A Review of Empirical Studies Investigating Antecedents and Consequences of Collective Learning Behaviors in Hospitals
Keywords:
organizational learning, team learning, collective learning, hospitals, systematic reviewAbstract
This study is a systematic review of the field research conducted in medical settings investigating collective learning behaviors. The review was driven by several research foci. Our main interest was in identifying antecedents and consequences of collective learning in hospitals. We also report results on the types of research questions addressed, research designs used, and types of medical teams investigated. Twelve studies met our inclusion criteria. Our findings revealed that highly contextualized studies that use different ways of measuring learning, different ways of conceptualizing medical teams, and different research methodologies, discuss similar antecedents. Variables like leadership behaviors, unit interpersonal climate, and hierarchical position were found to play a role in explaining organizational learning in hospitals across studies. We also found that despite an intense public discourse on the link between collective learning processes and patients’ safety and medical organizations’ performance, few studies actually report empirical data supporting this relationship.
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References
An organization with a memory. Report of an expert group on learning from adverse events in the National Health Service (2000). Department of Health, London. Available at: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4065086.pdf
Anderson, C., Galinsky, A.D. (2006). Power, optimism, and risk-taking. European Journal of Social Psychology, 36(4): 511-536.
Anderson, C., Srivastava, S., Beer, J., Spataro, S.E., & Chatman, J.A. (2006). Knowing your place: Selfperceptions of status in social groups. Journal of Personality and Social Psychology, 91(6): 1094-1110.
Anderson, N., & West, M. (1994). The Team Climate Inventory. Windsor, UK: Berks ASE.
Argote, L., Miron-Spektor, E. (2011). Organizational Learning: From Experience to Knowledge. Organization Science, 22(5):1123-1137.
Argyris, C. (1982). The executive mind and double loop learning. Organizational Dynamics, 11(2):5-22.
Argyris, C. (2000). On Organizational Learning (2nd Edition). Malden, MA: Blackwell.
Aspden, P., Corrigan, J.M., Wolcott, J., & Erikson, S.M. (2004). Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press.
Aspden, P., Wolcott, J., Bootman, J.L., & Cronenwett, L.R. (2006). Preventing Medication Errors: Quality Chasm Series (1st edition). Washington, DC: The National Academies Press.
Cannon, M., & Edmondson, A.C. (2001) Confronting Failure: Antecedents and Consequences of Shared Beliefs About Failure in Organizational Work Groups. Journal of Organizational Behavior, 22 (2): 161-177.
Carayon, P. & Gurses, A. P. (2005). Nursing workload and patient safety in intensive care units: a human factors engineering evaluation of the literature. Intensive Critical Care Nursing, 21(5), 284-301.
Carmeli, A. & Gittell, J.H. (2009). High-quality relationships, psychological safety, and learning from failures in work organizations. Journal of Organizational Behavior, 30(6):709-729.
Carroll, J.S., & Edmondson, A.C. (2002). Leading organizational learning in health care. Quality in Health Care, 11(1):51-56.
Cha, S., & Edmondson A. C. (2006). How Values Backfire: Leadership, Attribution and Disenchantment in a Values-Driven Organization. Leadership Quarterly, 17(1), 57-78.
Chan, D. (1998). Functional relations among constructs in the same content domain at different levels of analysis: A typology of composition models. The Journal of Applied Psychology, 83(2): 234-246.
Cohen, M.R. (2000). Why error reporting systems should be voluntary. British Medical Journal, 320(7237): 728 - 729.
Collins, M.E., Block, S.D., Arnold, R.M., & Christakis, N.A. (2009). On the prospects for a blame-free medical culture. Social Science and Medicine. 69(9): 1287-90.
Conry, M.C., Humphries, N., Morgan, K., McGowan, Y., Montgomery, A., Vedhara, K., Panagopoulu, E., &McGee, H. (2012). A 10 year (2000-2010) systematic review of interventions to improve quality of care in hospitals. BMC Health Services Research, 12:275.
Drach-Zahavy, A., Pud, D. (2010). Learning mechanisms to limit medication administration errors. Journal of Advanced Nursuring, 66(4): 794-805.
Denis, D. (2012). Multigroup Analyses Using AMOS with Pairwise Comparisons of Path Coefficients. Data & Decision Lab, Department of Psychology, University of Montana. [http://psychweb.psy.umt.edu/denis/datadecision/front/index.html] - retrieved on September 25, 2012.
Detert, J. R., & Edmondson, A. C. (2006). Everyday failures in organizational learning: Explaining the high threshold for speaking up at work. Harvard Business School Working Papers 06-024. Retrieved October 31st, 2012.
Druskat, V.U., Kayes, D.C. (2000). Learning versus Performance in Short-Term Project Teams. Small Group Research, 31(3): 328-353.
Edmondson, A.C. (1996). Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Journal of Applied Behavioral Science, 32(5), 5-28.
Edmondson, A.C. (1999). Psychological Safety and Learning Behavior in Work Teams. Administrative Science Quarterly, 44(2): 350-383.
Edmondson, A. C. (2002). The local and variegated nature of learning in organizations: A group-level perspective. Organization Science, 13(2), 128-146.
Edmondson, A.C. (2003). Speaking Up in the Operating Room: How Team Leaders Promote Learning in Interdisciplinary Action Teams. Journal of Management Studies, 40(6):1419-1452.
Edmondson, A. C. (2004a). Psychological Safety, Trust and Learning: A Group-level Lens. In Kramer, R. & Cook, K. (Eds.) Trust and Distrust in Organizations: Dilemmas and Approaches, (239-272). New York: Russell Sage.
Edmondson, A. C. (2004b). Learning from Failure in Health Care: Frequent Opportunities, Pervasive Barriers. Quality and Safety in Health Care, 13(6): 3-9.
Edmondson, A. C., & Moingeon, B. (1998). From Organizational Learning to the Learning Organization. Management Learning, 29(1): 5-20.
Edmondson, A.C., Bohmer, R.M., & Pisano, G.P. (2001). Disrupted Routines: Team Learning and New Technology Implementation Hospitals. Administrative Science Quarterly, 46(4):685-716.
Edmondson, A.C. & McManus, S.E. (2007). Methodological Fit in Management Field Research. Academy of Management, 32(4): 1155-1179.
Edmondson, A.C., J.R. Dillon, & K.S. Roloff (2007). Three perspectives on team learning: Outcome improvement, task mastery, and group process. In A. Brief & J. Walsh (Eds.), The Academy of Management Annals, 1:269-314.
Edwards, N (2012). Improving Hospitals and Healthcare Delivery Systems. A report on the priorities for strengthening the hospital and health care delivery systems in the WHO European Region. World Health Organization. Expert Group on Learning from Adverse Events in the NHS (2000). An organisation with a memory. London: Stationery Office.
Fiol, C.M. & Lyles, M.A. (1985). Organizational Learning. Academy of Management Review, 10(4):803-813.
Firth-Cozens, J. (2001). Cultures for improving patient safety through learning: the role of teamwork. Quality in Health Care, 10(2): 26 - 31.
Gibson, C. B., & Vermeulen, F. (2003). A healthy divide: Subgroups as a stimulus for team learning. Administrative Science Quarterly, 48(2): 202-239.
Hirak, R. Peng, A. C., Carmeli, A., & Schaubroeck, J. M. (2012). Linking leader inclusiveness to work unit performance: The importance of psychological safety and learning from failures. The Leadership Quarterly, 23(1):107-117.
House, R., Rousseau, D.M., & Thomas-Hunt, M. (1995). The meso paradigm: A framework for the integration of micro and macro organizational behavior. Research in Organizational Behavior, 17:71-114.
Huber, G.P. (1991). Organizational Learning: The Contributing Processes and the Literatures. Organization Science, 2(1): 88-115.
Iedema, R., Allen, S., Sorensen, R., & Gallagher, T.H. (2011). What prevents incident disclosure, and what can be done to promote it? Joint Commission journal on quality and patient safety, 37(9):409-17.
Iedema, R., Jorm, C.M., Braithwaite, J., Travaglia, J., & Lum, M. (2006). A Root Cause Analysis of clinical error: Confronting the disjunction between formal rules and situated practice. Social Science & Medicine, 63(5):1201-1212.
Kayes, D.C. & Burnett, G. (2006). Team Learning in Organizations: A Review and Integration. Submitted to OLKC Conference at the University of Warwick, Coventry.
Kish Gephart, J., Detert, J. R., Trevino, L.K., & Edmondson, A, C. (2009). Silenced by Fear: The Nature, Sources, and Consequences of Fear at Work. Research in Organizational Behavior, 29: 163-193.
Knapp, R. (2010). Collective (Team) Learning Process Models: A Conceptual Review. Human Resource Development Review, 9(3):285-299.
Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (2000). To Err Is Human: Building a Safer Health System. Washington: National Academy Press.
Kostopoulos, K. C., & Bozionelos, N. (2011). Team exploratory and exploitative learning: Psychological safety, task conflict, and team performance. Group and Organization Management, 36(3), 385-415.
Kozlowski, S. W. J., Chao, G. T., & Jensen, J. M. (2010). Building an infrastructure for organizational learning: A multilevel approach. In S. W. J. Kozlowski & E. Salas (Eds.), Learning, training, and development in organizations (pp. 363-403) (SIOP Frontiers Series). New York: Taylor & Francis Group.
Leape, L.L. (1994). Error in medicine. Journal of the American Medical Association, 272(23):1851-7.
Leape, L.L. (2002). Striving for Perfection. Clinical Chemistry, 48(11):1871-1872.
Leape, L.L. (2006). Full disclosure and apology - an idea whose time has come. Physician Executive Journal, 32(2): 16 - 8.
Leape, L.L., Berwick, D., Clancy, C., Conway, J., Gluck, P., Guest, J., Lawrence, D., Morath, J., O’Leary, D., O’Neill, P., Pinakiewicz, D., & Isaac, T. (2009). Transforming healthcare: A safety imperative. Quality and Safety in Health Care, 18(6): 424-428.
Levitt, B. & March, J.G. (1988). Organizational Learning. Annual Review of Sociology, 14:319-340.
Lipshitz, R., & Popper, M. (2000). Organizational learning in a hospital. Journal of Applied Behavioral Science, 36 (3): 345-361.
Mahajan, R.P. (2010). Critical incident reporting and learning. British Journal of Anaesthesia, 105(1): 69 - 75.
Nembhard, I.M. & Edmondson, A.C. (2006). Making It Safe: The Effects of Leader Inclusiveness and Professional Status on Psychological Safety and Improvement Efforts in Health Care Teams. Journal of Organizational Behavior, 27(7): 941-966.
Pettigrew, M. & Roberts, H. (2006). Systematic reviews in the social sciences: a practical guide. Malden, MA: Blackwell.
Pisano, G.P., Bohmer, R.M.J., & Edmondson, A.C. (2001). Organizational Differences in Rates of Learning: Evidence from the Adoption of Minimally Invasive Cardiac Surgery. Management Science, 47(6):752-768.
Post, C. (2012). Deep-Level Team Composition and Innovation The Mediating Roles of Psychological Safety and Cooperative Learning. Group Organization Management, 37(5): 555-588.
Reeves, S., Rice, K., Gotlib Conn, L., Miller, K. L., Kenaszchuk, C., & Zwarenstein, M. (2009). Interprofessional interaction, negotiation and non-negotiation on general internal medicine wards. Journal of Interprofessional Care; 23(6): 633-645.
Rosen, M. A., Salas, E., Wilson, K.A., King, H.B., Salisbury, M.L., Augenstein, J.S., Robinson, D.W., & Birnbach, D.J. (2008). Measuring team performance in simulation-based training: adopting best practices for healthcare. Simulation in Healthcare, 3(1): 33-41.
Salas, E., Rosen, M. A., & King, H. (2007). Managing teams managing crisis: Principles of teamwork to improve patient safety in the emergency room and beyond. Theoretical Issues in Ergonomics Science, 8(5): 381-94.
Senge, P.M. (1994). The Fifth Discipline: The Art and Practice of the Learning Organization. Knopf Doubleday Publishing Group.
Singer, S.J. & Edmondson, A.C. (2008). When Learning and Performance are at Odds: Confronting the Tension, in Learning and Performance Matter, Kumar, P. & Ramsey, P., eds., (New Jersey: World Scientific Books) (also available as HBS Working Paper No. 07-032).
Sole, D., & Edmondson, A. (2002). Situated knowledge and learning in dispersed teams. British Journal of Management, 13(S2):17-34.
Tucker, A., & Edmondson, A. (2003). Why hospitals don’t learn from failures: Organizational and psychological dynamics that inhibit system change. California Management Review, 45(2):1-18.
Tucker, A., Edmondson, A., & Spear, S. (2002). When problem solving prevents organizational learning. Journal of Organizational Change Management, 15(2):122-137.
Tucker, A.L. (2007). An Empirical Study of System Improvement by Frontline Employees in Hospital Units. Manufacturing and Service Operations Management, 9(4):492-505.
Tucker, A.L., Nembhard, I.M., & Edmondson, A.C. (2007). Implementing New Practices: An Empirical Study of Organizational Learning in Hospital Intensive Care Units. Management Science, 53(6):894-907.
Van Der Vegt, G. S., & Bunderson, J. S. (2005). Learning and Performance in Multidisciplinary Teams: The Importance of Collective Team Identification. Academy of Management Journal, 48(3), 532-549.
Van Mierlo, H., Vermunt, J.K., & Rutte, C.G. (2009). Composing group-level constructs from individual-level survey data. Organizational Research Methods, 12(2): 368-392.
Van Veldhoven, M., Meijman, T., Broersen, J., & Fortuin, R. (2002). Handleiding VBBA [Manual QEEW]. Amsterdam: SKB.
Waring, J.J. (2005). Patient safety: new directions in the management of health service quality. Policy & Politics, 33(4): 675-692.
Waring, J.J., Harrison, S.R., & McDonald, E.R. (2007). A culture of safety or coping? Ritualistic behaviours in the operating theatre. Journal of Health Services Research and Policy, 12, 3-9.
Wong, S. (2004). Distal and local group learning: Performance trade-offs and tensions. Organization Science, 15(6), 645-656.
Wong, A.S.H., Tjosvold, D. & Lu J.F. (2010). Leadership Values for Learning: The Mediating Role of Psychological Safety. Asia Pacific Journal of Human Resources, 48(1):86 -107.
Wood, B. & Killion, J.B. (2007). Burnout among healthcare professionals. Radiology Management 29(6): 30-34.
Woodward, S., Randall, S., Hoey, A. & Bishop, R. (2004). Seven steps to patient safety. The full reference guide (2nd print). National Patient Safety Agency.
World Health Organization (2011). IBEAS: a pioneer study on patient safety in Latin America. Towards safer hospital care. WHO Document Production Services, Geneva, Switzerland.
World Health Organization (2012). World Alliance for Patient Safety. Available at http://www.who.int/patientsafety/worldalliance/en/ - retrieved on 20 September 2012.
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