 We have developed the Connect intervention based on complexity science and empirical research25 to target these local interactions among staff in a new approach to facilitating organizational learning. Connect is a multicomponent intervention that includes: 1 helping staff learn new strategies to improve the effectiveness of day-to-day interactions; 2 helping staff identify important relationships and encouraging interaction at the point of care; and 3 mentoring to reinforce and sustain newly acquired interaction behaviors. Complexity science and empirical research suggest that interaction patterns determine information flow, ease of knowledge transfer, and capacity to monitor behaviors and outcomes in health care settings. 10, 26-28 Thus, Connect has the potential to improve resident outcomes when combined with QI programs for clinical problems such as falls. Falls is an excellent outcome for this initial test of Connect because: 1 there is ample evidence that multifactorial risk factor reduction interventions effectively reduce fall rates in NHs; 2 accepted practice guidelines and fall prevention programs exist;29-32 and 3 falls is an important clinical problem in its own right. 