Leadership responsibilities

A detailed process for the efficient and effective distribution of all types of resources, including supplemental personnel, equipment, and supplies among multiple organizations and the establishment of a security perimeter around a disaster site should also be included in the plan. Leadership responsibilities and coordination of all rescue efforts (across territories and jurisdictions) should be worked out in advance of any event. 

Anthony J. Trill joined the Medicines Inspectorate in 1984 and since 1988 has had a leadership responsibility for MHRA GMP standards and inspection guidance relating to computerized systems. He also carries out routine regional GMP inspection work, both in the U.K. and abroad. Before joining the MHRA, he worked for more than 18 years for three multinational pharmaceutical companies in R D, new product and process development, production, QA, and technical services... 

Gentry, W. A, Booysen, L., Hannum, K, Weber, T. (2010). Leadership responses to a conflict of gender-based tension A comparison of responses between men and women in the U.S. and South Africa. International Journal of Cross Cultural Management, 10, 285-301. 

Consider the range of leadership responsibilities in a maternity unit. Maternity services are organized in different ways in different countries. In Britain, Canada and other countries, normal births are managed by midwives with obstetricians managing complex births and associated medical problems. The leadership roles in this context include ... 

Clearly leadership is very widely distributed in organizations, and not just confined to those in senior positions. Almost everyone in healthcare has some leadership responsibilities. 

Whereas just war theory has been regarded historically as being directed at only the very highest levels of political and military leadership, responsibility is increasingly being devolved to lower levels politicians in general, civil servants, officers and ordinary service people . 

The Swiss Cheese Model of Accident Causation is a prerequisite for understanding the dynamics of the emerging risk and organizational defenses that are necessary to improve safety. Figure 4.2 illustrates the model, using its metaphor, a wedge of Swiss cheese. The model was described in detail in Chapter Three here, a metaphorical exploration of the model amplifies its implications for accepting leadership responsibility. 

Language shapes culture, and a safety culture requires thoughtful and deliberate use of a new vocabulary. Leadership responsibility includes redefining how we talk about safety. Consider how the following terms and phrases, and the ideas they represent, frame safety differently and how terminology can be used deliberately to build a new vocabulary for leadership and management (Minnesota Hospital and Healthcare Partnership and Minnesota Medical Association, 2000) ... 

While management has leadership responsibilities for safety, so too do employees. As the standard indicates, Employees shall assume responsibility for aspects of health and safety over which they have control. ... 

There are two types of leaders those who lead by coercion and those who lead by example. The question that arises is, Which is the right type of leadership It scans that there are occasions where leadership by power is appropriate (or the only way), but this type of leadership seems more appropriate, for example, in the military. Please keep in mind that power does not, in itself, have to be bad. Many people who have leadership responsibility use power in a responsible manner to help others. Many good leaders nse their leadership position and power not as a divisive tool, but to help people get things done. 

Some people already have sufficient self-efficacy, personal control, and optimism when assigned leadership responsibilities. As discussed in Chapter 15, they feel empowered ("1 can make a difference"). Still, these individuals may need some basic training in communication, social recognition, and behavior-change principles. Others may lack one or more of the three person states that facilitate feelings of empowerment. So, in addition to education and training, they need a support system to build their sense of self-efficacy, personal control, and optimism. 

The research literature has classified leadership style (the second ring in the Safety Leadership Model) in a number of ways. In recent years, the various dimensions and models have coalesced into two basic styles transformational leadership and transactional leadership. (A third type, laissez-faire leadership, is also mentioned, but it amounts to an abdication of leadership responsibility and is thus not desirable to safety leadership.) There is increasing evidence that transformational and transactional leadership are not mutually exclusive, but that different situations call for different styles. Great leaders are adept at using the mix that is appropriate to a given situation. ... 

Management commitment and leadership responsibility for safety. The responsibility for safety and the BBS process is led by management with a shared involvement from knowledgeable employees. All levels of the organization are involved in an effective BBS process. 

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