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Lessons for Lean in Healthcare from Using Six Sigma in the NHS

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  • Nathan Proudlove
  • Claire Moxham
  • Ruth Boaden

Abstract

In the UK the National Health Service (NHS) has applied a number of quality improvement approaches from manufacturing, often in a piecemeal fashion; most notably Six Sigma and, more recently, Lean. This article reports on an evaluation of a programme used in the NHS to consider what can be learned about the application of such approaches—including what themes also apply to Lean, and its implementation, particularly in the healthcare context.

Suggested Citation

  • Nathan Proudlove & Claire Moxham & Ruth Boaden, 2008. "Lessons for Lean in Healthcare from Using Six Sigma in the NHS," Public Money & Management, Taylor & Francis Journals, vol. 28(1), pages 27-34, February.
    • Handle: RePEc:taf:pubmmg:v:28:y:2008:i:1:p:27-34
    DOI: 10.1111/j.1467-9302.2008.00615.x
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    Cited by:

    1. Niñerola, Angels & Sánchez-Rebull, María-Victoria & Hernández-Lara, Ana-Beatriz, 2020. "Quality improvement in healthcare: Six Sigma systematic review," Health Policy, Elsevier, vol. 124(4), pages 438-445.
    2. Jannis Angelis & Anna Häger Glenngård & Henrik Jordahl, 2021. "Management practices and the quality of primary care," Public Money & Management, Taylor & Francis Journals, vol. 41(3), pages 264-271, April.
    3. D’Andreamatteo, Antonio & Ianni, Luca & Lega, Federico & Sargiacomo, Massimo, 2015. "Lean in healthcare: A comprehensive review," Health Policy, Elsevier, vol. 119(9), pages 1197-1209.
    4. Yash Daultani & Atanu Chaudhuri & Sushil Kumar, 2015. "A Decade of Lean in Healthcare: Current State and Future Directions," Global Business Review, International Management Institute, vol. 16(6), pages 1082-1099, December.
    5. Baril, Chantal & Gascon, Viviane & Miller, Jonathan & Côté, Nadine, 2016. "Use of a discrete-event simulation in a Kaizen event: A case study in healthcare," European Journal of Operational Research, Elsevier, vol. 249(1), pages 327-339.
    6. Waring, Justin J. & Bishop, Simon, 2010. "Lean healthcare: Rhetoric, ritual and resistance," Social Science & Medicine, Elsevier, vol. 71(7), pages 1332-1340, October.

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