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.
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.