Abstract
Based on the concept of human factors and a presumed fallible human nature, the patient safety programme promotes an understanding of learning as systems learning and systems knowledge supported by theories on ‘the learning organization’. Through an analysis of a critical incident, Pedersen illustrates the limits of systems learning by describing how crucial intuitions and hunches of the health professionals were overruled during the incident as well as in the subsequent root cause analysis process. With reference to John Dewey’s Human Nature and Conduct (1922), where learning is understood as the formation of intelligent habits, Pedersen presents an alternative to systemic learning theories that re-establishes experience-based habits and intuitions as vital in safety critical learning situations.
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Pedersen, K.Z. (2018). Learning in Patient Safety. In: Organizing Patient Safety. Health, Technology and Society. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-53786-7_6
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DOI: https://doi.org/10.1057/978-1-137-53786-7_6
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