This study found that frontline personnel’s understanding of the safety climate was a better predictor of safety than supervisors’ understanding of the safety climate. It explored how patient safety indicators are affected by the overall safety climate. This supports the HRO principle of authority migration, where frontline, knowledgeable employees are empowered to prevent errors.
Singer, S., Lin, S., Falwell, A., Gaba, D., & Baker, L. (2009). Relationship of safety climate and safety performance in hospitals. Health Services Research, 44, 399–421. doi:10.1111/j.1475-6773.2008.00918.x