The definitions of ‘negative knowledge’ and the studies in this regard published to date have not considered the categorial distinction Wittgenstein established between knowledge and certainty. Hence, the important role that certainty, despite its omission, should have in these definitions and studies has not yet been shown. In this article, I contrast the term ‘negative certainty’ with that of ‘negative knowledge’ in order to clarify this concept by describing its significant differences with the first. To characterize negative certainty, I base (...) upon two criteria: on the one hand, negative certainty cannot be directly excluded by a positive certainty, and on the other hand, negative certainty must have an obvious and practical usefulness in which its negative nature is clearly appreciated. To illustrate the use of these two criteria, I describe four examples of negative certainty, paying special attention to their educational implications as well as the contrast between negative certainty and negative knowledge. (shrink)

Purpose. The purpose of this study is to investigate how professionals learn from varying experiences with errors in health-care digitalization and develop and use negative knowledge and digital ignorance in efforts to improve digitalized health care. Design/methodology/approach. A two-year qualitative field study was conducted in the context of a public health-care organization working with digital patient communication. The data consisted of participant observation, semistructured interviews and document data. Inductive coding and a theoretically informed generation of themes were applied. Findings. The (...) findings show that both health-care and digital communication professionals learn through experiences with digital “rule-” and “knowledge-based” errors in patient communication and develop negative knowledge and awareness of digital ignorance. In their joint efforts, they use negative knowledge to “bend the rules” and to explore digital ignorance in efforts to improve patient communication. Originality/value. This study provides insight into the importance of collaboration between professionals with varying experience of errors in digitalizing patient communication. Such collaboration is required to acknowledge own shortcomings and create complementary negative knowledge to improve digital patient communication. This is particularly important when working with innovative digitalization in health care. (shrink)