ABSTRACT

As we collated, read, fed back and shared the organizational stories we had been told (as summarized in Chapters 2 to 8), we began to realize that despite the huge variety of solutions and strategies that had been − and were continuing − to be implemented in the organizations we visited, there were common elements or themes emerging and repeating themselves. Through our familiarization with the stories it became increasingly clear − and intriguing − to us that these high-performing healthcare organizations had all encountered similar kinds of challenges when seeking to develop their improvement systems and processes.