The importance of a high-performance work environment in hospitals

Dana Beth Weinberg, Ariel Chanan Avgar, Noreen M. Sugrue, Dianne Cooney-Miner

Research output: Contribution to journalReview articlepeer-review


Objective. To examine the benefits of a high-performance work environment (HPWE) for employees, patients, and hospitals. Study Setting Forty-five adult, medical-surgical units in nine hospitals in upstate New York. Study Design Cross-sectional study. Data Collection Surveys were collected from 1,527 unit-based hospital providers (68.5 percent response rate). Hospitals provided unit turnover and patient data (16,459 discharge records and 2,920 patient surveys). Principal Findings HPWE, as perceived by multiple occupational groups on a unit, is significantly associated with desirable work processes, retention indicators, and care quality. Conclusion Our findings underscore the potential benefits for providers, patients, and health care organizations of designing work environments that value and support a broad range of employees as having essential contributions to make to the care process and their organizations.

Original languageEnglish (US)
Pages (from-to)319-332
Number of pages14
JournalHealth Services Research
Issue number1
StatePublished - Feb 2013
Externally publishedYes


  • Acute inpatient care
  • health care organizations and systems
  • high performance work systems
  • management practices
  • organizational behavior
  • patient assessment/satisfaction
  • quality of care/patient safety (measurement)
  • work environment

ASJC Scopus subject areas

  • Health Policy


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