Abstract Despite positive reports about lean approaches to spearhead quality and patient safety improvement efforts, it is still difficult to determine if healthcare employees have transformed into effective lean thinkers. Lean thinking refers to individuals who operate with thoughtful reflection on organizational issues, are committed to continuous improvement efforts, and demonstrate the willingness to lead change. The objective of this theory building research is to contribute a survey instrument and conceptual model to measure individual transformation to lean thinking. Our learnings from the case study suggest that healthcare a professional’s transition to lean thinking via a complex combination of awareness issues at both the unit and individual levels, and both levels should be considered when moving individuals toward readiness and through a personal transformation to lean thinking.

中文翻译：

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精益思维：医疗保健环境中的实施和衡量

摘要 尽管关于引领质量和患者安全改进工作的精益方法的积极报道，仍然难以确定医疗保健员工是否已转变为有效的精益思想家。精益思维是指对组织问题进行深思熟虑的个人，致力于持续改进工作，并表现出引领变革的意愿。该理论构建研究的目标是提供一种调查工具和概念模型来衡量个人向精益思维的转变。我们从案例研究中学到的东西表明，医疗保健专业人员通过单位和个人层面意识问题的复杂组合向精益思维过渡，