder, SA., & Lundberg, GD. (1998). Promoting patient safety by preventing medical error. JAMA., 280, 1444-1447. Leape, L. L., Berwick, D. M., & Bates, D. W. (2002). What practices will most improve safety? JAMA: the journal of the American Medical Association, 288(4), 501-507. Leary, M. R. (2004). Introduction to behavioral research methods. 4th ed. Pearson Education: USA. Leedy, P. D., & Ormrod, J. E. (2005). Practical research Prentice Hall Upper Saddle River, NJ. Leggat, S. G., Bartram, T., & Stanton, P. (2011). High performance work systems: the gap between policy and practice in health care reform. Journal of Health Organization and Management, 25(3), 281-297. Lepak, D. P., Liao, H., Chung, Y., & Harden, E. E. (2006). A conceptual review ofhuman resource management systems in strategic human resource management research. Research in personnel and human resources management, 25, 217-271. Li, X., Frenkel, S. J., & Sanders, K. (2011). Strategic HRM as process: how HR system and organizational climate strength influence Chinese employee attitudes. The International Journal of Human Resource Management, 22(9), 1825-1842. Liao L.W, L. W. J. (2011). The Role of HPWS Between Transformational Leadership and the Performance of HR Professionals: The moderating Effect of Multilevel Perspective. Soochow Journal of Economics and Business, (73), 66. Liao, H., & Chuang, A. (2004). A multilevel investigation of factors influencing employee service performance and customer outcomes. Academy of Management Journal, 47(1), 41-58. Liao, H., Toya, K., Lepak, D. P., & Hong, Y. (2009). Do they see eye to eye? Management and employee perspectives of high-performance work systems and influence processes on service quality. Journal of Applied Psychology, 94(2), 371. Lighter, D. (2004). Quality management in health care: principles and methods Jones & Bartlett Learning. Likert, R. (1967). The human organization: its management and values. Lin, C., Madu, C. N., & Kuei, C. H. (1999). The association between organizational climate and quality management practices: an empirical study on small-and mediumsized manufacturing companies in Taiwan. Total Quality Management, 10(6), 863- 868. Litwin, G. H., & Stringer Jr, R. A. (1968). Motivation and organizational climate. Lohmöller, J.B. (1989). Latent variable path modeling with partial least squares: Physica- Verlag Heidelberg. MacDuffie, J. P. (1995). Human resource bundles and manufacturing performance: Organizational logic and flexible production systems in the world auto industry. Industrial and labor relations review, 197-221. MacKinnon, D. P., & Fairchild, A. J. (2010), A General Model for Testing Mediation and Moderation Effects. Prev Sci, 10(2): 87–99. Macky, K., & Boxall, P. (2007). The relationship between n G_ ءhigh-performance work practicesG_ آ and employee attitudes: an investigation of additive and interaction effects. The International Journal of Human Resource Management, 18(4), 537-567. Majesky, S. J., Brester, M. H., & Nishio, K. T. (1978). Development of a research tool: patient indicators of nursing care. Nursing research, 27(6), 365-371. Manser, T. (2008). Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiologica Scandinavica, 53(2), 143-151. Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application Lippincott Williams & Wilkins. Martin, W. F. (2008). Is your hospital safe? Disruptive behavior and workplace bullying. Hospital topics, 86(3), 21-28. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual review of psychology, 52(1), 397-422. Mattanah, J. F., Hancock, G. R., & Brand, B. L. (2004). Parental Attachment, Separation-Individuation, and College Student Adjustment: A Structural Equation Analysis of Mediational Effects. Journal of Counseling Psychology, 51(2), 213. Mayo, A. M., & Duncan, D. (2004). Nurse perceptions of medication errors: what we need to know for patient safety. Journal of nursing care quality, 19(3), 209-217. McBride-Henry, K., & Foureur, M. (2007). A secondary care nursing perspective on medication administration safety. Journal of Advanced Nursing, 60(1), 58-66. Messersmith, J. G., Patel, P. C., & Lepak, D. P. (2011). Unlocking the Black Box: Exploring the link between high-performance work systems and performance. Journal of Applied Psychology, 96(6), 1105. Mick, J. M., Wood, G. L., & Massey, R. L. (2007). The good catch pilot program: increasing potential error reporting. J Nurs Adm, 37(11), 499-503. Miller, M. R., Elixhauser, A., Zhan, C., & Meyer, G. S. (2001). Patient Safety Indicators: using administrative data to identify potential patient safety concerns. Health Services Research, 36(6 Pt 2), 110. MOH, K. (2012). Achievements of the Ministry of Health. http://www.moh.gov.sa/Ministry/About/Pages/Achievements1. aspx. Mor, V. (2005). Improving the Quality of LongG__Term Care with Better Information. Milbank Quarterly, 83(3), 333-364. Murphy, K. S. (2006). An exploratory study of high performance work practices for unit level managers, in the casual segment of the US restaurant industry. Mwachofi, A., Walston, S. L., & Al-Omar, B. A. (2011). Factors affecting nurses' perceptions of patient safety. Int.J.Health Care Qual.Assur., 24(4), 274-283. Naqvi, S., & Nadeem, S. (2011). Impact of high performance work practices system on motivation. Interdisciplinary Journal of Contemporary Research in Business, 3(8), 197-210. Neuhouser, F., & Neuhouser, F. (2003). Foundations of Hegel's social theory: Actualizing freedom Harvard University Press. Neuman, W. L. (1997). Social research methods. London: Allyn & Bacon. Ngo, H. y., Foley, S., & Loi, R. (2009). Family friendly work practices, organizational climate, and firm performance: A study of multinational corporations in Hong Kong. Journal of Organizational Behavior, 30(5), 665-680. Nightingale, F. (1863). Notes on hospitals Longman, Green, Longman, Roberts, and Green. Noe, R. A., Hollenbeck, J. R., Gerhart, B., & Wright, P. M. (2004). Fundamentals of human resource management (2 ed.) McGraw-Hill. Nolan, T. W. (2000). System changes to improve patient safety. BMJ: British Medical Journal, 320(7237), 771.Northouse, P. G. (2012). Leadership: Theory and practice Sage Publications, Incorporated. Nunnally, J. C. (1978), Psychometric theory (2nd ed.). New York: McGraw–Hill. Nunnally, J.C., & Bernstein, I.H. (1994). Psychometric theory. McGraw, New York. Nygren, M., Roback, K., Ohrn, A., Rutberg, H., Rahmqvist, M., & Nilsen, P. (2013). Factors influencing patient safety in Sweden: perceptions of patient safety officers in the county councils. BMC health services research, 13(1), 52. O'Dea, A., & Flin, R. (2001). Site managers and safety leadership in the offshore oil and gas industry. Safety Science, 37(1), 39-57. Osborne, J., Blais, K., & Hayes, J. S. (1999). Nurses' perceptions: when is it a medication error? Journal of Nursing Administration, 29(4), 33-38. Osborne, J. W. (2010). Improving your data transformations: Applying the Box-Cox transformation. Practical Assessment, Research & Evaluation, 15(12), 1-9. Ostroff, C. (1993). The effects of climate and personal influences on individual behavior and attitudes in organizations. Organizational Behavior and Human Decision Processes, 56, 56-90. Ostroff, C., & Bowen, D. E. (2000). Moving HR to a higher level: HR practices and organizational effectiveness. Page, A. (2004). Keeping Patients Safe: Transforming the Work Environment of Nurses The National Academies Press Retrieved from http://www.nap.edu/openbook.php?record_id=10851. Pallant, J. (2007). SPSS survival manual: A step by step guide to data analysis using SPSS for windows (version 15) (3rd ed.). England: Open University Press, McGraw-Hill Education. Parker, C. P., Baltes, B. B., Young, S. A., Huff, J. W., Altmann, R. A., Lacost, H. A. et al. (2003). Relationships between psychological climate perceptions and work outcomes: a metaG__analytic review. Journal of Organizational Behavior, 24(4), 389-416. Parshuram, C. S., To, T., Seto, W., Trope, A., Koren, G., & Laupacis, A. (2008). Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ., 178(1), 42-48. Pattanayak, B. (2005). Human Resource Management. Prentice Hall of India Private Ltd., New Delhi, Page (248-259). Patterson, G., West, M. A., & Wall, M. (2001). Job satisfaction and teamwork: the role of supervisor support. Journal of Organizational Behavior, 22(5), 537-550. Penoyer, D. A. (2010). Nurse staffing and patient outcomes in critical care: a concise review. Crit Care Med., 38(7), 1521-1528. Ployhart, R. E. (2004). Organizational staffing: A multilevel review, synthesis, and model. Research in personnel and human resources management, 23, 121-176. Polifroni, E. C., McNulty, J., & Allchin, L. (2003). Medication errors: more basic than a system issue. Journal of Nursing Education, 42(10), 455-458. Posthuma, R. A., Campion, M. C., Masimova, M., & Campion, M. A. (2013). A High Performance Work Practices Taxonomy Integrating the Literature and Directing Future Research. Journal of Management, 39(5), 1184-1220. Potylycki, M. J., Kimmel, S. R., Ritter, M., Capuano, T., Gross, L., Riegel-Gross, K. et al. (2006). Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J.Nurs.Adm, 36(7-8), 370-376. Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717-731. Pronovost, P., Holzmueller, C. G., Needham, D. M., Sexton, J. B., Miller, M., Berenholtz, S. et al. (2006a). How will we know patients are safer? An organizationwide approach to measuring and improving safety. Critical care medicine, 34(7), 1988-1995. Pronovost, P. J., Morlock, L. L., Sexton, J. B., Miller, M. R., Holzmueller, C. G., Thompson, D. A. et al. (2011). Improving the value of patient safety reporting systems. Advances in patient safety: new directions and alternative approaches, 1. Pronovost, P. J., Thompson, D. A., Holzmueller, C. G., Lubomski, L. H., Dorman, T., Dickman, F. et al. (2006b). Toward learning from patient safety reporting systems. Journal of critical care, 21(4), 305-315. Ramanujam, R., Abrahamson, K., & Anderson, J. (2007). Influences on nurse perception of hospital unit safety climate: an HLM approach. RCHE Publications, 34. Ramsay, H., Scholarios, D., & Harley, B. (2000). Employees and HighG__Performance Work Systems: Testing inside the Black Box. British Journal of Industrial Relations, 38(4), 501-531. Rateau, F., Levraut, L., Colombel, A. L., Bernard, J. L., Quaranta, J. F., Cabarrot, P. et al. (2011). [Check-list "Patient Safety" in the operating room: one year experience of 40,000 surgical procedures at the university hospital of Nice]. Ann.Fr.Anesth.Reanim., 30(6), 479-483. Reason, J. (2000). Human error: models and management. BMJ, 320(7237), 768-770. Remenyi, D., Williams, B., Money, A. & Swartz, E. (1998). Doing research in business and management: an introduction to process and method. Sage Publications Ltd. Remenyi, D., Williams, B., Money, A., & Swartz, E. (2012). Doing research in business and management: an introduction to process and method. Sage Publications Ltd. Richardson, A., & Storr, J. (2010). Patient safety: a literature [corrected] review on the impact of nursing empowerment, leadership and collaboration. Int Nurs Rev., 57(1), 12-21. Ringle, C. M., Sarstedt, M., & Straub, D. W. (2012), A Critical Look at the Use of PLSSEM in MIS Quarterly. MIS Quarterly, 36(1): iii-xiv. Rogg, K. L., Schmidt, D. B., Shull, C., & Schmitt, N. (2001). Human resource practices, organizational climate, and customer satisfaction. Journal of Management, 27(4), 431-449. Roscoe, J. T. (1975). Fundamental research statistics for the behavioral sciences (2nd ed.). New York: Holt, Rinehart and Winston. Rothmann, S., & Joubert, J. H. M. (2007). Job demands, job resources, burnout and work engagement of managers at a platinum mine in the North West Province. South African Journal of Business Management, 38. Roussel, L., Swansburg, R. C., & Swansburg, R. J. (2006). Management and leadership for nurse administrators Jones & Bartlett Learning. Safety, W.P. (2011). Patient safety curriculum guide: Multi-professional edition. Saunders, M., Lewis, P., & Thornhill, A. (2000). Research methods for business studies (2nd ed.). Harlow: Printice Hall. Schmidt, H. G., & Veld, M. F. (2012). HRM, Strategic Climate and Employee Outcomes in Hospitals: HRM Care for Cure? (, Erasmus University Rotterdam). Schneider, B. (1990). The climate for service: An application of the climate construct. Organizational climate and culture, 1. 383-412. San Francisco: Jossey-Bass. Schneider, B., White, S. S., & Paul, M. C. (1998). Linking service climate and customer perceptions of service quality: Test of a causal model. Journal of Applied Psychology, 83(2), 150-163. Schwab, D. P. (2005). Research Methods for Organizational Studies. Lawrence Erlbaum Associates, New Jersey. Sekaran, U. (2003). Research methods for business: A skill building approach John Wiley & Sons. Sekaran, U., & Bougie, R. (2010). Research methods for business: A skill building approach. Wiley. London. Sexton, J. B., Thomas, E. J., & Helmreich, R. L. (2001). Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ: British Medical Journal, 320(7237), 745. Shahidi, N., Hadadnia, S., Seyedi, S. M., & Yusefi, Z. (2012). Studying the effects of organizational climate in relationship of knowledge management and organizational effectiveness in higher educational organization. 2nd International Conference On Management. Shalala, D., Bolton, L. B., Bleich, M. R., Brennan, T. A., Campbell, R. E., & Devlin, L. (2011). The future of nursing: leading change, advancing health. Institute of Medicine of the National Academies. Washington, DC: National Academy Press. Shojania, K. G., Duncan, B. W., McDonald, K. M., Wachter, R. M., & Markowitz, A. J. (2001). Making health care safer: a critical analysis of patient safety practices Agency for Healthcare Research and Quality Rockville, MD. Slater, B. L., Lawton, R., Armitage, G., Bibby, J., & Wright, J. (2012, Spring). Training and action for patient safety: Embedding interprofessional education for patient safety within an improvement methodology. Journal of Continuing Education in the Health Professions, 32(2), 80-89. doi:Article. Retrieved from http://eserv.uum.edu.my/login? url=http://search.ebscohost.com/login.aspx?direct=true&db= aph&AN=77327059&site=ehost-live&scope=site. SoRelle, R. (2000). Reducing the rate of medical errors in the United States. Circulation, 101(3), e39-e40. Spaulding, A. C. (2011). Human resource management systems: The search for quality and effectiveness in healthcare delivery (Doctoral dissertation), The Texas A&M University System Health Science Center. Sproull, N. D. (2004), Handbook of research methods: A guide for practitioners and Students in the social sciences (3rd Ed.). New Jersey: The Scarecrow Press. Stewart, L., & Usher, K. (2010). The impact of nursing leadership on patient safety in a developing country. J.Clin.Nurs, 19(21-22), 3152-3160. Stone, M. (1974). Cross-validatory choice and assessment of statistical predictions. Journal of the Royal Statistical Society, 36, 111–147. Stow, J. (2006). Using medical-error reporting to drive patient safety efforts. AORN J, 84(3), 406-4, 417. Studdert, D. M., Mello, M. M., Sage, W. M., DesRoches, C. M., Peugh, J., Zapert, K. et al. (2005). Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA: the journal of the American Medical Association, 293(21), 2609-2617. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Boston: Pearson Education Inc. Takeuchi, R., Chen, G., & Lepak, D. P. (2009). Through The Looking Glass of A Social System: Cross-Level Effects Of High Performance Work Systems on Employees' Attitudes. Personnel Psychology, 62(1), 1-29. Takeuchi, R., Lepak, D. P., Wang, H., & Takeuchi, K. (2007). An empirical examination of the mechanisms mediating between high- performance work systems and the performance of Japanese organizations. Journal of Applied Psychology, 92(4), 1069- 1082. Tamuz, M., Thomas, E. J., & Franchois, K. E. (2004). Defining and classifying medical error: lessons for patient safety reporting systems. Quality and Safety in Health Care, 13(1), 13-20. Tappen, R. M., Weiss, S. A., & Whitehead, D. K. (2004). Essentials of nursing leadership and management. 3rd. Edition.Philadelphia: EA Davis Company. Tenenhaus, M., Vinzi, V.E., Chatelin, Y.M., & Lauro, C. (2005). PLS path modeling. Computational Statistics & Data Analysis, 48(1): 159-205. Teng, C. I., Chang, S. S., & Hsu, K. H. (2009). Emotional stability of nurses: impact on patient safety. J Adv.Nurs, 65(10), 2088-2096. Tobaiqy, M., & Stewart, D. (2013). Exploring health professionals experiences of medication errors in Saudi Arabia. International Journal of Clinical Pharmacy, 1-4. Tsai, W., & Ghoshal, S. (1998). Social capital and value creation: The role of intrafirm networks. Academy of Management Journal, 41(4), 464-476. Tuttle, D., Holloway, R., Baird, T., Sheehan, B., & Skelton, W. K. (2004). Electronic reporting to improve patient safety. Quality and Safety in Health Care, 13(4), 281-286. Ulanimo, V. M., O'Leary-Kelley, C., & Connolly, P. M. (2007). Nurses' perceptions of causes of medication errors and barriers to reporting. Journal of nursing care quality, 22(1), 28-33. Uribe, C. L., Schweikhart, S. B., Pathak, D. S., Dow, M., & Marsh, G. B. (2002). Perceived barriers to medical-error reporting: an exploratory investigation. J Healthc.Manag., 47(4), 263- 279. Uribe, C. L., Schweikhart, S. B., Pathak, D. S., Marsh, G. B., & Fraley, R. R. (2002). Perceived barriers to medical-error reporting: an exploratory investigation. Journal of Healthcare Management, 47(4), 263. Van Den Tooren, M., & De Jonge, J. (2008). Managing job stress in nursing: what kind of resources do we need? Journal of Advanced Nursing, 63(1), 75-84. Vogus, T. J. (2006). What is it about relationships? A behavioral theory of social capital and performance. Proceedings Of The Annual Meeting-Labor And Employment Relations Association: Vol. 58 (pp. 164) Labor And Employment Relations Association. Vogus, T. J., & Sutcliffe, K. M. (2007). The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Medical care, 45(10), 997-1002. Wall, T. D., & Wood, S. J. (2005). The romance of human resource management and business performance, and the case for big science. Human Relations, 58(4), 429-462. Retrieved from http://hum.sagepub.com/content/58/4/429.abstract. Walston, S., Al-Harbi, Y., & Al-Omar, B. (2008). The changing face of healthcare in Saudi Arabia. Ann.Saudi Med., 28(4), 243-250. Walston, S. L., Al-Omar, B. A., & Al-Mutari, F. A. (2010). Factors affecting the climate of hospital patient safety: A study of hospitals in Saudi Arabia. International Journal of Health Care Quality Assurance, 23(1), 35-50. Wan, T. T., Zhang, N. J., & Unruh, L. (2006). Predictors of resident outcome improvement in nursing homes. Western Journal of Nursing Research, 28(8), 974-993. Weber, M. (1947). The theory of social and economic organization. Translated by AM Henderson and Talcott Parsons.Edited with an introduction by Talcott Parsons.) The Free Press of Glencoe Collier-Macmillan Limited.London. Weber, V., & Joshi, M. S. (2000). Effecting and leading change in health care organizations. Joint Commission Journal on Quality and Patient Safety, 26(7), 388-399. West, M. A., Guthrie, J. P., Dawson, J. F., Borrill, C. S., & Carter, M. (2006). Reducing patient mortality in hospitals: The role of human resource management. Journal of Organizational Behavior, 27(7), 983-1002. Wetzels, M., Odekerken-Schroder, G., & Van Oppen, C. (2009)Using PLS path modeling for assessing hierarchical construct models: Guidelines and empirical illustration. Mis Quarterly, 33(1): 177. Whitener, E. M. (2001). Do "high commitment" human resource practices affect employee commitment? A cross-level analysis using hierarchical linear modeling. Journal of Management, 27(5), 515-535. Wiley, C. (1997). What motivates employees according to over 40 years of motivation surveys. International journal of manpower, 18(3), 263-280. Wilson, R. M., Runciman, W. B., Gibberd, R. W., Harrison, B. T., Newby, L., & Hamilton, J. D. (1995). The Quality in Australian Health Care Study. Med.J.Aust., 163(9), 458-471. Wilson, T., Pringle, M., & Sheikh, A. (2001). Promoting patient safety in primary care: research, action, and leadership are required. BMJ: British Medical Journal, 323(7313), 583. Wold, H. (1982), Soft modelling: the basic design and some extensions. Systems under indirect observation, Part II, 36-37. Wood, S., & Wall, T. (2002). Human Resource Management and Business Performance. World Health Organization. (2004). Global priorities for patient safety research. WHO. World Health Organization. (2006). Country Cooperation Strategy for WHO and Saudi Arabia 2006–2011. EM/ARD/014/E/R. World Health Organization. (2009). WHO Patient Safety Curriculum Guide for Medical Schools. WHO/IER/PSP/2009.3S. World Health Organization. (2012). Patient safety. http://www.who.int/patientsafety/research/en/. Retrieved from http://www.who.int/patientsafety/research/en/. Wright, P. M., Gardner, T. M., Moynihan, L. M., & Allen, M. R. (2005). The relationship between HR practices and firm performance: Examining causal order. Personnel Psychology, 58(2), 409-446. Wu, S., Zhu, W., Wang, Z., Wang, M., & Lan, Y. (2007). Relationship between burnout and occupational stress among nurses in China. Journal of Advanced Nursing, 59(3), 233-239. Xerri, M. (2013). Workplace relationships and the innovative behaviour of nursing employees: a social exchange perspective. Asia Pacific Journal of Human Resources, 51(1), 103-123. Yahaya, A., Yahaya, N., Amat, F., Bon, A. T., & Zakariya, Z. (2010). The effect of various modes of occupational stress, job satisfaction, intention to leave and Absentism Companies Commission of Malaysia. Australian Journal of Basic and Applied Sciences, 1676-1684. Youndt, M. A., Snell, S. A., Dean, J. W., & Lepak, D. P. (1996). Human resource management, manufacturing strategy, and firm performance. Academy of Management Journal, 39(4), 836-866. Zacharatos, A., Barling, J., & Iverson, R. D. (2005). High-performance work systems and occupational safety. Journal of Applied Psychology, 90(1), 77. Zafirovski, M. (2003). Some amendments to social exchange theory: a sociological perspective. Theory and Science, 4(2). Zapf, D., & Reason, J. T. (1994). Introduction: Human errors and error handling. Applied Psychology, 43(4), 427-432. Zhu, W., May, D. R., & Avolio, B. J. (2004). The impact of ethical leadership behavior on employee outcomes: The roles psychological empowerment and authenticity. Journal of Leadership & Organizational Studies, 11(1), 16-27. Zohar, D. (2002). The effects of leadership dimensions, safety climate, and assigned priorities on minor injuries in work groups. Journal of Organizational Behavior, 23(1), 75-92. Health and Safety Commission. (1993). Organising for safety: third report of the human factors study group of ACSNI (Advisory Committee on the Safety of Nuclear Installations). Sudbury: HSE Books. Kemper, C. A. (2009). The impact of work unit and organization support on hospital patient safety. Roberts, K. H. (1990). Managing high reliability organizations. California Management Review, 32. Sutcliffe, W. (2006). Managing the unexpected: assuring high performance in an age of complexity. John Wiley & Sons. Weick, K. E., Sutcliffe, K. M., & Obstfeld, D. (2005). Organizing and the process of sensemaking. Organization science, 16, 409-421. Zacharatos, A., Barling, J., & Iverson, R. D. (2005). High-performance work systems and occupational safety. Journal of Applied Psychology, 90, 77. Zikmund, W. G. (2003). Business research methods (7th ed.). USA, Ohio: Thomson South-Western. Zikmund, W. G., Babin, B. J., Carr, J. C., & Griffin, M. (2010). Business research methods (8th ed.). Canada: South-Western, Cengage Learning.