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In this concluding chapter, each of the previous chapters are reflected upon based on the emergent quality management paradigm presented in Chap. 9 by Backström. This book introduces four processes: innovation, production, knowledge creation, and value creation processes. It is emphasised that companies must prioritise and develop all four of these processes to survive and prosper. Throughout the book, dichotomies associated with these processes have been elaborated on and discussed. Historically, these dichotomies have often created dilemmas owing to the current understanding of their relations. However, as suggested in this book, alternative perspectives can be used in a constructive way to resolve these potentially high-impact dilemmas. Recognising the dichotomies as mutually dependent gives further possibilities for the development of production systems.