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Almelo is a town of about 72,000 residents that sits in eastern Holland. It is there, around the middle of last decade, where a local nurse named Jos de Blok decided to do something about the growing frustration that he and other colleagues felt about having less time for actual patient care. In a direct move away from a health system lodged in bureaucracy, de Blok devised a new system where nurses merged together to form small, self-managing teams.
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