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                  4. การเรียนรู้  (LEARNING)








                                                     Identify the sense of  urgency and develop   Implement the plan   on a test basis.











                                                1. Plan     the plan for   improvement.  2. Do







                     STEPS OF CHANGE


                                                     Institutionalize   improvement;   continue the cycle.  3.Study/Check  Assess the plan;  is it working?
                                                4. Act






















                                •การเรียนรู้ (LEARNING)
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