On the evening of July 9, 2016, I was nervous about the “sharing and learning session” I was to facilitate at Sitaram Bhartia the next day. This was going to be the first-of-its-kind session at the hospital where five teams were going to share their improvement stories with each other. Neither were they going to showcase their work to management nor to an audience outside the hospital.

**This post originally appeared on the BMJ Quality Blog. 

Change is always hard and most of the times we hate to change. Often, attempts to change or improve in an organization are met with resistance, making failure and frustration the common outcomes of change initiatives.

In the summer of 2012,