Lean Six Sigma in Healthcare

2016 ◽  
pp. 94-117
Author(s):  
Mohamed Gamal Aboelmaged
Keyword(s):  
Six Sigma ◽  
State Of The Art ◽  
Business Management ◽  
Healthcare Research ◽  
Lean Six Sigma ◽  
The State ◽  
Systematic Examination ◽  
Tools And Techniques ◽  
Research Type

The chapter clarifies emerging aspects and trends of Lean Six Sigma (LSS) in healthcare through the systematic examination of 162 peer-reviewed articles in business, management, and healthcare disciplines that have been published over a ten-year period from 2004 to January 2014. Every article is analyzed using a scheme of six distinct dimensions including year of publication, journal, applications areas, tools and techniques, benefits and improvements, and research type. The chapter provides significant insights into the state of the art of LSS in healthcare research and clarifies confusion in the literature as to what constitutes LSS role in improving healthcare context.

Lean Six Sigma in Healthcare

2015 ◽  
pp. 231-261
Author(s):  
Mohamed Gamal Aboelmaged
Keyword(s):  
Six Sigma ◽  
State Of The Art ◽  
Business Management ◽  
Healthcare Research ◽  
Lean Six Sigma ◽  
The State ◽  
Systematic Examination ◽  
Tools And Techniques ◽  
Research Type

The chapter clarifies emerging aspects and trends of Lean Six Sigma (LSS) in healthcare through the systematic examination of 162 peer-reviewed articles in business, management, and healthcare disciplines that have been published over a ten-year period from 2004 to January 2014. Every article is analyzed using a scheme of six distinct dimensions including year of publication, journal, applications areas, tools and techniques, benefits and improvements, and research type. The chapter provides significant insights into the state of the art of LSS in healthcare research and clarifies confusion in the literature as to what constitutes LSS role in improving healthcare context.

Lean Six Sigma: a clinical treatment for the recovery of Indian manufacturing sector from the after-effects of coronavirus

2020 ◽  
Vol 17 (3) ◽  
pp. 311-322 ◽  
Author(s):  
Harsimran Singh Sodhi
Keyword(s):  
Six Sigma ◽  
Manufacturing Industry ◽  
Manufacturing Sector ◽  
Lean Six Sigma ◽  
Clinical Treatment ◽  
Content Type ◽  
After Effects ◽  
The World ◽  
Tools And Techniques ◽  
The Impact

PurposeManufacturing industry is quite badly hit due to the coronavirus. Manufacturing has been stopped in every country. The present study will provide assistance to the practitioners to recover manufacturing sector from the after-effects of coronavirus.Design/methodology/approachA thorough review of the recent articles published in the newspaper and web has been done to make a viewpoint on the global industrial impact due to epidemic corona. Reports of WHO, IMF, World Bank, RBI and so forth are also reviewed. Further, Lean Six Sigma has been suggested which can be implemented to recover manufacturing industry from the ill effects of corona.FindingsIn present study the problem causd in the manufacturing sector due to corona virus has been identified and a clinical treatment for the same has been proposed by using the tools and techniques of Lean Six Sigma.Originality/valueThe impact of coronavirus has become a huge issue not only for the physical health of human beings but also for the economic health of most of the countries in the world, as it is pushing the world economy toward huge economic depression. Therefore, it becomes the moral responsibility of industrial experts to suggest the tools and techniques to the manufacturing industry for faster recovery.

scholarly journals The state of the art in clinical knowledge management: An inventory of tools and techniques

2010 ◽  
Vol 79 (1) ◽  
pp. 44-57 ◽  
Author(s):  
Dean F. Sittig ◽  
Adam Wright ◽  
Linas Simonaitis ◽  
James D. Carpenter ◽  
George O. Allen ◽  
...  
Keyword(s):  
Knowledge Management ◽  
State Of The Art ◽  
The State ◽  
Clinical Knowledge ◽  
Tools And Techniques

scholarly journals A new lean Six Sigma hybrid method based on the combination of PDCA and the DMAIC to improve process performance: Application to clothing SME

2019 ◽  
Vol 70 (05) ◽  
pp. 447-456 ◽  
Author(s):  
ABBES NEDRA ◽  
SEJRI NÉJIB ◽  
CHAABOUNI YASSINE ◽  
CHEIKHROUHOU MORCHED
Keyword(s):  
Six Sigma ◽  
Lead Time ◽  
Success Factors ◽  
Lean Six Sigma ◽  
Process Performance ◽  
Combination Technique ◽  
Sigma Level ◽  
Quality Certification ◽  
Tools And Techniques ◽  
And Control

This paper proposes a new Lean Six Sigma (LSS) methodology to improve process for clothing small- and medium-sized enterprise SME. The methodology is based on combination of two approaches which are the PDCA (Plan, Do, Check, and Act) and the DMAIC (Define, Measure, Analyze, Improve, and Control). The combination technique consists in applying the PDCA to continuously improve and control every DMAIC steps. The DMAIC approach has included Lean Six Sigma tools and techniques, as well as the success factors obtained from a survey, to improve its efficiency. The proposed approach is applied to improve the performances indicators such as Z sigma, Cp, cycle time, and lead time for the case of clothing SME in Tunisia. As an example, the Z-sigma has increased from the sigma level was improved from 1.45 to 3.85. The process capability Cp from 0.5 to 1.3 and the lead time was decreased from 39.47 days to 30.23 days. Finally, the study is concluded by sorting out the effects of the type of produced articles and the presence or not of the quality certification on the application of the proposed approach. The effectives from using PDCADMAIC technique are better when it’s applied with certified company, than non-certified one.

Where to direct research in lean six sigma?

2018 ◽  
Vol 9 (3) ◽  
pp. 324-350 ◽  
Author(s):  
Fabio Francisco da Silva ◽  
Lukas Daniel Filser ◽  
Fernando Juliani ◽  
Otávio José de Oliveira
Keyword(s):  
Six Sigma ◽  
State Of The Art ◽  
Lean Six Sigma ◽  
Research Trends ◽  
Content Type ◽  
Main Research ◽  
Efficiency And Effectiveness ◽  
Subject Areas ◽  
Number Of Citations ◽  
Practical Implications

Purpose Lean Six Sigma (LSS) is a continuous improvement methodology used to increase the efficiency and effectiveness of processes. Although there are several articles published, only two have analyzed the literature from a bibliometrics perspective. The purpose of this paper is to analyze the LSS literature by bibliometrics, identifying its state of the art, scientific gaps and research trends. Design/methodology/approach Articles published up to 2016 in the database Scopus were investigated to identify the most significant articles, authors, journals, institutions and countries based on citation counting as well as the most frequent keywords and subject areas on LSS. Articles published in 2014, 2015 and 2016 were analyzed to point out scientific gaps and to identify eight main research trends on LSS. Findings The research trends are: “LSS implementation”, “Healthcare”, “LSS tools”, “Human factors”, “Expansion of results”, “SME”, “LSS combined with other methodologies” and “Education”. The research outcomes also point out the most significant articles, authors, journals, institutions and countries in LSS literature. Practical implications This research contributes to develop the state of the art of LSS and helps professionals as well as researchers to identify which issues new studies should address. Originality/value The performance of the literature is measured based on the number of citations and not on the number of published papers, and the bibliometric analysis covers the highest number of articles so far (319 articles). Besides, the identification of the main research trends on LSS is exclusively based on the most recent studies.

scholarly journals Lean Six Sigma for Quality and Performance Improvement of POH Process of Wagon Wheel CTRB

2019 ◽  
pp. 471-486
Author(s):  
Tafadzwa Majoni ◽  
Prashant Tomar
Keyword(s):  
Six Sigma ◽  
Lean Six Sigma ◽  
Premature Failure ◽  
Process Improvements ◽  
Work In Process ◽  
Long Run ◽  
Takt Time ◽  
Improvement Programs ◽  
Lean Tools ◽  
Tools And Techniques

Due to high competition in present world, every end user of a product demand their products to be delivered to them on time with good quality. Hence it is an objective of every industry to satisfy their customer requirements. In the long run, this can be achieved by continuous and constant process improvements. Lean Six Sigma is an overall quality improvement approach combining and capitalizing the strengths of Six Sigma and Lean Management improvement programs. In CTRB periodic overhaul, several process steps and workplaces are required for the job, the movement of inventory between the workplaces can be very time consuming unless it is suitably planned. The major areas that need great attention in this system are WIP (work in process), Takt time and process variability. In this study, focus is on the application of lean tools and techniques with their principles coupled with six sigma DMAIC methodology. The objective of this study is to identify the best possible tools and techniques to tackle premature failure of CTRBs whilst in service due to early presence of defects which are closely associated to the POH process. It also discusses the methodology generally adopted, tools and techniques used and benefits obtained. By mapping current state of the POH process and takt time, future state improvement can be done in order to reduce cycle time using Lean tools such as Poke-Yoke, Jidoka, 5S, SMED

Application of Lean Six Sigma in conservative dentistry: an action research at an Indian dental college

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ajay Noronha ◽  
Shreeranga Bhat ◽  
E.V. Gijo ◽  
Jiju Antony ◽  
Suma Bhat
Keyword(s):  
Action Research ◽  
Six Sigma ◽  
Single Case ◽  
Lean Six Sigma ◽  
Lessons Learned ◽  
Healthcare Sector ◽  
Content Type ◽  
Conservative Dentistry ◽  
Tools And Techniques

PurposeThe article evaluates the obstacles, lessons learned and managerial implications of deploying Lean Six Sigma (LSS) in a dental college hospital in India.Design/methodology/approachThe work adopts the action research (AR) methodology to establish a case study, which is carried out using the LSS define–measure–analyze–improve–control (DAMIC) approach in a dental college. It uses LSS tools to enhance the productivity and performance of the Conservative Dentistry Department of a dental college and to unravel the obstacles and success factors in applying it to the education and healthcare sector together.FindingsThe root cause for high turn-around time (TAT) is ascertained using LSS tools and techniques. The effective deployment of the solutions to the root causes of variation assists the dental college to reduce the TAT of the Conservative Dentistry process from an average of 63.9 min–36.5 min (i.e. 42.9% improvement), and the process Standard Deviation (SD) was reduced from 2.63 to 2 min. This, in turn, raises the sigma level from 0.48 to 3.23, a noteworthy successful story for this dental college.Research limitations/implicationsWhile the results and recommendations of this research are focused on a single case study, it is to be noted that the case study is carried out with new users of LSS tools and techniques, especially with the assistance of interns. This indicates the applicability of LSS in dental colleges; thus, the adopted modality can be further refined to fit India's education and hospital sector together.Originality/valueThis article explains the implementation of LSS from an aspiring user viewpoint to assist dental colleges and policymakers in improving competitiveness. In addition, the medical education sector can introduce an LSS course in the existing programme to leverage the potential of this methodology to bring synergy and collaborative research between data-based thinking and the medical field based on the findings of this study. The most important contribution of this article is the illustration of the design of experiments (DOE) in the dental college process.

Performance and service quality enhancement in a healthcare setting through lean six sigma strategy

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ajay Noronha ◽  
Shreeranga Bhat ◽  
E.V. Gijo ◽  
Jiju Antony ◽  
Alessandro Laureani ◽  
...  
Keyword(s):  
Service Quality ◽  
Six Sigma ◽  
Processing Time ◽  
College Education ◽  
Healthcare Setting ◽  
Lean Six Sigma ◽  
Content Type ◽  
Sustainable Solutions ◽  
Tools And Techniques

PurposeThe article intended to excavate the Lean Six Sigma (LSS) deployment challenges, Critical Success Factors (CSF), tools and techniques, and managerial implications in an Indian healthcare setting.Design/methodology/approachThe article illustrates a case study established using Action Research (AR) approach. Further, the case study is based on the Define, Measure, Analyze, Improve, Control (DMAIC) phases of LSS. The performance and service quality of the Endodontics department of a dental college attached to a hospital is enhanced and sustained through the LSS strategy.FindingsThe processing time of Root Canal treatment is reduced by determining the root causes for delay and implementing sustainable solutions. The structured deployment of the LSS strategy helped the Endodontics department to reduce the processing time from an average of 116 min–84 min. Thus, the process's sigma level is enhanced from 0.06 to 4.17 and assisted in sustaining the results.Research limitations/implicationsThe case study's findings are based on the single AR carried out at an Endodontics department of a dental college hospital based on LSS strategies. Even though this study's results cannot be generalized, the deliverables of the case study can be used to develop the LSS roadmap for the dental colleges to enhance the service quality and safety of the patients.Originality/valueThe article provides step-by-step details for implementing LSS in dental college hospitals with critical analysis based on robust statistical tools and techniques. The case study provides evidence of the adoption of LSS in medical college education and provides the confidence to adopt the same through novice users. The study's findings may persuade the policymakers to add LSS in the medical education curriculum to reinforce safety and reduce errors in the healthcare system.

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