This study examines the impact of Health, Safety, and Welfare (HSW) practices on HRM effectiveness in public hospitals of Bidar district. It focuses on how employee well-being initiatives influence organizational performance and workforce efficiency. A structured questionnaire was used to collect data from 50 respondents. The study applies statistical tools such as mean, standard deviation, correlation, and regression analysis. The results indicate a positive and significant relationship between HSW practices and HRM effectiveness. Safety measures and welfare facilities were found to improve employee satisfaction and productivity. Employee perception emerged as a key mediating factor influencing outcomes. The findings highlight the importance of a safe and supportive work environment in healthcare institutions. Strengthening preventive healthcare measures and institutional safety systems is recommended. The study concludes that effective HSW practices enhance HRM efficiency and overall organizational performance.