Author Abstract
This paper contributes to research on organizational learning by investigating specific learning activities undertaken by improvement project teams in hospital intensive care units and proposing an integrative model to explain implementation success. Organizational learning is important in this context because medical knowledge changes constantly, and hospital care units must learn if they are to provide high quality care. To develop a model of how improvement project teams promote essential organizational learning in health care, we draw from three streams of related research - best practice transfer (BPT), team learning (TL), and process change (PC). To test the model's hypotheses, we collected data from 23 neonatal intensive care units seeking to implement new or improved practices. We first analyzed the frequency of specific learning activities reported by improvement project participants and discovered two distinct factors: learn-what (activities that identify current best practices) and learn-how (activities that operationalize practices in a given setting). We then conducted general linear model analyses and found support for three of our four hypothesis. Specifically, a high level of supporting evidence for a unit's portfolio of improvement projects was associated with implementation success. Learn-how was positively associated with implementation success, but learn-what was not. Psychological safety was associated with learn-how, which was found to mediate between psychological safety and implementation success.
Paper Information
- Full Working Paper Text
- Working Paper Publication Date: April 2006
- HBS Working Paper Number: 06-049
- Faculty Unit(s): Technology and Operations Management
