Universität zu Köln

Hillen, Hendrik, Pfaff, Holger ORCID: 0000-0001-9154-6575 and Hammer, Antje (2017). The association between transformational leadership in German hospitals and the frequency of events reported as perceived by medical directors. J. Risk Res., 20 (4). S. 499 - 516. ABINGDON: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. ISSN 1466-4461

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Abstract

This paper aimed to evaluate how transformational leadership behaviour is associated with patient safety culture in a hospital context. In line with findings from other high-hazard industries, we predicted that in hospitals, executives' perceived emphasis on transformational behaviour would positively influence the frequency of events reported by staff on the front line of service provision. Our hypothesis was confirmed by fitting a multivariable regression model to a sample of 507 medical directors of German acute-care hospitals. Results revealed transformational leadership in hospitals was a significant predictor of the reporting frequency of safety events, as perceived by medical directors. Our findings highlighted the critical role that executive behaviour plays in staff participation in patient safety initiatives. Preventing patients from unintended harm can then be traced back to the organisational level that is the farthest away from direct patient interaction. Consequently, these findings may provide guidance for hospitals aiming to raise employees' awareness of patient safety and prevent unintended patient harm prospectively.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hillen, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Hammer, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-246293
DOI:	10.1080/13669877.2015.1074935
Journal or Publication Title:	J. Risk Res.
Volume:	20
Number:	4
Page Range:	S. 499 - 516
Date:	2017
Publisher:	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1466-4461
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH-CARE ORGANIZATIONS; PATIENT SAFETY CULTURE; PROFESSIONAL COMMITMENT; PSYCHOMETRIC PROPERTIES; PHYSICIAN LEADERSHIP; HUMAN ERROR; CLIMATE; MANAGEMENT; ANTECEDENTS; OUTCOMES Multiple languages Social Sciences, Interdisciplinary Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/24629