54 – 61 In recent years, the use of tools for lean management, for example, has been increasing, inspired by the “Henry Ford production system.” 62 – 64 Despite implementation of these different practices, errors reported in health care are still unacceptable and related costs still show a positive trend, as shown by data from the Organization for Economic Cooperation and Development. 65 Starting from the definitions provided, overlaps and possible integration between the approaches of CRM and HLM emerge, connecting the concepts of added value and perfection present in lean principles (ie, precisely specify value, identify the value stream, make value flow without interruptions, pull approach, pursue perfection), 66 to the definition of quality used and required at the international level (World Health Organization).
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