The link between the management of employees and patient mortality in acute hospitals

Michael A. West, Carol Borrill, Jeremy F. Dawson, Judy W. Scully, Matthew Carter, Stephen Anelay, Malcolm Patterson, Justin Waring

Research output: Contribution to journalArticlepeer-review


The relationship between human resource management practices and organizational performance (including quality of care in health-care organizations) is an important topic in the organizational sciences but little research has been conducted examining this relationship in hospital settings. Human resource (HR) directors from sixty-one acute hospitals in England (Hospital Trusts) completed questionnaires or interviews exploring HR practices and procedures. The interviews probed for information about the extensiveness and sophistication of appraisal for employees, the extent and sophistication of training for employees and the percentage of staff working in teams. Data on patient mortality were also gathered. The findings revealed strong associations between HR practices and patient mortality generally. The extent and sophistication of appraisal in the hospitals was particularly strongly related, but there were links too with the sophistication of training for staff, and also with the percentages of staff working in teams.
Original languageEnglish
Pages (from-to)1299-1310
Number of pages12
JournalInternational Journal of Human Resource Management
Issue number8
Publication statusPublished - 2002


  • human resource management
  • hospitals
  • mortality rates
  • appraisal
  • training
  • teams


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