TY - JOUR T1 - Why Lean doesn't work for everyone JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - 970 LP - 973 DO - 10.1136/bmjqs-2014-003248 VL - 23 IS - 12 AU - Gary S Kaplan AU - Sarah H Patterson AU - Joan M Ching AU - C Craig Blackmore Y1 - 2014/12/01 UR - http://qualitysafety.bmj.com/content/23/12/970.abstract N2 - Popularisation of Lean in healthcare has led to emphasis on Lean quality improvement tools in isolation, with inconsistent results. We argue that delivery of safer, more efficient, and higher quality-patient focused care requires organisational transformation of which the Lean toolkit is only one component. To successfully facilitate system transformation toward higher quality care at lower cost, Lean tools must be part of a comprehensive management system, within a supportive institutional culture, and with committed leadership. ER -