title: [Lean--without support, no success].
authors.affiliation: hans.g.k@forandringsakademin.se
authors.forename: Hans G
authors.initials: HG
authors.lastname: Karlsson
mesh_terms: D017598:Efficiency, Organizational; D006801:Humans; D017146:Models, Organizational; D009937:Organizational Objectives; D011785:Quality Assurance, Health Care