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Wissenskonversion und Behandlungsfehler im Krankenhaus (Knowledge Conversion and Medical Errors in Hospitals


  • Johannes Steyrer
  • Guido Strunk
  • Markus Latzke
  • Elisabeth Vetter


Rund jeder tausendste Krankenhauspatient stirbt aufgrund vermeidbarer unerwuenschter Ereignisse. Empirische Studien zeigen Zusammenhaenge zwischen der Sicherheitskultur in Krankenhaeusern und der Fehlerhaeufigkeit. Die bisherige Forschung weist allerdings Theoriedefizite auf. Unter Heranziehung des Konzeptes der Wissenskonversion nach Nonaka und Takeuchi (1995) wird versucht, einen theoretischen Bezugsrahmen fuer das Lernen aus Fehlern zu erarbeiten. Auf empirischer Basis wird eine Skala entwickelt, die unterschiedliche Profile der Wissenskonversion im Umgang mit Fehlern misst. Anhand einer 420 Probanden umfassenden Stichprobe aus 11 Abteilungen von sieben Krankenhaeusern gelingt der Nachweis, dass eine lernende Sicherheitskultur die Fehlerhaeufigkeit zu reduzieren imstande ist. Zudem zeigt sich, dass dem Prozess der Internalisierung der hoechste Stellenwert zukommt. (Approximately one in every thousand hospital patients dies because of preventable adverse events. Empirical findings show that safety culture is essential for improving the quality of health care. However, the research so far has theoretical deficits. Using Nonaka and Takeuchi’s (1995) concept of knowledge conversion, our paper develops a theoretical and empirical framework to show how people can learn from mistakes. On the basis of results of 420 probands from 11 departments in seven hospitals it was possible to prove that a learning safety culture does indeed reduce the frequency of errors. In addition, it reveals that the process of internalisation contributes most to this reduction.)

Suggested Citation

  • Johannes Steyrer & Guido Strunk & Markus Latzke & Elisabeth Vetter, 2010. "Wissenskonversion und Behandlungsfehler im Krankenhaus (Knowledge Conversion and Medical Errors in Hospitals," Zeitschrift fuer Personalforschung. German Journal of Research in Human Resource Management, Rainer Hampp Verlag, vol. 24(3), pages 266-289.
  • Handle: RePEc:rai:zfpers:doi_10.1688/1862-0000_zfp_2010_03_steyrer

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    adverse events; hospital; organisational learning; patient safety;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J81 - Labor and Demographic Economics - - Labor Standards - - - Working Conditions
    • M12 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Administration - - - Personnel Management; Executives; Executive Compensation
    • M50 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Personnel Economics - - - General


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