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A structured route from learning to implementation that cannot be blocked by operational pressure, political convenience, or hierarchical resistance. Each pathway specifies: triggers (what initiates learning), authority (who can mandate change), timelines (when change must occur), and accountability (what happens if it doesn't).
A Protected Update Pathway for patient safety might specify: any pattern of three similar incidents triggers mandatory protocol review; the Learning Authority has 90 days to mandate changes; non-implementation requires board-level justification.
ILA Section 4.2