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
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: |
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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: |
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URI: | http://kups.ub.uni-koeln.de/id/eprint/33144 |
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