TableĀ 4

Cross-case comparison

Resulting capabilityCore bundled routinesCase 1: Top-downCase 2: Bottom-up
Improvement systemUnderstand CI, CI habit, focus CI, lead CIRoutines are systematically embedded through Lean practices across all levelsRoutines emerged locally in pilot wards, but scaling was inconsistent
Collaborative synergyAlign CI, shared CICross-functional Kaizen, shared A3 practices, Gemba walks, and aligned KPIs supported the alignment of CI and shared problem-solving across teams, departments, and the hierarchyCollaboration limited to nurse-physician teams; lack of align CI routines; no sustained cross-departmental integration
Integrated accountabilityFocus CIFocus CI embedded through hospital-wide scorecards, cascading KPIs, daily stand-ups, and shared PDCA cycles linked strategy to daily routinesNo cross-departmental alignment or formal KPI accountability
Learning-to-learnImprovement of improvement and learning organizationRoutines embedded via retrospective reviews, visual management, cascaded stand-ups, and KPI-based reflection; double-loop learningLearning remained local and informal; absence of strategic PDCA, feedback loops, or leadership-driven reflection mechanisms

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