title: Getting "lean" the grassroots way.
authors.affiliation: Pella Regional Health Center, Pella, Iowa, USA.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: O'Brien
authors.forename: Pamela
authors.initials: P
authors.lastname: Boat
mesh_terms: D054976:Clinical Governance / Q000458:organization & administration*; D003363:Cost Control; D003659:Decision Making, Organizational; D005544:Forecasting; D006780:Hospitals, Rural / Q000458:organization & administration; D006801:Humans; D007484:Iowa; D007857:Leadership; D016294:Models, Nursing; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration*; D015279:Organizational Culture; D010560:Personnel Selection / Q000458:organization & administration; D010687:Philosophy, Nursing; D011367:Professional Staff Committees / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*