title: Why Culture Change Is Critical to Lean Initiatives. Lean training and coaching alone are not enough to improve customer satisfaction.
authors.forename: Mitchell
authors.initials: M
authors.lastname: Kusy
authors.forename: Marty
authors.initials: M
authors.lastname: Diamond
authors.forename: Scott
authors.initials: S
authors.lastname: Vrchota
mesh_terms: D017598:Efficiency, Organizational; D006761:Hospitals / Q000592:standards; D015279:Organizational Culture; D017060:Patient Satisfaction; D017749:Total Quality Management / Q000458:organization & administration*