Leadership drives organizational quality improvement. However, leadership skills for quality improvement are understudied. This qualitative study aims to identify and explore the leadership competencies associated with effective quality improvement practices in high-performing organizations. A qualitative research design was employed, utilizing semi-structured interviews with key leaders and managers from a diverse range of high-performing organizations known for their exemplary quality improvement efforts. A purposive sampling technique was employed to select participants who possessed extensive experience and expertise in quality improvement initiatives. Thematic analysis was used to identify key leadership competencies and success factor...