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.

中文翻译：

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一种帕森森式的患者安全方法：变革型领导力和社会资本作为临床风险管理的前提-地理标志因素。

这项研究的目的是研究变革型领导和社会资本相结合在安全能力建设中的作用。基于Talcott Parsons的AGIL概念，我们测试了患者安全模型。假设是，良好的安全管理需要目标达成（G）和集成（I）的结合，这里称为GI因素。我们通过对551家德国医院的首席医疗官的看法进行研究，使用转型领导力作为实现目标的替代指标和社会资本作为融合的替代指标来检验该假设。我们在所有拥有至少一个内科和一个外科病房的医院中进行了横断面医院调查，并结合二级数据分析（N= 2008年有1224家医院），回应率为45％（N = 551）。回归模型解释了临床风险管理中17.9％的方差。我们发现，如果同时满足以目标为导向的集体行动的要求-变革型领导力和社会资本-则良好的安全管理就更有可能。初步结论是，它将变革型领导者和凝聚力追随者共同作为提高医院安全性的社会基础。