title: Technology-Induced Errors and Adverse Event Reporting in an Organizational Learning Perspective.
abstract: This paper addresses the possibilities of evaluating technology-induced errors, through the utilization of experiences of the Danish adverse event reporting system. The learning loop in the adverse event reporting system is identified and analyzed, to examine which elements can be utilized to evaluate technologies. The empirical data was collected through interviews and a workshop with members of the nursing staff at a nursing home in Aalborg, Denmark. It was found that, the establishment of sustainable feedback learning loops depends on shared visions in the organization and how creating shared visions requires involvement and participation. Secondly, care workers must possess fundamental knowledge about the technologies available to them. Thirdly comprehensive classification of adverse events should be established to allow for a systematic and goal directed feed-back process.
authors.affiliation: Department of Development and Planning, Aalborg University, Denmark.
authors.forename: Line Dausel
authors.initials: LD
authors.lastname: Vinther
authors.affiliation: Department of Development and Planning, Aalborg University, Denmark.
authors.forename: Christian Møller
authors.initials: CM
authors.lastname: Jensen
authors.affiliation: Department of Development and Planning, Aalborg University, Denmark.
authors.forename: Ditte Meulengracht
authors.initials: DM
authors.lastname: Hjelmager
authors.affiliation: Department of Development and Planning, Aalborg University, Denmark.
authors.forename: Nicoline
authors.initials: N
authors.lastname: Lyhne
authors.affiliation: Department of Development and Planning, Aalborg University, Denmark.
authors.forename: Christian
authors.initials: C
authors.lastname: Nøhr
mesh_terms: D003718:Denmark; D005246:Feedback; D006282:Health Personnel; D006801:Humans; D007858:Learning; D019300:Medical Errors; D008490:Medical Informatics; D009735:Nursing Homes
keywords: Technology induced errors; adverse events; organizational learning