Microsystem characteristics such as hospital culture and safety climate may play a larger role than macrosystem factors in improving a hospital's ability to manage postoperative complications.
Macrosystem factors explain little FTR variability between hospitals; leaves open a larger role for microsystem characteristics.
Although several hospital characteristics are associated with lower failure to rescue rates, these macrosystem factors explain a small proportion of the variability between hospitals. This suggests that microsystem characteristics, such as hospital culture and safety climate, may play a larger role in improving a hospital's ability to manage postoperative complications.
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Sheetz et al. (2015) studied this question.
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