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Cross-Sector Research on Continuous Learning and Improvement

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Cross-Sector Research on Continuous Learning and Improvement

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The body of literature on continuous learning and improvement is divided into applied research documenting or evaluating specific codified methods, and a more theoretical literature about how organizations can learn and improve. Both literatures emerged in the 1970s, and they remained distinct for some time. On the applied side, consultants to industry began to codify the approaches of high-performing companies, producing a set of methods that combined continuous improvement (CI) with a customer orientation, emphasis on teamwork, tools for structured decision making, and systems thinking. One of the earliest and most studied packages of these methods is called Total Quality Management (TQM). Studies documented consistent evidence of associations between TQM implementation and performance in the private sector, but a weaker relationship in the public sector. Theoretical research increasingly explained why this might be so, drawing productively on contingency theory to explain why methods from production may need to be adapted or reconsidered in service or public sectors. Yet the initial reluctance of scholars to follow the demands of managers in deciding what to study led to the underinvestment in direct research on individual CI methods like TQM, which may have contributed to its hype and rapid spread despite mixed results. This rapid spread was then largely explained by scholars via neoinstitutional theories, wherein organizations adopt CI methods as a way of securing legitimacy, rather than because of their technical value. Over time, scholars have taken up a more integrated role in theorizing, investigating, and evaluating CI initiatives, often grounding their empirical research in theories of organizational learning and using this theoretical foundation to deepen our understanding of the conditions under which and the mechanisms by which CI methods work. Yet, particularly in health care, they have struggled with the appropriate standards of evidence and research designs for evaluating CI methods. Again, theoretical perspectives have helped to delineate the challenges. For example, contingency and neoinstitutional theories raise questions about whether conformity with prescribed practices is the best indicator of effective take-up of CI, or whether adaptation is more desirable. This question arose particularly as methods spread to sectors with more fragmented and turbulent environments, difficult-to-monitor tasks, and uncertain technologies (e.g., many public sectors). Faced with growing understanding of the incompatibility of traditional CI methods with the complexity of many contexts, the latest generation of literature on CI in both the private and public sectors promotes more adaptive, less tightly codified methods.

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Research/Scholarly Media

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Citation

Peterson, A., Yurkofsky, M., & Mehta, J. (2020). Cross-Sector Research on Continuous Learning and Improvement. In Oxford Bibliographies. Oxford University Press. https://doi.org/10.1093/obo/9780199756810-0239

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Oxford Bibliographies [Special Series]: Continuous Improvement in Education Webpage
Oxford Bibliographies: Continuous Improvement in Education [Special Series] Bibliography Series
Cited in
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Lean Health Care: What Can Hospitals Learn from a World-Class Automaker? Journal Article
Learning to Walk Before We Try to Run: Adapting Lean for the Public Sector Journal Article
Adapting Total Quality Management (TQM) to Government Journal Article
ISO 9000: Outside the Iron Cage Journal Article
Coerced Practice Implementation in Cases of Low Cultural Fit: Cultural Change and Practice Adaptation During the Implementation of Six Sigma at 3M Journal Article
Meta-Analysis of the Relationship Between Quality Management Practices and Firm Performance—Implications for Quality Management Theory Development Journal Article
Total Quality Management as Competitive Advantage: A Review and Empirical Study Journal Article
Quality Management Re-Visited: A Reflective Review and Agenda for Future Research Journal Article
The Evolving Theory of Quality Management: The Role of Six Sigma Journal Article
Assessing the Evidence of Six Sigma and Lean in the Health Care Industry Journal Article
Continuous Improvement in the Public Sector Thesis
The Influence of Context on Quality Improvement Success in Health Care: A Systematic Review of the Literature Journal Article
Systematic Review of the Application of Quality Improvement Methodologies from the Manufacturing Industry to Surgical Healthcare Journal Article
Lean in Healthcare: The Unfilled Promise? Journal Article
Assessing the Impact of Continuous Quality Improvement/Total Quality Management: Concept Versus Implementation. Journal Article
Systematic Review of the Application of the Plan–Do–Study–Act Method to Improve Quality in Healthcare Journal Article
Designed for Learning: A Tale of Two Auto Plants Journal Article
Flexibility Versus Efficiency? A Case Study of Model Changeovers in the Toyota Production System Journal Article
Critical Success Factors of Continuous Improvement in the Public Sector: A Literature Review and Some Key Findings Journal Article
Why Total Quality Management Programs Do Not Persist: The Role of Management Quality and Implications for Leading a TQM Transformation Journal Article
Process Management and Technological Innovation: A Longitudinal Study of the Photography and Paint Industries Journal Article
The Role of Experience in Six Sigma Project Success: An Empirical Analysis of Improvement Projects Journal Article
Break-Through Innovations and Continuous Improvement: Two Different Models of Innovative Processes in the Public Sector Journal Article

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