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Lean Six Sigma

About: Lean Six Sigma is a research topic. Over the lifetime, 1919 publications have been published within this topic receiving 29142 citations.


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Proceedings ArticleDOI
01 Nov 2018
TL;DR: Streamlining the breast imaging intervention is considered in its preliminary phase; further work and reviews are needed towards full implementation and sustainability.
Abstract: Clinical RelevanceProlonged wait times for image-guided breast interventions are ruining the patient experience and negatively affect healthcare workers. Adopting lean methodology helps streamline the process and improve patient satisfaction.PurposeThis is a quality improvement project which aims to create an efficient interventional breast imaging workflow using lean methodology by reducing wastes of all kinds including time and materials. It aims to improve patients’ satisfaction by decreasing the wait timesMaterials and MethodsWe used the lean six Sigma Define, Measure, Analyze, Improve and Control (DMAIC). The team members used tools such as affinity diagram to define the current problems in the workflow and the root cause of prolonged wait times. Team members gathered observations. Root cause analysis using a fishbone diagram and wasteful steps were identified. Brainstorming sessions discussed ideas for improvement. A consensus was reached on countermeasures and a pilot project was planned.ResultsThe target of decreasing the wait time was met on the days when the counter measures were fully implementedConclusionStreamlining the breast imaging intervention is considered in its preliminary phase; further work and reviews are needed towards full implementation and sustainability. Despite the many challenges, embarking on quality improvement project and promoting lean culture not only helped us to meet the target of decreasing wait time but have improved the work environment and patient satisfaction

3 citations

Journal ArticleDOI
TL;DR: It is demonstrated that the patients’ delaying time is influenced by the delay in informational system, and improvement processes must have as a debating point the “patients’ voice”, what dissatisfies them in addition to their rights about a qualitative public health system.
Abstract: Abstract: Changes in the Romanian public health system, which happen almost every year, are not always beneficial for the patients. Since consumers’ needs should be on the first place, every new development opportunity should take that into account. Evidence from 2017 confirms the fact that the public healthcare system is unable to demonstrate a rapid growth, because there are still many deficiencies, which need to be corrected (waste of financial resources, waste of time, etc.). This suggests a meticulous analysis and a necessary deficiencies’ gradual improvement, in order to fundamentally improve the public health system. Notably, managers from public healthcare institutions should be capable of correctly specify what “quality” means; otherwise, expecting a quality management would be hopeless. We therefore consider that improvement processes must have as a debating point the “patients’ voice”, what dissatisfies them in addition to their rights about a qualitative public health system. This paper will analyze, and therefore try to predict, an apparently minor yet important aspect, like the circumstance of expecting in front of the medical room. For this analysis two statistical tools were used ANOVA analysis and regression analysis. The results, formed as a linear distribution, demonstrated that the patients’ delaying time is influenced by the delay in informational system. In conclusion, as recommendations, the research is an ongoing study, which will further analyze other possible factors that may influence the patients’ waiting.

3 citations

01 Jan 2010
TL;DR: In this paper, the authors describe the role of flexible manufacturing as a source of competitive advantage in competitive advantage advantage advantage maximization, and discuss the advantages of LEAN MANUFACTURING as a SOURCE of COMPETITIVE ADVANTAGE
Abstract: LEAN MANUFACTURING AS A SOURCE OF COMPETITIVE ADVANTAGE

3 citations

Journal ArticleDOI
TL;DR: The project "Regional Centers of Excellence for Performance Improvement Processes in Health Care System in Romania" has proposed, as a first step to configure the present quality of hospital processes, seen from the perspective of decision makers and professionals of health.
Abstract: In Romania, the level of knowledge in terms of hospital quality processes is quite low. The project "Regional Centers of Excellence for Performance Improvement Processes in Health Care System in Romania" has proposed, as a first step to configure the present quality of hospital processes, seen from the perspective of decision makers and professionals of health. The project is focused on the implementation of innovative concepts for optimization of hospital processes by developing skills in quality management, performance and efficiency of health services of the medical and managerial staff from hospitals in three regions in Romania, as well as implementation of improvement projects. By this project in addition to the research stage, important steps have been made to introduce an innovative methodology - Lean Six Sigma tool in hospitals from Romania, through a training program for the managers and specialists from hospitals in order to identify the processes that they are carrying out, the problems they are facing and to find and apply solutions with the help of small or large-scale projects. We hope that this steps will open a new perspective, will bring a new mind setting for the staff and the new approaches based on activity optimization to be an important part of the hospital practice and activity in Romania. Key words: processes, hospital actyivity, quality, Romania

3 citations

Journal ArticleDOI
TL;DR: In this article , a systematic literature review (SLR) combined with bibliometric analysis was conducted to identify, select and evaluate articles and was supported by content analysis to classify papers into group-discussed clusters.
Abstract: Abstract This article explores the literature on lean management (LM), Six Sigma (SS), Industry 4.0 (I4.0) and their relationship. A systematic literature review (SLR) combined with bibliometric analysis was conducted to identify, select and evaluate articles and was supported by content analysis to classify papers into group-discussed clusters. A total of 134 articles were retrieved from relevant databases and publisher engines between 2011 and June 2022. The analysis of these articles enabled us to identify the impact of Industry 4.0 technologies on Lean SS; the relationship between LM, SS and Industry 4.0 and the implications of their combination on operational excellence. The results show that while a majority of researchers consider Industry 4.0 to be a driver of LSS and a prerequisite for helping companies access the data and analytics needed, others find them to be complementary and synergistic. Similarly, various authors support the idea that LSS could be a facilitator of Industry 4.0. This study provides an overview of the main research streams in this field and its shortcomings and presents an LSS4.0 framework integrating Lean SS and Industry 4 which will be of great value to academics and practitioners working in this area.

3 citations


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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
20241
2023109
2022205
2021183
2020187
2019190