RT Book, Section A1 Arthur, Jay SR Print(0) ID 1150320697 T1 Change Management T2 Lean Six Sigma for Hospitals: Improving Patient Safety, Patient Flow and the Bottom Line, 2e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259641084 LK accessmedicine.mhmedical.com/content.aspx?aid=1150320697 RD 2024/04/19 AB Managing performance improvements in a hospital full of patients can seem daunting, but it's a skill that can be learned. You will make mistakes, but the secret is to learn from them and correct how you implement changes. As we have seen from the experiences of Virginia Mason Medical Center, Cleveland Clinic, Mayo Clinic, and Memorial Hermann, it can take years to transform a culture. You can't do it overnight, but you can do it over time. Deming would say, "Maintain constancy of purpose."