Universität zu Köln

Pfaff, Holger ORCID: 0000-0001-9154-6575 and Braithwaite, Jeffrey ORCID: 0000-0003-0296-4957 (2020). A Parsonian Approach to Patient Safety: Transformational Leadership and Social Capital as Preconditions for Clinical Risk Management-the GI Factor. Int. J. Environ. Res. Public Health, 17 (11). BASEL: MDPI. ISSN 1660-4601

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Abstract

The purpose of this study is to investigate the role of the combination of transformational leadership and social capital in safety capacity building. Drawing on the A-G-I-L concept of Talcott Parsons, we test a model for patient safety. The hypothesis is, that good safety management needs a combination of goal attainment (G) and integration (I), here called the GI factor. We tested this hypothesis by using transformational leadership as a surrogate for goal attainment and social capital as a surrogate for integration in a study of the perceptions of chief medical officers in 551 German hospitals. We conducted a cross-sectional hospital survey combined with secondary data analysis in all German hospitals with at least one internal medicine unit and one surgery unit (N = 1224 hospitals) in the year 2008 with a response rate of 45% (N = 551). The regression model explained 17.9% of the variance in perceived clinical risk management. We found that if both requirements for goal-oriented collective action-transformational leadership and social capital-are met, good safety management is more likely. The tentative conclusion is that it takes transformative leaders and cohesive followers together as a social basis to improve safety in hospitals.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Braithwaite, Jeffrey UNSPECIFIED orcid.org/0000-0003-0296-4957 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-331440
DOI:	10.3390/ijerph17113989
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	17
Number:	11
Date:	2020
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY IMPROVEMENT; HOSPITALS; CARE; IMPLEMENTATION; COORDINATION; ORGANIZATIONS; METAANALYSIS; ANTECEDENTS; CLIMATE; CULTURE Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33144