The purpose of this paper is to conduct an empirical study derived from the previous literature from the perspective of benefits, tools and techniques, continuous improvement (CI) and quality improvement (QI) methodologies and critical failure factors (CFFs) of Lean and Six Sigma (SS) in the national health service (NHS).,A literature review was carried out to identify previous findings, empirical data and critical variables concerning Lean and SS in healthcare for over ten years. Second, primary research in quantitative surveys and qualitative interviews was carried out with 110 participants who have experience using Lean and SS in the NHS.,Lean and SS have evolved into common practices within the NHS and now have an established list of tools and techniques frequently employed by staff. Lean and SS are considered robust CI methodologies capable of effectively delivering extensive benefits across many different categories. The NHS must overcome a sizable amount of highly important CFFs and divided organizational culture.,This paper has developed the most extensive empirical study ever produced on Lean and SS in the NHS and has expanded on previous works to create new and updated research. The findings produced in this paper will assist NHS medical directors and practitioners in obtaining up-to-date insight into Lean and SS status in the NHS. The paper will also guide the NHS to critically evaluate their current CI strategy to ensure long-term sustainability and deliver improved levels of service to patients.

An evaluation of Lean and Six Sigma methodologies in the national health service

There are complex challenges in healthcare in the US the past several years, including laboratory industry. Visual Management-5S application will create a workplace suited for operation visual control and answers management's quest for a leaner operation and higher efficiency. The business approach utilizes 5 S Sort, Straighten, Shine, Standardize and Sustain- to make the normal and abnormal conditions and …

Caroline Satyadi

Papers

Utilization of 5S Visual Management: A Lean Six Sigma Application in Operation of Hospital Clinical Laboratory