Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Jul 14;20(7):e0328062.
doi: 10.1371/journal.pone.0328062. eCollection 2025.

Enhancing hospital safety: The impact of resilience on safety climate, safety performance, and occupational accidents

Hamed Aghaei  1 , Taleb Askaripoor  2 , Morteza Siadat  3 , Elahe Saleh  4
Affiliations

Enhancing hospital safety: The impact of resilience on safety climate, safety performance, and occupational accidents

Hamed Aghaei et al. PLoS One. .

Abstract

This study examined the impact of individual and organizational resilience on safety climate, safety performance, and the incidence of occupational accidents among hospital employees in Iran. The research aimed to determine whether resilience, at both individual and organizational levels, enhances safety climate and performance, thereby reducing occupational accidents. This cross-sectional study was conducted in 2024, involving 343 administrative and patient care staff from four government hospitals in Semnan, Iran. Validated questionnaires were used to collect the data. Structural equation modeling analyzed the relationships among the variables. The findings revealed that individual and organizational resilience positively influenced safety climate and performance, resulting in a reduction in occupational accidents. Personal competence emerged as the strongest indicator of individual resilience, while adaptive resilience significantly impacted organizational resilience. Safety climate was found to mediate the relationship between resilience and safety performance, underscoring its critical role in enhancing safety outcomes. This study emphasizes the importance of fostering both individual and organizational resilience to improve safety climate and performance in healthcare settings. Interventions focused on resilience and a positive safety climate are essential for reducing occupational accidents, especially in high-stress environments like hospitals.

PubMed Disclaimer

Conflict of interest statement

NO authors have competing interests

Figures

Fig 1
Fig 1. The conceptual model.
Fig 2
Fig 2. The study SEM model.
* p < 0.001.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Pramusiwi WM, Hariyono W, Ruliyandari R. Analysis of Occupational Safety and Health (OSH) Risks in Hospitals: Literature Review. Media Publ Promosi Kesehat Indones. 2024;7(8):2051–61. doi: 10.56338/mppki.v7i8.5654 - DOI
    1. Rai R, El-Zaemey S, Dorji N, Rai BD, Fritschi L. Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review. Int J Environ Res Public Health. 2021;18(5):2603. doi: 10.3390/ijerph18052603 - DOI - PMC - PubMed
    1. Gonçalves L, Sala R, Navarro J-B. Resilience and occupational health of health care workers: a moderator analysis of organizational resilience and sociodemographic attributes. Int Arch Occup Environ Health. 2022;95(1):223–32. doi: 10.1007/s00420-021-01725-8 - DOI - PMC - PubMed
    1. Malakoutikhah M, Rabiei H, Hassanipour S, Jahangiri M. The Prevalence of Unsafe Behaviors in Iranian Workers: A Systematic Review and Meta-Analysis. Iran J Public Health. 2021;50(2):257–70. doi: 10.18502/ijph.v50i2.5338 - DOI - PMC - PubMed
    1. Kim J, Lee H, Park M, Kwon N. A System Dynamics Approach for Modeling Cognitive Process of Construction Workers’Unsafe Behaviors. Korean Journal of Construction Engineering and Management. 2017;18(2):38–48. doi: 10.6106/KJCEM.2017.18.2.038 - DOI