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AFTER CERTAINTY

article

Developing and Testing Changes in Delivery of Care.

Berwick, Donald M. "Developing and Testing Changes in Delivery of Care." Annals of Internal Medicine 128, no. 8 (1998): 651-656.

Why this matters here

Berwick’s care-delivery work shows learning accelerating when teams stay close to outcomes and can redesign quickly. Coupling cites that non-software parallel for Agile’s deeper claim: shorter loops matter because they restore cohesion between action and consequence.