| System Improvement specifies that    change is best accomplished by:  | 
      
      
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            •Identifying a measurable goal        | 
      
      
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            •Identifying a chain of steps within a system        | 
      
      
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            •Keeping data about the system in    order to better understand it        | 
      
      
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            •Designing and implementing short trials of possible improvement    solutions        | 
      
      
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            •Evaluating success by reviewing data        | 
      
      
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            •Making provisions for holding gains        |