Background: Effective administrative decision-making plays a pivotal role in shaping the patient safety culture within healthcare institutions. Understanding the multifaceted impact of administrative decisions is imperative for fostering a culture of safety and quality care. Against this backdrop, this study aimed to scrutinize the influence of administrative decision-making on patient safety culture within the premises of Jinnah Hospital, Lahore, during the period of June 2022 to May 2023.

Aim: The primary objective of this study was to conduct a comprehensive analysis of the impact of administrative decision-making on various dimensions of patient safety culture.

Methods: A mixed-methods approach was adopted for data collection and analysis. The study population comprised 120 individuals from diverse healthcare roles within Jinnah Hospital. Quantitative data were collected through structured surveys, while qualitative insights were gathered through semi-structured interviews. Statistical analyses, including regression modeling were employed to explore the relationship between administrative decision-making and patient safety culture. Cronbach’s Alpha was used to check the reliability of tool.

Results: The findings revealed a significant association between administrative decision-making processes and multiple facets of patient safety culture (P<0.05). Notably, transparent and inclusive decision-making practices were correlated with commitment to patient safety protocols (r = 0.67, p<0.001). Administrative decisions, organizational culture, and specific initiatives had a significant impact on patient safety culture in Jinnah Hospital. Regression analysis revealed that hospital's organizational culture and decision-making processes had impact on patient safety culture (p < 0.05). Organizational culture was found to be the most critical factor linked with Administrative Decision-Making (p <0.001). Conversely, instances of top-down decision-making were associated with decreased trust among healthcare professionals and suboptimal adherence to safety guidelines that were strongly negatively linked with administrative Decision making process with the r value (-0.47) and p <0.05.

Conclusion: This study underscores the critical role of administrative decision-making in shaping the patient safety culture within healthcare settings. By fostering transparency, inclusivity, and collaboration in decision-making processes, healthcare administrators can cultivate a culture that prioritizes patient safety and enhances overall quality of care. These insights can inform targeted interventions aimed at improving organizational policies and practices to bolster patient safety initiatives.

Keywords: Administrative decision-making, Patient safety culture, Healthcare management, Organizational behavior, mixed methods, Jinnah Hospital, Lahore.