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OBJECTIVE To describe the usage of Lean in urology at Zuckerberg bay area General (ZSFG), a residential district safety-net and upheaval hospital that functions as a major training web site when it comes to University of California bay area. METHODS We examined our procedure improvement tasks from 2016 to 2018. Our Lean regular control System (DMS) includes a 15-minute group huddle ("urology slim work" of service residents, faculty, clinic and working room (OR) nursing staf