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- Modern and Efficient Management in the Nuclear Medicine Department: the Lean ApproachPublication . Metello, Luís; Rocha, Francisca; Roda, Ana; Capoulas, Miriam; Rodrigues, Adriano; Nunes, Amália; Macedo, Rafael; Cunha, LídiaThere is a worldwide concern in the healthcare systems for increased efficiency. Efficient management tools are thus required to deal with the increased complexity and quality-driven processes characteristics of healthcare. One of them is “Lean Management”, known for adding value to a variety of industries.