Journal of Undergraduate Research


performance improvement, post-surgery unit, Learning History research




The purpose of this study was to discover how a health system, specifically a hospital unit, learned to improve patient and hospital outcomes. This study builds upon previous research in which the Learning History research method was used to discover and describe the pathway by which a critical care unit learned to achieve and sustain excellent outcomes. The previous study focused on hospital unit situated in a regional medical center that was part of a large, not-for-profit health system. That hospital unit’s history of learning improvement extended over 10 years, and included several distinct developmental eras, progressing from creating staff ownership and a positive identity for the unit to striving for reliable performance and sustained excellence. This study generated a detailed description of rural hospital unit’s learning history, thus offering an opportunity to begin identifying patterns of health systems learning across hospital units.

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Nursing Commons