Assessing resilience potentials in management of occupational safety and health in hospitals: Development and validation of a tool

• A tool based on the Resilience Assessment Grid (RAG) was designed and validated. • A pilot test was conducted with 404 healthcare professionals across three public hospitals. • The tailored RAG proved to be a valid and reliable tool for assessing the resilience potentials of Occupational Safety and Health (OSH) systems in hospital settings. • The application of the tool provides valuable insights that can contribute to the development of targeted strategies to improve the resilient performance of OSH systems. A resilient Occupational Safety and Health (OSH) management system is crucial for effectively addressing potential future public emergencies, ensuring the continuous protection of workers' safety and health. Therefore, it is essential for organizations, particularly hospitals, to assess their resilient performance and employ tools that are appropriate and tailored to their specific context. This study aims to enhance the understanding of resilience potentials in OSH management within hospital settings. To this end, an assessment tool was developed based on the Resilience Assessment Grid (RAG). A Delphi study involving subject matter experts was conducted to refine the tailored RAG tool. Following this, a pilot test was administered to 404 healthcare professionals across three public hospitals, with subsequent psychometric analysis. Exploratory Factor Analysis (EFA) identified a four-dimensional structure. Goodness-of-fit indices demonstrated acceptable values, confirming the adequacy of the measurement model. Reliability testing indicated that the 29 item assessment tool is both valid and reliable. The tailored RAG tool was successfully validated, enabling the identification of strengths and weaknesses in OSH management.