Røvik, Kjell Arne; Andersen, Hege (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-21)
Background: Lean thinking as a quality improvement approach is introduced in hospitals worldwide, although evidence for its impact is scarce. Lean initiatives are social, complex and context-dependent. This calls for a shift from cause–effect to conditional attributions to understand how lean works. In this study, we bring attention to the transformative power of local translation, which creates ...