BACKGROUND Lean thinking as a quality improvement approach is introduced in hospitals worldwide, although evidence for its impact is scarce. Lean initiatives are social, complex and context-dependent. This calls for a shift from cause-effect to conditional attributions to understand how lean works. In this study, we bring attention to the transformative power of local translation, which creates...

Over recent decades, the increasing competitiveness of markets has propagated term “lean” to describe management concept for improving productivity, quality, and lead time in industrial as well services operations. Its overuse linkage different specifiers (surnames) have created confusion misunderstanding approximates pragmatic ambiguity. Through a systematic literature review, this study takes...

The competition of tomorrow is moving away from the level of the individual company and towards the level of supply chain. It is at this level that Lean organisations should evolve and become more flexible, self organising and self adapting entities. Today Lean implementations are based on principles with no clear scope as to how to achieve middle to long term benefits at the level of the exten...

The terms “innovation” and “effectuation” are frequently used but not in the same thought. In this order, publications linking innovation to effectuation presented discussed through a methodology based on publish perish tool. last two decades, has become an active criterion entrepreneurship research. However, previous studies do interconnect different approaches. order overcome gap, paper focus...

The survival of any organization depends upon its competitive edge. Even though Lean is one of the most powerful quality improvement methodologies, nearly two-thirds of the Lean implementations results in failures and less than one-fifth of those implemented have sustained results. One of the most significant tasks of top management is to identify, understand and deploy the significant Lean pra...

The uncritical adoption of production-line manufacturing practices (such as "lean thinking") into work design processes in hospitals creates a fundamental tension between the production of health care and protection of the patient. There is scant evidence that re-engineering health care services in line with industrial models increases their efficiency. Indeed, reducing the richness of health c...

Healthcare, as with any other service operation, requires systematic innovation efforts to remain competitive, cost efficient, and up-to-date. This article outlines a methodology and presents examples to illustrate how principles of Lean Thinking and Six Sigma can be combined to provide an effective framework for producing systematic innovation efforts in healthcare. Controlling healthcare cost...

Introduction Chronic asymptomatic iridocyclitis occurs in 10-20% of all patients with JIA leading to insidious but progressive morbidity and possible blindness. Patients with JIA-associated uveitis need to be seen by an ophthalmologist regularly. Lean thinking is based upon the following principles 1) Identifying the customer value (value adding steps) and alleviating the redundant parts of the...

ABSTRACT The growing need for solving the problem of food waste tackling survival planet and humankind is encouraging researchers to seek sustainable operations that alter conventional methods are currently in use industry. Lean thinking has been used this study propose incorporate social, economic, environmental aspects handle multidisciplinary complex nature reducing waste. value stream mappi...