Abstract

This research is part of the process of adopting innovations in public organizations. It tries to understand how the quality approach implements a hybridization between mechanistic logic and organic logic. Interviews and a literature review examine this issue through four ISO 9001 certifications in a public hospital of last resort. The theory of the network actor is mobilized to infer interpretations. The results show the presence of a mechanical logic based on the application of the precepts of quality. Organic logic, on the other hand, begins with the ability to bridge incompatibilities and build the branch#x2019;s trust network. Hybridization is a dynamic device linking the project, sponsor, process, feedback, ecosystem and environment.