The aorn journal is seeking book reviewersinterested authors can contact the book reviews editor by sending an e mail tobookreviewsaornorg. Lean hospitals improving quality patient safety and employee satisfaction by mark graban lean hospitals improving quality patient safety and employee satisfaction shows how lean manufacturing tools and management methods can be applied by hospital personnel to identify and eliminate waste graban uses numerous examples to show how effective utilization of lean in a hospital setting can . Winner of a 2009 shingo research and professional publication prize drawing on his years of working with hospitals mark graban explains why and how lean can be used to improve safety quality and efficiency in a healthcare setting after highlighting the benefits of lean methods for patients employees physicians and the hospital itself he explains how lean manufactur. Marks motivation is to apply lean and toyota production system principles to improve quality of care and patient safety to improve the customer patient experience to help the development of medical professionals and employees to make healthcare more affordable and to help build strong organizations for the long term. The practical methods and tools used within this broader framework have led to measurably better performance in areas such as patient safety quality waiting times cost and employee morale in healthcare organizations around the world lean is not something you simply implement this year or in a few short years