TY - CHAP AB - Research suggests that improving hospital work environments and solving the nursing shortage are critical to improving patient care. The Houston–Galveston region created an aggressive approach to this issue by forming an unusual coalition of business, university, and hospital leaders and using a quality improvement approach. Four years later, the project has achieved over 40% participation among hospitals in the 13-county region and includes 50 hospitals employing approximately 15,000 registered nurses. The data that have been collected by this collaborative to date suggests that hospitals are taking action to improve outcomes by modifying their key initiatives to address the attributed causes of poor work environments. From 2004 to 2005, executives of top performing hospitals increasingly attributed successful work environment outcomes to an emphasis on management development and executive-driven initiatives, de-emphasizing specific employee behavior, process, and outcome-based initiatives. VL - 7 SN - 978-1-84663-955-5, 978-1-84663-954-8/1474-8231 DO - 10.1016/S1474-8231(08)07007-9 UR - https://doi.org/10.1016/S1474-8231(08)07007-9 AU - Batten Donde AU - Goodman Gerald AU - Distefano Susan M. ED - Grant T. Savage ED - Eric W. Ford PY - 2008 Y1 - 2008/01/01 TI - Protecting the patient: Collaborating to achieve the ideal hospital work environment T2 - Patient Safety and Health Care Management T3 - Advances in Health Care Management PB - Emerald Group Publishing Limited SP - 149 EP - 161 Y2 - 2024/04/27 ER -