Vindrola, C; Brummell, Z; Moonesinghe, R; (2022) What does 'learning' and 'organisational learning' mean in the context of patient safety? Protocol for a systematic hermeneutic conceptual review. UCL Division of Surgery and Interventional Science: London, UK.

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Abstract

Introduction: Learning is essential for improving patient safety and is often cited as necessary following a patient safety incident (PSI). Both individual and organisational learning are needed to enable improvements in health systems. However, there is no clear consensus on what ‘learning’ or ‘organisational learning’ actually means in the context of a PSI. Learning theories can be applied to healthcare in order to improve patient safety interventions. In this systematic hermeneutic conceptual review, we aim to define learning and organisational learning in the context of patient safety and to identify the theoretical approaches to learning and interventions utilised. / Methods and analysis: This review will be undertaken in two phases, utilising a systematic hermeneutic approach. Phase one will focus on ascertaining taxonomy domains through identification of the concept and theoretical frameworks of ‘learning’ and ‘organisational learning’ from the literature. These taxonomy domains and the World Health Organisation’s World Alliance for Patient Safety International Classification for Patient Safety will inform a thematic framework for phase two. Phase two will be a more detailed search and focus on learning and related applied interventions in the context of patient safety incidents utilising the thematic framework from phase one. Data will be analysed using framework method analysis. / Ethics and dissemination: This review does not require ethical approval. The results will be published in a peer-reviewed journal.

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