[Leadership influence on safety in cancer care]

Safety in health care is permanently influenced by national and local policies. Since twenty years, number of methodologies and tools inspired from industry, have been implemented to reduce adverse events. Those tools managed to reduce adverse event impact but errors still occur on hospitals and they are difficult to contain. Given the low evolution of the results regarding patient care safety, it seemed important to question other dimensions such as leadership in safety even if the meaning of the word "leadership" is still unknown in almost all hospital organizations. This research analyses the bibliography to identify useful leadership for patient care safety. In order to improve safety results in healthcare, the perception of patient care safety and leadership were studied by using a specifically amended safety culture survey amended. Results prove that the level of leadership employed influences the caregiver's safety perception. Furthermore, the most effective leadership is not the one currently used in hospitals, but rather a leadership with liberated characteristics. Finally, proposals are made to change the leadership characteristics used with the view to improve safety perception of caregiver's.