Organizational learning from near-miss events in healthcare settings and the role of emotional culture in medical groups | |
| Author | Huynh Bao Tuan |
| Call Number | AIT Diss. no.DBA-SOM-25-11 |
| Subject(s) | Organizational learning Medical personnel--Emotions--Social aspects |
| Note | A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Business Administration |
| Publisher | Asian Institute of Technology |
| Abstract | Near misses are recognized as valuable for organizational learning, yet their underlying mechanisms remain unclear. Although emotional culture is a major research focus, its impact on learning from near misses is still underexplored.This study employs Kawakita Jiro’s data analysis method within a social constructionist framework, utilizing seven focus group discussions with healthcare professionals from three Vietnamese hospitals. The findings reveal that overlooked near misses serve as critical opportunities for organizational learning. This learning process can be conceptualized through a four-stage cyclical model. The terms Compassion, Evidence, Discovery, and Attempt were coined to reflect the distinct roles of each stage in the progression of learning from near misses.The study identifies that compassion toward patients and evidence-based practice serve as key drivers for discovering insights from near misses and fostering proactive efforts to prevent adverse incidents. Furthermore, collective emotions such as near-miss anxiety, defensive apathy to manage near-miss anxiety, and compassion fatigue negatively influence the learning process.A workplace culture that promotes mindful communication and a strong belief in evidence plays a crucial role in alleviating compassion-related distress among healthcare professionals when encountering near misses. These two cultural attributes not only mitigate compassion fatigue—a common issue in healthcare settings—but also transform the discovery of new insights from near misses into a meaningful and valuable experience for healthcare workers.The study recommends that hospital managers focus on fostering compassion, cultivating a mindful working environment, and strengthening an evidence-based culture to enhance the learning process from near misses. Future research could apply compassion-driven learning to other healthcare contexts and high-risk industries like aviation and food safety. |
| Year | 2025 |
| Type | Dissertation |
| School | School of Management |
| Department | Other Field of Studies (No Department) |
| Academic Program/FoS | Doctor of Philosophy in Business Administration (Publication code = DBA-SM, SM) |
| Chairperson(s) | Vimolwan Yukongdi; |
| Examination Committee(s) | Kusakabe, Kyoko;Badir, Yuosre F.M.; |
| Degree | Thesis (Ph.D.) - Asian Institute of Technology, 2025 |