Background: There is a great concern about overlooking occupational, health and safety issues
while lean implementation at the workplace due to its valuable effect on improving operational
processes and reducing negative outcomes. The study aim: To determine the impact of a lean
strategies utilization training program on quality of environmental and occupational safety.
Research design: Quasi-experimental research design. Setting: The study was conducted at all El-
Mansoura University Hospital inpatient (medical, surgical, and emergency) units. Subjects: All the
head nurses (N=22), and all staff nurses (N=172) who were working in the previously mentioned
units and who were available at the time of data collection. Tools: Three tools were used for data
collection, Tool (1): Lean Knowledge Assessment Questionnaire. Tool (2): Environmental and
Occupational Health and Safety Observation Checklist, and finally Tool (3): Value Stream Map
(VSM). Results: There was a statistically significant relation between lean utilization training program and
quality of environmental and occupational safety of staff nurses. There was a highly statistically
significant difference between study subjects` knowledge regarding lean strategies at pre and post
program. There was a highly significant negative correlation between total quality of environmental and
occupational safety of staff nurses and total occupational hazards. Conclusion: There was an
improvement in study subjects` knowledge regarding lean strategies post-program compared to pre-
program. Also, there was a marked decrease in time and frequencies exposure to occupational
hazards during medication administration post-program while, there was a marked increase in
quality of care during medication administration post implementation of the program.
Recommendations: Improve the organizational readiness for lean strategies implementation
through: introduce lean approach in the healthcare settings plans as well as vision, and enhance
leadership behaviors, abilities and commitment to lean principles and encourage staff contributions
to continuous quality improvement.