Lean six sigma in the healthcare sector: A systematic literature review

Rathi, Rajeev; Vakharia, Ammar; Shadab, Mohd

doi:10.1016/j.matpr.2021.05.534

Cited by 54 publications

(34 citation statements)

References 88 publications

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“…The vast majority of LSS applications in healthcare are limited to management operations; however, there is an increase in LSS implementations to reduce medication errors in developed countries (Trakulsunti et al, 2018). Also, articles approaching waste and defect reduction in surgical and operational theatre activities are needed, together with articles providing information and guidance to aid the creation and maintenance of a continuous improvement culture in healthcare (Rathi et al, 2022). Finally, a gap was found in healthcare, related to articles approaching how to choose and classify LSS projects, articles focused on identifying major barriers in LSS implementation and possible solutions, as well as articles related to the effective use of the LSS toolkit (Singh and Rathi, 2019;Trakulsunti et al, 2018).…”

Section: Results From Strings Focused On Csfs and Difficulties In Lss...mentioning

confidence: 99%

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Lean Six Sigma case studies literature overview: critical success factors and difficulties

Francescatto

Paris²,

Kubota³

et al. 2022

IJPPM

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PurposeRecently, several areas are successfully applying the Lean Six Sigma methodology, specifically in healthcare, public services, higher education institutions and manufacturing industries. This study aims to present an extensive literature review involving Lean Six Sigma practical applications in the last five years, described in a case studies format.Design/methodology/approachA systematic literature review was conducted, and 39 articles were selected and analyzed.FindingsAn increase in Lean Six Sigma applications in healthcare and higher education institutions was identified. Furthermore, Lean Six Sigma is effectively applied in several areas and is continuously used in traditional industries. The main critical success factor identified was leadership and management involvement, project management and organizational infrastructure, as well as training and education. Also, the main difficulties found are related to the organization's culture and developing communication with leaders and managers.Research limitations/implicationsThe main difficulties found in this research are related to the lack of data presented in some articles analyzed, where only information about how the Lean Six Sigma application was conducted is shown, not mentioning difficulties or success factors identified.Originality/valueCase studies are fundamental to help popularize Lean Six Sigma applications, showing a real-life scenario of how the methodology is implemented, the main difficulties encountered and critical success factors found. Thus, the value of this study is promoting and developing research involving Lean Six Sigma case study applications to guide new researchers and practitioners on the subject.

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Section: Results From Strings Focused On Csfs and Difficulties In Lss...mentioning

confidence: 99%

“…, 2018). Also, articles approaching waste and defect reduction in surgical and operational theatre activities are needed, together with articles providing information and guidance to aid the creation and maintenance of a continuous improvement culture in healthcare (Rathi et al. , 2022).…”

Section: Case Studies Per Areamentioning

confidence: 99%

Lean Six Sigma case studies literature overview: critical success factors and difficulties

Francescatto

Paris²,

Kubota³

et al. 2022

IJPPM

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“…Process improvement in health care is a familiar research topic. Many hospital-based studies explore Lean implementation based on theoretical benefits, description of techniques, case studies with outcomes, or implementation approaches (Rathi et al, 2022; Menachemi et al, 2020). Additional studies explore other process improvement techniques for value creation, patient care quality, patient throughput, and patient wait times (Ciarniene et al, 2017; Hirsch et al, 2017; Kam et al, 2021; Ortiz Barrios & Jiménez, 2016; Racine & Davidson, 2002; van Bussel et al, 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

Assessing Primary Care Clinic Operational Strategies via EMR Data Mining

Tarpey

2023

Journal of Ambulatory Care Management

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Understanding how operational strategies impact critical performance metrics is critical to the clinic's ability to provide a value-based service to patients. This study investigated the utility of electronic medical record (EMR) audit file data in assessing operational strategies. EMR data were used to assess patient appointment lengths and conclude that shorter scheduled patient visit lengths, which resulted from one operational strategy (physician choice of visit lengths), had a negative impact on a second operational strategy (minimizing patient wait times). Patients with 15-minute appointments had a higher total mean wait time and shorter provider care or contact time.

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“…Lean is critical to improve patient, staff, material and service flows in OPD. From a systematic literature review, Rathi et al (2022) reported that, although a fewer number of lean six sigma studies were conducted in emerging countries, the focus of research scholars has shifted towards these countries. CEO World, the US magazine, ranked Thailand's healthcare system 6th in the world (CEO World, 2019).…”

Section: Introductionmentioning

confidence: 99%

Relationships between leadership and culture, human resources and process improvement in lean healthcare

Vanichchinchai

2023

BPMJ

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PurposeThis research aims to examine the relationships among leadership and culture, human resources and process improvement in lean hospitals from the socio-technical perspective.Design/methodology/approachThe survey instrument was developed from literature reviews, verified by experts and confirmatory factor analysis. Multiple responses were used to collect data from 473 care providers in 220 outpatient departments of Thai hospitals to improve reliability of the obtained data. Path analysis of structural equation modeling was applied to analyze the hypotheses.FindingsIt was found that human resources has a significant positive direct effect on process improvement. Leadership and culture not only has significant direct positive impacts on human resources and process improvement but also has a significant indirect positive impact on process improvement through human resources.Originality/valueThis is one of the first examples of research to present insights into the links between soft and hard factors of lean hospitals at strategic and operational levels.

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Lean six sigma in the healthcare sector: A systematic literature review

Cited by 54 publications

References 88 publications

Lean Six Sigma case studies literature overview: critical success factors and difficulties

Lean Six Sigma case studies literature overview: critical success factors and difficulties

Assessing Primary Care Clinic Operational Strategies via EMR Data Mining

Relationships between leadership and culture, human resources and process improvement in lean healthcare

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