Gentleman kan også spørre når ble lean som begrep introdusert? Begrepet lean ble fileørste gang benyttet i artikkelen "Triumph in the Lean Output Sys- tem” i 1988, og fikk sitt endelige gjennombrudd i boken "The machine that transformed the world" av Womack, Jones og Roos i 1990. Loss of life plus the requirement of a liver transplant may

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