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http://dx.doi.org/10.1016/j.jacr.2017.02.017 | DOI Listing |
Digit Health
September 2025
Information Technology Department, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China.
Objective: To evaluate the impact of integrating digital shadow technology with Lean Six Sigma methodology on intra-laboratory turnaround time (TAT) in a high-volume clinical laboratory, and to demonstrate how digital shadow architectures can enhance process visibility and drive sustainable operational improvements.
Methods: A retrospective, two-phase study was conducted in a tertiary cancer hospital from January to December 2024. Digital shadow technology was implemented by leveraging real-time, time-stamped data from the laboratory information system (LIS) to map specimen workflow milestones.
Front Health Serv
August 2025
UCD Centre for Interdisciplinary Research, Education & Innovation in Health Systems, School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
Background: A failure to distinguish between person-centredness, person-centred care, and person-centred cultures can result in improvement initiatives focusing solely on improvement initiative metrics and outcomes, excluding the authentic experiences of patients and staff. Building on the foundational work of Dewing and McCormack, we have designed, piloted, and implemented the Person-centred Lean Six Sigma (PCLSS) model in public and private acute and community healthcare settings across Ireland. This model uses Lean Six Sigma, a widely adopted improvement methodology, through a person-centred lens with which improvement practitioners and healthcare staff can inspect their Lean Six Sigma practice and critically evaluate whether, to what extent, and how it is synergistic with person-centred approaches.
View Article and Find Full Text PDFCancers (Basel)
August 2025
General and Digestive Surgery, San Cecilio Clinical University Hospital, 18007 Granada, Spain.
: Colorectal cancer (CRC) ranks third in the Western world in cancer incidence and second as the cause of cancer-related deaths. Despite advances in perioperative care, minimizing postoperative morbidity is crucial in clinical practice. Digitalization of the healthcare process plays a key role in genuinely and effectively engaging patients.
View Article and Find Full Text PDFCureus
July 2025
MYAS-GNDU Department of Sports Sciences and Medicine, Guru Nanak Dev University, Amritsar, IND.
Lean Six Sigma (LSS) is a process improvement methodology that combines Lean's focus on eliminating non-value-adding activities with Six Sigma's data-driven approach to reduce defects and enhance efficiency and quality. Globally, the healthcare sector faces challenges, such as resource constraints, rising patient demands, and infrastructural limitations, with these challenges particularly pronounced in developing countries, like India, making it a promising tool for optimizing processes and improving patient outcomes. Despite its potential, the adoption of LSS in Indian healthcare is limited, and critical success factors (CSFs) such as leadership, communication, training, and organizational culture remain underexplored.
View Article and Find Full Text PDFAm J Emerg Med
August 2025
Department of Emergency, China-Japan Friendship Hospital, Beijing 100029, China.
Objective: The aim of this study is to evaluate the effectiveness of lean six sigma management in optimizing the emergency extracorporeal cardiopulmonary resuscitation (ECPR) rescue process.
Methods: The existing ECPR emergency rescue process was optimized using the lean six sigma methodology, which follows the five phases of six sigma: Define, measure, analyze, improve, and control. Lean management principles were integrated throughout the process.