{"id":"https://openalex.org/W4311526164","doi":"https://doi.org/10.1108/bij-03-2022-0183","title":"Characterization of Lean Six Sigma projects in healthcare settings: empirical research","display_name":"Characterization of Lean Six Sigma projects in healthcare settings: empirical research","publication_year":2022,"publication_date":"2022-12-15","ids":{"openalex":"https://openalex.org/W4311526164","doi":"https://doi.org/10.1108/bij-03-2022-0183"},"language":"en","primary_location":{"id":"doi:10.1108/bij-03-2022-0183","doi":"https://doi.org/10.1108/bij-03-2022-0183","is_oa":false,"landing_page_url":"https://doi.org/10.1108/bij-03-2022-0183","pdf_url":null,"source":{"id":"https://openalex.org/S20489460","display_name":"Benchmarking An International Journal","issn_l":"1463-5771","issn":["1463-5771","1758-4094"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-scientific","cwts-core","fnege-4","jufo-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319811","host_organization_name":"Emerald Publishing Limited","host_organization_lineage":["https://openalex.org/P4310319811"],"host_organization_lineage_names":["Emerald Publishing Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Benchmarking: An International Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038729011","display_name":"Juliano Endrigo Sordan","orcid":"https://orcid.org/0000-0002-2188-9051","observed_orcids":["https://orcid.org/0000-0002-2188-9051"]},"institutions":[{"id":"https://openalex.org/I177909021","display_name":"Universidade Federal de S\u00e3o Carlos","ror":"https://ror.org/00qdc6m37","country_code":"BR","type":"education","lineage":["https://openalex.org/I177909021"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Juliano Endrigo Sordan","raw_affiliation_strings":["Universidade Federal de Sao Carlos, Sao Carlos, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-2188-9051","affiliations":[{"raw_affiliation_string":"Universidade Federal de Sao Carlos, Sao Carlos, Brazil","institution_ids":["https://openalex.org/I177909021"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025735099","display_name":"Cl\u00e9sio Aparecido Marinho","orcid":"https://orcid.org/0000-0002-6839-5251","observed_orcids":["https://orcid.org/0000-0002-6839-5251"]},"institutions":[{"id":"https://openalex.org/I177909021","display_name":"Universidade Federal de S\u00e3o Carlos","ror":"https://ror.org/00qdc6m37","country_code":"BR","type":"education","lineage":["https://openalex.org/I177909021"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Cl\u00e9sio Aparecido Marinho","raw_affiliation_strings":["Universidade Federal de Sao Carlos, Sao Carlos, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Federal de Sao Carlos, Sao Carlos, Brazil","institution_ids":["https://openalex.org/I177909021"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035206992","display_name":"Pedro Carlos Oprime","orcid":"https://orcid.org/0000-0002-6213-2223","observed_orcids":["https://orcid.org/0000-0002-6213-2223"]},"institutions":[{"id":"https://openalex.org/I177909021","display_name":"Universidade Federal de S\u00e3o Carlos","ror":"https://ror.org/00qdc6m37","country_code":"BR","type":"education","lineage":["https://openalex.org/I177909021"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Pedro Carlos Oprime","raw_affiliation_strings":["Universidade Federal de Sao Carlos, Sao Carlos, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-6213-2223","affiliations":[{"raw_affiliation_string":"Universidade Federal de Sao Carlos, Sao Carlos, Brazil","institution_ids":["https://openalex.org/I177909021"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011244945","display_name":"M\u00e1rcio Lopes Pimenta","orcid":"https://orcid.org/0000-0003-3899-3274","observed_orcids":["https://orcid.org/0000-0003-3899-3274"]},"institutions":[{"id":"https://openalex.org/I80850581","display_name":"Universidade Federal de Uberl\u00e2ndia","ror":"https://ror.org/04x3wvr31","country_code":"BR","type":"education","lineage":["https://openalex.org/I80850581"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"M\u00e1rcio Lopes Pimenta","raw_affiliation_strings":["Universidade Federal de Uberlandia, Uberlandia, Brazil"],"raw_orcid":"https://orcid.org/0000-0003-3899-3274","affiliations":[{"raw_affiliation_string":"Universidade Federal de Uberlandia, Uberlandia, Brazil","institution_ids":["https://openalex.org/I80850581"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5046966201","display_name":"Roy Andersson","orcid":"https://orcid.org/0000-0002-5615-7600","observed_orcids":["https://orcid.org/0000-0002-5615-7600"]},"institutions":[{"id":"https://openalex.org/I94616838","display_name":"J\u00f6nk\u00f6ping University","ror":"https://ror.org/03t54am93","country_code":"SE","type":"education","lineage":["https://openalex.org/I94616838"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Roy Andersson","raw_affiliation_strings":["J\u00f6nk\u00f6ping University, J\u00f6nk\u00f6ping, Sweden"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"J\u00f6nk\u00f6ping University, J\u00f6nk\u00f6ping, Sweden","institution_ids":["https://openalex.org/I94616838"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.5639,"has_fulltext":false,"cited_by_count":21,"citation_normalized_percentile":{"value":0.93495287,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"30","issue":"10","first_page":"4058","last_page":"4075"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.5371000170707703,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.5371000170707703,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10164","display_name":"Quality and Supply Management","score":0.4219000041484833,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.019200000911951065,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lean-six-sigma","display_name":"Lean Six Sigma","score":0.9900000095367432},{"id":"https://openalex.org/keywords/healthcare-operations","display_name":"healthcare operations","score":0.6069999933242798},{"id":"https://openalex.org/keywords/operational-excellence","display_name":"operational excellence","score":0.9769999980926514},{"id":"https://openalex.org/keywords/dmaic","display_name":"DMAIC","score":0.7549999952316284},{"id":"https://openalex.org/keywords/kaizen-events","display_name":"kaizen events","score":0.7329999804496765},{"id":"https://openalex.org/keywords/process-improvement","display_name":"process improvement","score":0.5120000243186951},{"id":"https://openalex.org/keywords/hospitals","display_name":"hospitals","score":0.4480000138282776},{"id":"https://openalex.org/keywords/process-mapping","display_name":"process mapping","score":0.5799999833106995},{"id":"https://openalex.org/keywords/5s","display_name":"5S","score":0.8399999737739563},{"id":"https://openalex.org/keywords/lead-time-reduction","display_name":"lead time reduction","score":0.8339999914169312},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.7059999704360962},{"id":"https://openalex.org/keywords/healthcare-cost-reduction","display_name":"healthcare cost reduction","score":0.4320000112056732}],"concepts":[{"id":"https://openalex.org/C2778139897","wikidata":"https://www.wikidata.org/wiki/Q6509447","display_name":"Lean Six Sigma","level":4,"score":0.7595574855804443},{"id":"https://openalex.org/C23119410","wikidata":"https://www.wikidata.org/wiki/Q236908","display_name":"Six Sigma","level":3,"score":0.7366430163383484},{"id":"https://openalex.org/C205400985","wikidata":"https://www.wikidata.org/wiki/Q380179","display_name":"DMAIC","level":4,"score":0.7083743214607239},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6494324803352356},{"id":"https://openalex.org/C2778597612","wikidata":"https://www.wikidata.org/wiki/Q7097786","display_name":"Operational excellence","level":2,"score":0.5551078915596008},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5412570834159851},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.49695566296577454},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.46416953206062317},{"id":"https://openalex.org/C2776600044","wikidata":"https://www.wikidata.org/wiki/Q376444","display_name":"Kaizen","level":3,"score":0.4571293890476227},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.45144766569137573},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.444132924079895},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.4409196376800537},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.43561264872550964},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.42986780405044556},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.37069112062454224},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3702623248100281},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.2562764883041382},{"id":"https://openalex.org/C137335462","wikidata":"https://www.wikidata.org/wiki/Q380772","display_name":"Lean manufacturing","level":2,"score":0.23812934756278992},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.15270227193832397},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.10975456237792969},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C43617362","wikidata":"https://www.wikidata.org/wiki/Q170050","display_name":"Chromatography","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1108/bij-03-2022-0183","doi":"https://doi.org/10.1108/bij-03-2022-0183","is_oa":false,"landing_page_url":"https://doi.org/10.1108/bij-03-2022-0183","pdf_url":null,"source":{"id":"https://openalex.org/S20489460","display_name":"Benchmarking An International Journal","issn_l":"1463-5771","issn":["1463-5771","1758-4094"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-scientific","cwts-core","fnege-4","jufo-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319811","host_organization_name":"Emerald Publishing Limited","host_organization_lineage":["https://openalex.org/P4310319811"],"host_organization_lineage_names":["Emerald Publishing Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Benchmarking: An International Journal","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.5683000087738037}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W1530679661","https://openalex.org/W1975736882","https://openalex.org/W1980181826","https://openalex.org/W1982775699","https://openalex.org/W1984672895","https://openalex.org/W2004693031","https://openalex.org/W2005835065","https://openalex.org/W2008412068","https://openalex.org/W2008873690","https://openalex.org/W2030819835","https://openalex.org/W2035073525","https://openalex.org/W2038113515","https://openalex.org/W2039584289","https://openalex.org/W2042137593","https://openalex.org/W2050254325","https://openalex.org/W2059049332","https://openalex.org/W2085170646","https://openalex.org/W2086861546","https://openalex.org/W2088014927","https://openalex.org/W2119728247","https://openalex.org/W2124795198","https://openalex.org/W2138769869","https://openalex.org/W2336196788","https://openalex.org/W2789881270","https://openalex.org/W2884830995","https://openalex.org/W2913187474","https://openalex.org/W2940893780","https://openalex.org/W2952803522","https://openalex.org/W2954407118","https://openalex.org/W2960446082","https://openalex.org/W2976084506","https://openalex.org/W2990664733","https://openalex.org/W2996368874","https://openalex.org/W3028485940","https://openalex.org/W3036195167","https://openalex.org/W3039231602","https://openalex.org/W3082575431","https://openalex.org/W3126449860","https://openalex.org/W3168620235","https://openalex.org/W3190679664","https://openalex.org/W4224911368","https://openalex.org/W4394169596"],"related_works":["https://openalex.org/W4280601855","https://openalex.org/W4401750035","https://openalex.org/W2978569742","https://openalex.org/W4309045220","https://openalex.org/W2972335335","https://openalex.org/W4415559693","https://openalex.org/W3113891915","https://openalex.org/W7060987011","https://openalex.org/W4233398690","https://openalex.org/W6962602236"],"abstract_inverted_index":{"Purpose":[0],"This":[1],"paper":[2],"aims":[3],"to":[4,52,74,138,167,205],"characterize":[5],"a":[6,39,62,75],"sample":[7,40],"of":[8,21,41,225],"Lean":[9,174],"Six":[10,175],"Sigma":[11,176],"(LSS)":[12],"projects":[13,93],"in":[14,26,31,50,179,184,211,220,229,243],"healthcare":[15,29,177,182,231,247],"settings":[16],"and":[17,28,83,99,104,115,123,132,152,158,181,198,208,239],"discuss":[18],"some":[19,206],"specificities":[20],"operational":[22,153],"excellence":[23],"(OPEX)":[24],"initiatives":[25],"hospitals":[27,47,180],"organizations":[30],"the":[32,54,67,88,127,139,168,173,185,195,212,226,230,234,244],"USA.":[33,186],"Design/methodology/approach":[34],"A":[35],"content":[36],"analysis":[37,58,85],"involving":[38],"23":[42],"documents":[43],"shared":[44],"by":[45,120,171],"US":[46],"was":[48,59,71],"performed":[49],"order":[51],"achieve":[53],"research":[55],"objectives.":[56],"Such":[57],"based":[60],"on":[61,96],"conceptual":[63],"framework":[64],"developed":[65],"from":[66],"literature":[68,170],"review.":[69],"It":[70,187],"also":[72,188],"applied":[73,210],"quantitative":[76],"approach,":[77],"including":[78],"descriptive":[79,110],"statistics,":[80,111],"hypothesis":[81],"testing":[82],"correspondence":[84],"that":[86,190],"supported":[87],"research.":[89],"Findings":[90],"Most":[91],"LSSH":[92],"were":[94,106],"focused":[95],"business":[97],"transformation":[98],"strategic":[100],"improvements.":[101],"Simple":[102],"techniques":[103,207,240],"tools":[105,209,238],"predominant":[107],"such":[108,193],"as":[109,194],"process":[112],"mapping,":[113],"5S":[114],"spaghetti":[116],"charts,":[117],"usually":[118],"implemented":[119],"Green":[121],"Belts":[122,125],"Black":[124],"through":[126],"define,":[128],"measure,":[129],"analyze,":[130],"improve":[131],"control":[133],"(DMAIC)":[134],"method.":[135],"In":[136],"addition":[137],"expressive":[140],"findings":[141],"reported,":[142],"these":[143],"projects'":[144],"results":[145,203],"have":[146],"been":[147],"aligned":[148],"with":[149],"lead":[150],"time":[151],"cost":[154],"reduction,":[155],"quality":[156],"improvement":[157],"capacity":[159],"increase.":[160],"Research":[161],"limitations/implications":[162],"The":[163,216],"study":[164,222],"adds":[165],"knowledge":[166],"OPEX":[169],"analyzing":[172],"(LSSH)":[178],"institutions":[183],"demonstrates":[189],"different":[191,202],"approaches,":[192],"kaizen":[196],"event":[197],"DMAIC":[199],"project":[200],"show":[201],"according":[204],"hospital":[213],"environment.":[214],"Originality/value":[215],"empirical":[217],"evidence":[218],"presented":[219],"this":[221],"provides":[223],"scenery":[224],"LSS":[227],"practices":[228],"settings,":[232],"highlighting":[233],"implementation":[235],"areas,":[236],"outcomes,":[237],"mostly":[241],"used":[242],"North":[245],"American":[246],"institutions.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":11},{"year":2023,"cited_by_count":4}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2022-12-26T00:00:00"}