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Even in mainstream lean literature, attention to sociotechnicalaspects is recent [12] and adjusting these insights tohealth care takes time. At the same time, sociotechnicalsystems theory can provide a framework for those who wantto improve health care delivery [22]. This requires a substantialshift of mind, especially at the managerial level.Successful sociotechnical improvement requires managers torealize their job is not to improve care processes. That is therole of the professionals actually working in care processes.A manager’s role is to improve and develop his or her ownworkforce. A manager’s most important task is to create anenvironment where interaction between team members leadsto a level of performance that can not be achieved by individualteam members alone [12, 30]
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