The article emphazies the problems in an organizational learning process when it is implemented as a management strategy in a hospital. The strategy has to do with patient safety and adverse events. The core issues of the article are single-loop learning, double-loop learning and second order learning (Argyris & Schön), as well as various scientifically theoretical ways of regarding learning, dualism versus dialectics in particular. The article concludes that learning regarded as double-loop learning cannot be provided by a management strategy.