Changing the environments in which we work, study, and live can often provide leverage for improvements in performance. Production of goods and services takes place in some type of work environment. As organizations try to improve quality, reduce costs, or increase the value of these goods and services, they develop, test, and implement technical changes. Often, however, these technical changes do not lead to improvement because the work environment is not ready to accept or support the changes.
Changing the culture of an organization can be a high-leverage opportunity to improve the capacity for change. Increasing the capacity for change by improving communication, fostering a climate of teamwork, and creating ownership for flow across departments can improve the safe flow of patients through the system.
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