{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:59:44Z","timestamp":1790402384817,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Learning Health Systems"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The ability to learn is central to innovation and performance across industries, and it is the hallmark feature of the rapidly growing movement toward Learning Health Systems. While learning drivers\u2014such as experimentation, risk\u2010taking, participative decision\u2010making, dialogue, and interaction with the external environment\u2014are well defined, they have received little attention in healthcare contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study explored the nature of organizational learning within Trillium Health Partners (THP), one of Canada's largest community\u2010based teaching hospital systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Formal leaders at THP completed the Organizational Learning Capability instrument. A latent profile analysis identified the number and nature of distinct learning profiles. Semi\u2010structured interviews were conducted to develop an empirically grounded explanation of how organizational learning drivers interact to enable\u2014or constrain\u2014learning within the organization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 334 eligible leaders, 231 responded to the survey, and 141 provided sufficient data for inclusion in the analyses. Latent Profile Analysis identified two distinct learning profiles: one with relatively higher perceived learning capability and another with relatively lower perceived capability. Interviews with leaders (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) from both groups described how theoretical factors that influence organizational learning manifest to drive (or derail) learning in practice.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our systematic investigation into how and why learning occurs within a large community hospital system may support other healthcare systems in developing programs that foster the learning necessary to develop and implement innovative delivery models at scale.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lrh2.70116","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:14:36Z","timestamp":1790399676000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Harnessing Potential: A Systematic Investigation of How and Why Learning Happens in a Health System"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2188-0767","authenticated-orcid":false,"given":"Marissa","family":"Bird","sequence":"first","affiliation":[{"name":"Institute for Better Health, Trillium Health Partners  Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruoxi","family":"Wang","sequence":"additional","affiliation":[{"name":"Institute for Better Health, Trillium Health Partners  Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7437-1721","authenticated-orcid":false,"given":"Jayshree","family":"Joshi","sequence":"additional","affiliation":[{"name":"Trillium Health Partners  Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6672-3859","authenticated-orcid":false,"given":"Jaason","family":"Geerts","sequence":"additional","affiliation":[{"name":"The Canadian College of Health Leaders  Ottawa Ontario Canada"},{"name":"Cambridge Judge Business School University of Cambridge  Cambridge UK"},{"name":"Telfer School of Management University of Ottawa  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9488-4685","authenticated-orcid":false,"given":"Farah","family":"Khan","sequence":"additional","affiliation":[{"name":"Trillium Health Partners  Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5492-3615","authenticated-orcid":false,"given":"Balpreet","family":"Panesar","sequence":"additional","affiliation":[{"name":"Peel Public Health  Mississauga Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3429-1865","authenticated-orcid":false,"given":"Laura","family":"Desveaux","sequence":"additional","affiliation":[{"name":"Institute for Better Health, Trillium Health Partners  Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"e10279","DOI":"10.1002\/lrh2.10279","article-title":"Seven Practices for Pursuing Equity Through Learning Health Systems: Notes From the Field","volume":"5","author":"Parsons A.","year":"2021","journal-title":"Learning Health Systems"},{"key":"e_1_2_12_3_1","unstructured":"Institute of Medicine \u201cThe Learning Healthcare System: Workshop Summary \u201dPaper presented at: IOM Roundtable on Evidence\u2010Based Medicine 2007."},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.jss.2020.11.062","article-title":"A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID\u201019 Pandemic","volume":"260","author":"Sen\u2010Crowe B.","year":"2021","journal-title":"Journal of Surgical Research"},{"issue":"1","key":"e_1_2_12_5_1","first-page":"112","article-title":"Informing Canada's Health System Response to COVID\u201019: Priorities for Health Services and Policy Research","volume":"16","author":"McMahon M.","year":"2020","journal-title":"Health Policy"},{"issue":"4","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1177\/1048291120974358","article-title":"Sacrificed: Ontario Healthcare Workers in the Time of COVID\u201019","volume":"30","author":"Brophy J. 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