Abstract
Patient safety remains a core concern in healthcare systems worldwide. While technological innovations and clinical protocols are indispensable, the role of leadership in shaping safety culture has garnered increasing attention. Supportive leadership, a style emphasizing psychological safety, open communication, and empowerment, has emerged as a crucial determinant of safety outcomes. This narrative review synthesizes current evidence, theoretical frameworks, and lived experience to explore how supportive leadership contributes to patient safety. We argue that fostering supportive leadership at all organizational levels, and across professional roles, can lead to improved incident reporting, inter-professional collaboration, and systemic learning, ultimately reducing preventable harm and creating resilient health systems. Furthermore, we discuss how supportive leadership must also encompass cultural transformation, inclusive decision-making, and empowerment of not only healthcare professionals but also administrative staff, assistants, and security personnel who collectively form the frontline of patient care.