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Table 2 Implications for quality improvement in health care

From: Sustainability of healthcare improvement: what can we learn from learning theory?

Leadership action

Desired change for organization

Create a multidisciplinary arena for sharing information Provide a system context for interpreting shared information Provide guidance to clinicians about improvement knowledge

Revised and deeper understanding of the clinical system that is shared by the organization

Design and implement new organizational routines based on the new understanding of the clinical system

Change the system based on double-loop organizational learning

Facilitate continuous information sharing and reflection

Spread the new mental model in the organization

Modify and adapt interventions based on the new understanding of the clinical system

Sustained improvement