Learning from Error: The influence of error incident characteristics

This study investigates the influence of error incident characteristics on organizational learning among operators in the chemical process industry. The study asks operators to describe recently occurred error incidents at time 0 (n = 87), followed up by measurements for learning 6 weeks later (n = 48). Organizations learn more from error incidents with more severe consequences. Severity of consequences relates positively to learning. When consequences are more severe, communication about an error is higher. Communication is subsequently related to learning. Error incidents without imminent negative consequences, however, can also be a platform for learning. This research recommends attention towards the promotion of learning from conditions that do not necessarily encourage employees to learn.

[1]  M. Frese,et al.  Organizational error management culture and its impact on performance: a two-study replication. , 2005, The Journal of applied psychology.

[2]  R. Duncan.  MODIFICATIONS IN DECISION STRUCTURE IN ADAPTING TO THE ENVIRONMENT: SOME IMPLICATIONS FOR ORGANIZATIONAL LEARNING* , 1974 .

[3]  P. Duguid,et al.  Balancing act: how to capture knowledge without killing it. , 2000, Harvard business review.

[4]  Bert Arnold,et al.  User errors in human—computer interaction , 1988 .

[5]  B. Weiner.  An attributional theory of achievement motivation and emotion. , 1985, Psychological review.

[6]  Simon Reynolds,et al.  Learning from Disasters: A Management Approach , 1997 .

[7]  Jens Rasmussen,et al.  The Definition of Human Error and a Taxonomy for Technical System Design , 1987 .

[8]  K. Weick.  Organizational Culture as a Source of High Reliability , 1987 .

[9]  J. Ruiz Moreno.  [Organizational learning]. , 2001, Revista de enfermeria.

[10]  James G. March,et al.  Technological Innovation: Oversights and Foresights , 2008 .

[11]  Snejina Michailova,et al.  Diagnosing and Fighting Knowledge-Sharing Hostility , 2002 .

[12]  P. Goodman,et al.  Latent errors and adverse organizational consequences: a conceptualization , 2003 .

[13]  Gene I. Rochlin,et al.  Safe operation as a social construct , 1999 .

[14]  C. Dyck,et al.  Putting errors to good use : error management culture in organizations , 2000 .

[15]  J. Mathieu,et al.  The influence of shared mental models on team process and performance. , 2000, The Journal of applied psychology.

[16]  M. Frese,et al.  INTEGRATING ERRORS INTO THE TRAINING PROCESS: THE FUNCTION OF ERROR MANAGEMENT INSTRUCTIONS AND THE ROLE OF GOAL ORIENTATION , 2003 .

[17]  Rita Gunther McGrath.  Falling Forward: Real Options Reasoning and Entrepreneurial Failure , 1999 .

[18]  R. Daft,et al.  Toward a Model of Organizations as Interpretation Systems , 1984 .

[19]  Robert E Windom,et al.  Time... and time again. , 1986, Public health reports.

[20]  D. Norman,et al.  New technology and human error , 1989 .

[21]  A. Edmondson,et al.  Failing to Learn and Learning to Fail (Intelligently): How Great Organizations Put Failure to Work to Innovate and Improve , 2005 .

[22]  J. Shaoul.  Human Error , 1973, Nature.

[23]  Dan Zakay,et al.  Outcome value and early warning indications as determinants of willingness to learn from experience. , 2004, Experimental psychology.

[24]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[25]  A. Edmondson.  Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection and Correction of Human Error , 1996 .

[26]  Danny Miller,et al.  Momentum and Revolution in Organizational Adaptation , 1980 .

[27]  J. Carroll.  Organizational Learning Activities in High‐hazard Industries: The Logics Underlying Self‐Analysis , 1998 .

[28]  Edward McAuley,et al.  Measuring Causal Attributions: The Revised Causal Dimension Scale (CDSII) , 1992 .

[29]  Daniel H. Kim.  The Link between individual and organizational learning , 1997 .

[30]  B. Weiner.  An attributional theory of motivation and emotion , 1986 .

[31]  Victor J. Friedman,et al.  A Multifacet Model of Organizational Learning , 2002 .

[32]  M. Shubik,et al.  A Behavioral Theory of the Firm. , 1964 .

[33]  Jens Rasmussen,et al.  Risk management in a dynamic society: a modelling problem , 1997 .

[34]  S. Sitkin.  Learning Through Failure : The Strategy of Small Losses , 1992 .

[35]  Raghu Garud,et al.  Technological innovation: Technological choices and the inevitability of errors , 1997 .

[36]  Kristopher J Preacher,et al.  SPSS and SAS procedures for estimating indirect effects in simple mediation models , 2004, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[37]  Shelley E. Taylor,et al.  Illusion and well-being: a social psychological perspective on mental health. , 1988, Psychological bulletin.

[38]  C. Dyck.  Mastering the dual challenges of errors: Risk and uncertainty as contingencies for control and learning , 2009 .

[39]  C. Nordstrom,et al.  Learning from Our Mistakes: Error Management Training for Mature Learners , 2003 .

[40]  Robert F. Hartley.  Management Mistakes and Successes , 1991 .

[41]  G. J. Homsma,et al.  Overcoming Errors: A Closer Look at the Attributional Mechanism , 2007 .

[42]  E. Johnsen.  Richard M. Cyert & James G. March, A Behavioral Theory of The Firm, Prentice-Hall, Inc., Englewood Cliffs, New Jersey, 1963, 332 s. , 1964 .

[43]  T. Birkland.  Learning and Policy Improvement After Disaster , 2004 .

[44]  Philippe Baumard,et al.  Learning from Failures: Why it May Not Happen , 2005 .

[45]  野中 郁次郎,et al.  The Knowledge-Creating Company: How , 1995 .