“…Furthermore, LSS helps to minimize variation, reduce waste, eliminate unnecessary processes, and reduce waiting times between value-added activities to enhance quality which helps, accordingly, hospitals to gain a sustainable CA (Ahmed, 2019). Furthermore, focusing on satisfying patients' needs has been an essential motivator for the implementation of various quality initiatives, such as LSS, throughout the HC industry (Zakuan, 2009;Sim et al, 2022). This has led organizations to focus more on the opinions of their patients, fulfill patients' needs and expectations (Citybabu & Yamini, 2022;Sodikoglu & Zehir, 2010), and predict patients' demands (Shah & Ward, 2007).…”