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    Continuous Innovation and Continuous Translation in Healthcare: A Study of Dynamic Actor Associations in UK National Health Service

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    This paper focuses on continuous innovation in healthcare and explores the role of dynamic actor associations in the implementation of Lean thinking, using a study in the UK National Health System (NHS). The results of the case study suggest that the implementation and sustainability of continuous innovation depends on the emergence of a favouring network from the dynamic associations between heterogeneous entities (actants and action-nets). This network aims at establishing a CI behaviour/culture through the continuous translation of the opposing heterogeneous entities identities into Lean and subsequently CI principles and the construction of a non-resistant to Lean behaviour needed for creating innovative competencies and continuous roll-outs of such changes
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