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Showing papers on "Lean Six Sigma published in 2021"


Journal ArticleDOI
TL;DR: In this article, the authors investigated a possible integration between Lean Six Sigma (LSS) tools and principles and Industry 40 technologies, with the aim of developing a new pattern for operational excellence through the grounded theory methodology.
Abstract: This research investigates a possible integration between Lean Six Sigma (LSS) tools and principles and Industry 40 technologies The aim is the development of a new pattern for Operational Excellence through the grounded theory methodology Data collection involved interviewing Italian manufacturing managers in ten case organisations as well as a direct observation of practices linked to Industry 40 and LSS integration at one of the selected case organisations Results of the study aligns with preliminary literature supporting LSS providing platform to achieve effective outcome from Industry 40 application The integration needs reinvented mapping tools and implies a horizontal integration and a vertical, end-to-end integration The latter requires the company to reengineer the ERP modules, while in the horizontal integration the real ultimate goal is to reach a complete automatic synchronisation of the processes named Autonomous Process Synchronisation Moreover, all the data gathered from production processes and offices needs the development of new analytics at all levels This is amongst first few studies that answers how to achieve integration between LSS and Industry 40 technologies and thus have several research and managerial contributions in advancing operational excellence research

100 citations


Journal ArticleDOI
TL;DR: The research outcomes reveal that strategic-based enablers are leading in nature, followed by environmental-based Enablers, which will help in planning and successful execution of environmental LSS in MSMEs.

83 citations


Journal ArticleDOI
TL;DR: The proposed methodology for the assessment and effective selection of LSS projects will help manufacturing organizations in the selection of the best opportunities among complex situations, results in sustainable development.
Abstract: Project selection has a critical role in the successful execution of the lean six sigma (LSS) program in any industry. The poor selection of LSS projects leads to limited results and diminishes the credibility of LSS initiatives. For this reason, in this article, we propose a method for the assessment and effective selection of LSS projects. Intuitionistic fuzzy sets based on the weighted average were adopted for aggregating individual suggestions of decision makers. The weights of selection criteria were computed using entropy measures and the available projects are prioritized using the multiattribute decision making approach, i.e., modified TOPSIS and VIKOR. The proposed methodology is validated through a case example of the LSS project selection in a manufacturing organization. The results of the case study reveal that out of eight LSS projects, the assembly section (A8) is the best LSS project. A8 is the ideal LSS project for swift gains and manufacturing sustainability. The robustness and reliability of the obtained results are checked through a sensitivity analysis. The proposed methodology will help manufacturing organizations in the selection of the best opportunities among complex situations, results in sustainable development. The engineering managers and LSS consultants can also adopt the proposed methodology for LSS project selections.

41 citations


Journal ArticleDOI
TL;DR: In this paper, a Define, Measure, Analyze, Improve, and Control (DMAIC) based approach was proposed to systematize a Green Lean tool, which is one of Six Sigma's well-known methods.
Abstract: Green Lean Six Sigma has been recently clarified to improve the environmental sustainability performance of operations, but it seems glaringly scarce and in need of cutting‐edge studies to integrate the concepts of green, lean, and Six Sigma into one unified application. This paper is accordingly aimed at constituting the application of Green Lean Six Sigma as a cleaner production. In doing so, a Define, Measure, Analyze, Improve, and Control (DMAIC)‐based approach that is one of Six Sigma's well‐known methods was proposed to systematize a Green Lean tool—environmental value stream mapping. Thus, this paper as one of the preliminary studies aligns environmental value stream mapping with DMAIC through presenting the proposed methodological approach, which relies on the five DMAIC phases—Define, Measure, Analyze, Improve, and Control—and considers green wastes in each phase simultaneously. To support the narrow body of knowledge, this proposed approach was validated via the action research‐oriented case study implemented in the substrate manufacturing system that seeks to develop the environmental sustainability of its production processes and subsequently its general competitiveness. The findings indicated the effectiveness of a DMAIC‐based approach in systematizing environmental value stream mapping and improving its efficacy to achieve environmental sustainability. The case analysis revealed that the application can significantly lessen the consumption of chemicals and energy in the system by 28% and 21%, respectively.

39 citations


Journal ArticleDOI
TL;DR: This study of L SS principles and COVID-19 has implications for practitioners and offers specific guidance for areas of health care adoption of LSS techniques and tools that benefit patient safety, challenges for the user to be mindful of and potential benefits in resilience of operations in the era of CO VID-19.
Abstract: Purpose: The purpose of this study was to investigate how Lean Six Sigma (LSS) may help mitigate the impact of COVID-19 within health care environments The goals of this study were to understand the current knowledge of LSS and COVID-19 through a systematic review of the current literature, identify the gap in the current knowledge of LSS in COVID-19 mitigation within health care environments and define the principles of LSS, within organizational resilience that support a health care organization’s ability to mitigate the impact of COVID-19 Design/methodology/approach: A narrative literature review was conducted to identify relevant research A total of 21 subject matter experts (SMEs) meeting the inclusion criteria were approached through a guided interview process Content analysis was conducted to describe how LSS principles contribute to supporting health care organizations operating in the era of COVID-19 Findings: Study results report that personal safety is the primary subject, followed by supporting dimensions of process redesign, and telemedicine LSS topics that directly relate to COVID-19 are in four thematic areas: tools, applications, benefits and challenges Particular areas of application, techniques, challenges and benefits are identified and discussed that could be applied proactively and reactively, to organizational and supply chain resilience to recover from COVID-19 Research limitations/implications: There were a number of limitations to the generalizability of this work The sample size was small and purposeful, thus, external validity of the study results are not determined The SMEs in this study have not implemented the practices noted in the results at the time of the study, and knowledge of results is limited to the study aims Originality/value: This study of LSS principles and COVID-19 has implications for practitioners and offers specific guidance for areas of health care adoption of LSS techniques and tools that benefit patient safety, challenges for the user to be mindful of and potential benefits in resilience of operations in the era of COVID-19 © 2020, Emerald Publishing Limited

37 citations


Journal ArticleDOI
TL;DR: This study provides impetus to practitioners and consultant for the initiation of LSS in the business organization through tackling the LSS barriers as per their driving and dependence power through hybrid ISM-SEM approach.
Abstract: Purpose Lean six sigma (LSS) has attained a prominent position in mature organizations but small- and medium-sized enterprises (SMEs) are struggling in the proper implementation of LSS in their core business. This study aims to make a comprehensive analysis of LSS implementation barriers in SMEs so that LSS execution can be much fluent in SMEs. Design/methodology/approach This research work is carried out based on investigation of LSS barriers through extensive literature review. For validating the identified barriers, a questionnaire survey was conducted, and out of 400 samples, 260 responses received back. The collected responses are analyzed statistically and found 16 significant barriers. The finalized barriers are modeled using interpretive structural modeling (ISM) and clustered them through matrice d’impacts croisés-multiplication appliquée a un classement (MICMAC) analysis. Furthermore, to check the consistency of results, ISM-MICMAC outcomes are validated through structural equation modeling (SEM). Findings The result reveals that 16 LSS implementation barriers are finalized through expert’s opinion and validated through statistical reliability test with Cronbach’s alpha value of 0.820. The ISM model reveals that the management relevant barriers are exhibiting the leading role to influence the implementation of LSS in SMEs. Moreover, the obtained results validated through SEM are found in good agreement. Research limitations/implications During pairwise comparisons, there may be some prejudice and subjectivity as human judgments are engaged. Practical implications This study provides impetus to practitioners and consultant for the initiation of LSS in the business organization through tackling the LSS barriers as per their driving and dependence power. Originality/value In the past, limited studies had explored the LSS barriers, but a few studies analyzed the mutual relationship between barriers. No such study is reported in literature that validates the mutual interaction model of LSS barriers. Hence, this paper presents the original research work of identification and modeling of barriers associated with LSS implementation in SMEs through hybrid ISM-SEM approach.

35 citations


Journal ArticleDOI
TL;DR: Developing skills based on newly identified CSF will help people in remaining employable in the era of automation, robotics and artificial intelligence which is otherwise ill-famed for destroying jobs.
Abstract: Critical success factors (CSF) for lean six sigma (LSS) using quality 4.0 are not researched so far. This study aims to bridge this gap. It also validates CSF already identified for LSS under conventional technologies.,Empirical research using the questionnaire method is conducted. Construct of the questionnaire is checked using Cronbach’s alpha and responses received are analysed using t-test and exploratory factor analysis.,In total, 20 factors are evaluated for LSS success. It includes 7 factors related to quality 4.0 technologies and 13 related to the conventional set-up. All 7 quality 4.0 related factors were found critical; whereas, under traditional set-up, 11 factors out of 13 were found critical.,The study will help enterprises in the fast and effective adoption of quality 4.0 and seamless integration with LSS. The post-Covid-19 business scenario is expected to be information technology focussed. The findings of this study will be useful in these circumstances. Consultants and practitioners can prioritise their efforts based on newly identified CSF. The new revelation about CSF for LSS in quality 4.0 enriches theory as well.,Developing skills based on newly identified CSF will help people in remaining employable in the era of automation, robotics and artificial intelligence which is otherwise ill-famed for destroying jobs.,CSF for LSS using quality 4.0 is a new contribution. It differentiates CSF established earlier for conventional technologies. Moreover, many CSF are common for LSS and industry 4.0, therefore this study will also help in smoother adoption of industry 4.0/quality 4.0 in organisations.

33 citations


Journal ArticleDOI
TL;DR: In this paper, the authors explored the impact of lean, Six Sigma and environmental sustainability on the performance of small and medium enterprises (SMEs) in Pakistan and found that the three management styles positively impacted the environmental performance of SMEs.
Abstract: This paper aims to explore the impact of lean, Six Sigma and environmental sustainability on the performance of small and medium enterprises (SMEs) in Pakistan. The firm performance has been measured in terms of operational, business and environmental performance.,A survey-based methodology is adopted for collecting data from the main cities of Punjab, Pakistan. SMEs related to different industries such as service, manufacturing, automotive and retail were targeted. The data gathered were ordinal, and Spearman's correlation test was used as the data analysis technique.,The findings indicated that the three management styles positively impacted the environmental performance of SMEs. Moreover, no significant relationship was found between the three management styles and the SMEs' business and operational performance.,To counter the inefficient and wasteful practices of SMEs and their detrimental impact on overall firm performance, SMEs have to refocus and reconfigure their management strategies. It is implied to use lean, Six Sigma and environmental sustainability practices to achieve this goal.,The study empirically investigates the impact of lean, Six Sigma and environmental sustainability on the performance of SMEs in Pakistan, which is the first study to be conducted in the Pakistani context.

33 citations


Journal ArticleDOI
20 Mar 2021
TL;DR: In this paper, a case study on the implementation of an effective approach to advanced Lean Six Sigma problem-solving within a pharmaceutical manufacturing site which manufactures acetaminophen (paracetamol containing pain relief) tablets was examined.
Abstract: This research examines a case study on the implementation of an effective approach to advanced Lean Six Sigma problem-solving within a pharmaceutical manufacturing site which manufactures acetaminophen (paracetamol containing pain relief) tablets. Though this study was completed in a single manufacturing company, the implementation of this study delivers important application and results that can be deployed in other such manufacturing companies. The manufacturing site faced backlogs in customer orders due to increased demand. Increased demand is due to brand popularity and recognition, product efficacy and a COVID 19 pandemic that intensified the demand for pain relief tablets in an already very busy site. With increased demand, to ensure timely deliveries, customer satisfaction and minimize delays, sources of site productivity losses and wastes needed to be analyzed and reduced or eliminated. Manufacturing Packaging line downtime was identified as one area of concern. The goal of the research was to introduce a problem-solving technique to reduce downtime within a manufacturing site without affecting the production required to fulfil customer demand while increasing product quality. The research utilized an integrated LSS methodology which identifies, stratifies and effectively eliminates non-value adding (waste) activities, by following a 7-step customized problem-solving methodology which resulted in complete elimination of the issue under investigation and savings of just under half a million dollars. The learnings are being deployed and leveraged worldwide across the pharmaceutical organizations parent site and sister sites. The presented results demonstrated that Lean Six Sigma methodology and tools are effective for accurate root causing of problems and enablers of implementation of continuous improvement.

29 citations


Journal ArticleDOI
TL;DR: In this paper, the authors investigated GLSS implementation barriers, their relationship, and removal of same in the manufacturing sector and found that management-related barriers are the top ranked followed by environmental and organization barriers with BWM weights 0.5283, 0.1704, and 0.1035, respectively.
Abstract: The increased awareness about the effect of operations on sustainability dynamics and governmental pressure to cut emission rates has forced industries to adopt sustainable approaches such as Green Lean Six Sigma (GLSS). Despite increasing interest in GLSS, very limited research has focused on its implementation and no research has investigated barriers that hinder GLSS execution. This article investigates GLSS implementation barriers, their relationship, and removal of same in the manufacturing sector. In this article, 18 GLSS barriers have been recognized through literature review and formulated into logical groups using principal component analysis. This article pioneers with decision-making trial and evaluation laboratory with intuitionistic fuzzy (IF) set to prioritize barriers and handle the important and causal relationship among the same. The results of the article were validated through the IF best-worst method (BWM). The results reveal that management-related barriers are the top ranked followed by environmental and organization barriers with BWM weights 0.5283, 0.1704, and 0.1035, respectively. This provides impetus to policymakers for the induction of GLSS in business organizations to make harmony between economic development and environmental sustainability.

29 citations


Journal ArticleDOI
TL;DR: In this paper, the authors present a review of Lean Six Sigma dimensions as a research domain through a critical review of the literature and identify the most common critical success and failure factors.
Abstract: This paper aims to develop an initial understanding of the Lean Six Sigma methodology since its inception and examine the few Lean Six Sigma dimensions as a research domain through a critical review of the literature.,The paper is structured in two-part. The first part of the paper attempts to dwell on the evolution of the Lean Philosophy and Six Sigma methodology individually and the emergence of Lean Six Sigma methodology, covered under the Lean Six Sigma: a historical outline section. The second part of the study examines the dimensions associated with Lean Six Sigma such as frameworks, critical success factors, critical failure factors, type of industry, performance metric, year, publisher and journal, based on a total of 223 articles published in 72 reputed journals from the year 2000 to 2019 as a literature review.,The adoption of Lean Six Sigma, as a continuous improvement methodology, has grown enormously in the manufacturing and few service sectors such as health care and higher education during the past decade. The study revealed that researchers came out with conceptual frameworks for the implementation of Lean Six Sigma, whereas the validation through case studies seems to be lacking. The integration of Lean Six Sigma and other approaches with a focus on sustainability and the environment has emerged as a research field. A few of the most common critical success and failure factors were identified from the articles studied during the study.,This paper may not have included some of the studies due to the inaccessibility and selection criteria followed for the study.,This paper will provide an initial introduction on Lean, Six Sigma and Lean Six Sigma and research insights Lean Six Sigma to beginners such as students, researchers and entry-level professionals.

Journal ArticleDOI
TL;DR: This study attempts to further develop the theory and understanding of LSS through the conceptual development and empirical validation of multi-item measurement scales that reflect LSS competence, and tests the instrument in the food industry to identify which LSS practices are successfully implemented in that sector.

Journal ArticleDOI
11 Oct 2021
TL;DR: In this paper, the authors developed an innovative agile model using the lean, smart, and green approach to improve operational performance within limited constraints in Industry 4.0 by reviewing research articles conducted over the past decades on process optimization approaches that include lean manufacturing, smart manufacturing, kaizen, and lean six sigma.
Abstract: Industry 4.0 emphasizes developing an innovative approach to eliminating the problems caused by environmental and shop floor waste, which is accomplished by a suitable process optimization approach. The process optimization approach is used to maximize productivity within limited constraints by observing end-to-end management systems. The present research work developed an innovative agile model using the lean, smart, and green approach to improve operational performance within limited constraints in Industry 4.0. The proposed model was developed by thoroughly reviewing research articles conducted over the past decades on process optimization approaches that include lean manufacturing, smart manufacturing, kaizen, and lean six sigma. The model was validated through two real production case studies in the mining machinery and automobile industries. The present article concluded that overall operational performance was enhanced in both case studies by improvement in different factors, including working environment, worker efficiency, environmental evolution, logistics management, and resources utilization. The authors of the present article strongly believe that the proposed innovative agile model would help people in industry make aesthetic and smart sustainable production systems in Industry 4.0 within limited constraints.

Journal ArticleDOI
TL;DR: The systematic review of the literature on lean business models suggests that the models such as several process improvement cost models, lean thinking models, managerial process improvement, and models of care can be used in the healthcare industry to reduce waste and costs and improve patient satisfaction.
Abstract: This paper includes the systematic literature review on lean business models used in the healthcare industry to aid in reducing waste, costs, and improving overall patient care and satisfaction. A ...

Journal ArticleDOI
TL;DR: In this article, the authors apply a Lean Six Sigma framework to support continuous improvement in the maritime industry (shipbuilding, logistics services and shipping companies) during COVID-19 pandemics.
Abstract: This study aims to apply a Lean Six Sigma framework to support continuous improvement in the maritime industry (shipbuilding, logistics services and shipping companies) during COVID-19 pandemics. By applying the concepts of Lean Six Sigma and supply chain resilience, the most suitable continuous improvement method for the maritime industry is developed to maintain a resilient supply chain during COVID-19.,A specific shipbuilding, logistics services and shipping company in Indonesia is chosen as the research object. The Lean Six Sigma framework reveals the wastes through the supply chain resilience concept, and implements internal business processes to maintain optimal system performance.,The paper identifies important implementation aspects in applying Lean Six Sigma to shipbuilding, logistics services and shipping. The DMAIC (define, measure, analyze, improve and control) approach is applied to achieve supply chain resilience. Resilient measures are generated for the case companies to maximize performance during the pandemics.,This paper provides a new insight for integrating Lean Six Sigma and resilience strategies in the maritime industry during COVID-19 disruptions. The authors provide some insights to sustain the performance of the maritime industries under study.,This study is part of the first research in the maritime industry that focuses on continuous improvement during COVID-19 using Lean Six Sigma and supply chain resilience.

Journal ArticleDOI
TL;DR: This paper will be reviewing the implementations of LSS and their results to date and future possibilities, and incorporating an efficient model using LSS, which can be changed as required depending on the organisation’s ultimate goal.


Journal ArticleDOI
TL;DR: This analysis is the first of its kind, according to the best of the authors’ knowledge, to classify the influencing factors of LSS implementation into the cause–effect cluster, which makes the complexity of a problem easier in handling and assisting the decision-making.
Abstract: Lean Six Sigma (LSS) is receiving a tremendous attention as a modern process of streaming to improve the organizational ability and customer satisfaction. A successful LSS implementation is influenced by various factors and the execution of all the influencing factors simultaneously is a very difficult task for any organization. From the perspective of limitation of resources, this paper aims to present a basic issue in an LSS implementation of clustering complex and impacting factors into groups to achieve them in a stepwise manner. This paper aims to present a fundamental issue of clustering the complex and impacting factors of an LSS implementation into groups to achieve them stepwise.,A total of 40 relevant influencing factors toward an LSS implementation have been identified from the extensive literature review and duly validated with experts’ opinions. Integrated fuzzy set theory and decision-making trial and evaluation laboratory (DEMATEL) approach are demonstrated to explore the causal relationships among influencing factors of the LSS implementation. An empirical case analysis of an Indian manufacturing organization is carried out to illustrate the utilization of the proposed model.,The proposed framework effectively finds out the significance of each influencing factor of an LSS implementation and clustered into cause–effect groups. As per the results of the empirical case analysis, ten critical success factors (CSFs) of the LSS implementation are evaluated for the successful LSS implementation. Top management pays more attention to achieve them and implement them in a phase-wise approach under the limitations of accessible resources.,The presented framework provides an effective, precise and systematic decision support tool for recognizing CSFs of the LSS implementation. The organization, decision-makers, industrial practitioners and academic researchers may be able to comprehend the cause–effect relationship of the influencing factors of the LSS implementation. The exploratory nature and the single case study are two major limitations of this analysis. The developed model is heavily dependent on the experts’ opinions; hence, any bias in judgment will influence the final result.,This analysis is the first of its kind of effort, according to the best of the authors’ knowledge, to classify the influencing factors of LSS implementation into the cause–effect cluster. The outcomes of this analysis make the complexity of a problem easier in handling and assisting the decision-making.

Journal ArticleDOI
TL;DR: The introduction of the FTS in the orthopaedic field, analysed through the LSS, demonstrated to reduce LOS and, consequently, costs and there was an economic saving for each individual patient.
Abstract: One of the biggest challenges in the health sector is that of costs compared to economic resources and the quality of services. Hospitals register a progressive increase in expenditure due to the aging of the population. In fact, hip and knee arthroplasty surgery are mainly due to primary osteoarthritis that affects the elderly population. This study was carried out with the aim of analysing the introduction of the fast track surgery protocol, through the lean Six Sigma, on patients undergoing knee and hip prosthetic replacement surgery. The goal was to improve the arthroplasty surgery process by reducing the average length of stay (LOA) and hospital costs,Lean Six Sigma was applied to evaluate the arthroplasty surgery process through the DMAIC cycle (define, measure, analyse, improve and control) and the lean tools (value stream map), adopted to analyse the new protocol and improve process performance. The dataset consisted of two samples of patients: 54 patients before the introduction of the protocol and 111 patients after the improvement. Clinical and demographic variables were collected for each patient (gender, age, allergies, diabetes, cardiovascular diseases and American Society of Anaesthesiologists (ASA) score).,The results showed a 12.70% statistically significant decrease in LOS from an overall average of 8.72 to 7.61 days. Women patients without allergies, with a low ASA score not suffering from diabetes and cardiovascular disease showed a significant a reduction in hospital days with the implementation of the FTS protocol. Only the age variable was not statistically significant.,The introduction of the FTS in the orthopaedic field, analysed through the LSS, demonstrated to reduce LOS and, consequently, costs. For each individual patient, there was an economic saving of € 445.85. Since our study takes into consideration a dataset of 111 patients post-FTS, the overall economic saving brought by this study amounts to €49,489.35.

Journal ArticleDOI
TL;DR: In this paper, the effects of Lean Six Sigma (LSS) adaptation on firm performances were identified by using an integrated approach using factor analysis and multiple regression analysis approaches to evaluate the questionnaire survey data.


Journal ArticleDOI
TL;DR: In this article, a five facet Green Lean Six Sigma (GLSS) framework is proposed for the manufacturing sector to enhance organizational sustainability, which will facilitate managers and practitioners to execute a sustainable GLSS program in manufacturing firms.
Abstract: Modern organizations are in quest of initiatives that will facilitate them to be sustainable as well as provide a competitive advantage to remain a continuous stakeholder in the global market. Green Lean Six Sigma (GLSS) is an inclusive approach that not only improves environmental sustainability but also leads to improvement in the financial stability of the organizations. To implement the GLSS strategy, it is essential to integrate Green, Lean, and Six Sigma initiatives under the umbrella of GLSS. In this study, GLSS integration has been proposed based on intangible features like enablers, toolsets, etc. Management dedication, participation, and team effort have been recognized as the most remarkable enablers to implement GLSS in the manufacturing sector. Moreover, this study also proposes a five facet GLSS framework for the manufacturing sector to enhance organizational sustainability. The current work will facilitate managers and practitioners to execute a sustainable GLSS program in manufacturing firms for increased operational excellence as well as environmental sustainability.

Journal ArticleDOI
TL;DR: A new perspective on how and to which aim Lean Six Sigma should be applied in healthcare is provided, with implications for a more comprehensive approach of process improvement within healthcare that takes flexibility and buffering in anticipation of excess variability and disruption into greater account.
Abstract: Purpose: The purpose of this study is to reflect upon the ramifications of two decades of Lean Six Sigma implementations in Dutch healthcare institutions in the light of the current COVID-19 pandemic. Design/methodology/approach: The authors provide an evaluation of the impact that Lean Six Sigma implementations have had on the ability of Dutch healthcare institutions to respond adequately to healthcare needs during the COVID-19 crisis. Findings: Process improvement in healthcare has had a tendency to cut capacity and flexibility which are needed to deal with excessive demand shocks, such as during a pandemic. The main reason for this failure seems to be an overly strong focus on cost reduction instigated by Lean Six Sigma during stable times. Research limitations/implications: Besides the research method being an inferential procedure, the research focuses on the Netherlands and so the generalizability might be limited. However, using Lean Six Sigma to improve healthcare processes has found broad acceptance, so the implications may well carry over to other countries. Practical implications: The authors call for a more comprehensive approach of process improvement within healthcare that takes flexibility and buffering in anticipation of excess variability and disruption into greater account. Therefore, this study provides a new perspective on how and to which aim Lean Six Sigma should be applied in healthcare. Originality/value: An assessment is given of the impact of Lean Six Sigma implementations on the ability to respond to the COVID-19 crisis. This is done by identifying the focus points of improvement projects and considering the impact on the resilience of healthcare operations. © 2021, Emerald Publishing Limited.

Journal ArticleDOI
TL;DR: In this paper, the authors present a Green Lean Six Sigma (GLSS) approach for the generation of the vast amount of data in the manufacturing process, which is very challenging.
Abstract: The advent of new technologies alongside the generation of the vast amount of data in the manufacturing processes makes Green Lean Six Sigma (GLSS) approaches very challenging. This paper presents ...

Journal ArticleDOI
TL;DR: Lean Six Sigma tools used in this study were cause-and-effect diagrams, spaghetti diagrams, five-why analysis, project charters, brainstorming, control charts, and hypothesis testing.
Abstract: Hospital medication errors are costly and contribute to patient mortality, morbidity, and decreased health care quality. Errors result from poor systems design more commonly than from healthcare st...

Journal ArticleDOI
TL;DR: The continuous improvement programs and innovation have been stimulated and widely deployed due to the importance to the competitiveness of the organisations, being subjects of interest in several... as mentioned in this paper. But the continuous improvement program and innovation has been widely deployed in many organizations.
Abstract: The continuous improvement programs and innovation have been stimulated and widely deployed due to the importance to the competitiveness of the organisations, being subjects of interest in several ...

Journal ArticleDOI
TL;DR: It was found that comparatively less studies are focused on improving the medical processes, most of the studies targeted the management processes of Lean Six Sigma in the healthcare sector.

Journal ArticleDOI
TL;DR: In today's globally competitive market, manufacturing organizations must find innovative ways to delight stakeholders while achieving profitable growth as discussed by the authors, and Lean Six Sigma is one of the best techniques for this purpose.
Abstract: In today’s globally competitive market, manufacturing organisations must find innovative ways to delight stakeholders while achieving profitable growth. Lean Six Sigma is one of the best techniques...

Journal ArticleDOI
TL;DR: In this paper, a systematic framework of Green Lean Six Sigma (GLS) with the associated toolset has been presented that will facilitate the industrial managers and practitioners to implement this eco-friendly approach.
Abstract: The industrial organisations have become more rigorous towards the effect of their methods on different aspects of sustainability. The governmental policies and environmental pacts have forced the industries to adopt sustainable measures to cut their current level of emissions and wastes. To mitigate these challenges, there is immense need to develop, adopt, and implement inclusive approaches like Green Lean Six Sigma (GLS) that provides a pathway for comprehensive growth to the industry through optimum utilisation of resources, reducing rejection, rework wastes, and emissions. The main aim of the present work is to review the GLS approach together with readiness measures, failure factors, integration, and implementation framework. The study explores grey areas of the GLS and provides a systematic way to integrate Green technology, Lean, and Six Sigma under the egis of GLS. Moreover, a systematic framework of GLS with the associated toolset has presented that will facilitate the industrial managers and practitioners to implement this eco-friendly approach.

Journal ArticleDOI
TL;DR: In this article, a similar framework is used to explore the state of Lean Six Sigma in the field from both an academic and practitioner point of view, and a similar approach is used in this paper.
Abstract: This paper draws on recent work which explores the subject of Lean Six Sigma from both an academic and practitioner view. A similar framework is utilised to explore the state of Lean Six Sigma in t...