Towards safer healthcare: qualitative insights from a process view of organisational learning from failure.

ABSTRACT:

Objectives

This study adopted a process view of organisational learning to investigate the barriers to effective organisational learning from medical errors.

Methods

Qualitative data were collected from 40 clinicians in high and low performing hospitals. The fit between the organisational learning process and socio-technical factors was investigated systematically from a pre-reporting stage to reporting and post-reporting stages.

Results

The analysis uncovered that the major stumbling blocks to active learning lie largely in the post-reporting stages and that they are rooted in social rather than technical issues. Although the experience of the higher-performing hospital provides valuable pointers in terms of creating more trusting environment and using the potential

SUBMITTER: Monazam Tabrizi N 

PROVIDER: S-EPMC8356161 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature