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The reason for failure of quality improvement efforts is
Obedience
The act of following instructions or complying with commands, norms, or laws.
Individualism
Giving priority to personal goals rather than to group goals; emphasizing values that serve the self, such as feeling good, striving for personal distinction and recognition for achievement, and asserting independence.
Interdependence
The mutual reliance between two or more entities, where each is dependent on the other for certain needs or outcomes.
Independence
The state of being self-reliant and free from external control or support.
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