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Purpose

The purpose of this article is to discuss lean as a learning system in a hospital ward.

Design/methodology/approach

Discusses lean as a learning system in a hospital ward.

Findings

The Toyota veterans are fond of saying, lean is about “making people before making parts” or, in the wards' context, developing nurses before delivering care.

Originality/value

This example in using lean to carefully build a learning environment for staff and management has implications for nursing practice, certainly, but also more generally for lean implementation at large.

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