...Karen Thaís Alves; Cristine Hermann Nodari; Fabiano de Lima Nunes Purpose This study aims to propose and test a specific instrument for assessing lean health-care maturity in hospitals, with the objective of supporting organizational diagnostics and fostering continuous improvement based on lean...

...José Bonito; Miguel Mira da Silva Purpose This study aims to examine how generative artificial intelligence ( AI ) can be governed and embedded within Lean Six Sigma–based continuous improvement and new product development processes in a resource-constrained small- and medium-sized enterprise...

... to assess organizational readiness for transitioning from Lean 4.0 to Lean 5.0, operationalized through KPIs and a weighted readiness index. Lean management Industry 4.0 Industry 5.0 Lean 4.0 Lean 5.0 Maturity model KPIs Artificial intelligence L5RI Continuous improvement Operational excellence...

... as the guiding framework. While I4T offer strong potential to enhance OP, prior research shows that their impact is often limited without supporting organizational capabilities. This study reframes LP as dynamic capabilities that embed technology into day-to-day routines through continuous improvement...

...Cheryl M. Jekiel; Mollie Callahan; Jacqueline Gargiulo; Jay Timms; Dan Erskin Purpose This article aims to examine the need in continuous improvement environments to address mental models of formal authority, or role-based leadership ( RBL ), that restrict the development of systemically...

... reporting as a quality-driven system, positioning accuracy and timeliness as outcomes of continuous improvement rather than regulatory compliance. Design/methodology/approach Using a conceptual–inductive design, the study applies a literature review of Lean and Total Quality Management research...

... 22 08 2025 28 11 2025 02 02 2026 16 03 2026 08 04 2026 © 2026 Emerald Publishing Limited 2026 Emerald Publishing Limited Licensed re-use rights only Continuous improvement Total productive maintenance Lean 4.0 Leadership for lean Design for lean six sigma...

... and supports dynamic, organization-wide continuous improvement. Specifically, the study seeks to explain how core Lean concepts shape and condition BPM constructs across organizational levels, moving beyond isolated, tool-based interventions. Design/methodology/approach The study adopts a theory-building...

...Tharun Thomas Purpose Continuous improvement ( CI ) and Industry 4.0 (I4.0) integration is vital for manufacturing success, but still emerging. This study aims to examine its current state through a literature review. We then propose a framework to aid this crucial integration. Design...

... cultural, technical and institutional challenges identified in MEP projects? Sustainable Lean construction (LC) Mechanical electrical and plumbing (MEP) works Project management Lean management practices (LMP) Continuous improvement Lean 4.0 While the statistical analysis reveals...

... studies demonstrating the applicability of Lean in hospitals and emergency services (Kim et al., 2006 ; Joosten et al., 2009 ; Mazzocato et al., 2010 ; Toussaint and Berry, 2013). Such works show that continuous improvement and waste elimination remain essential...

... the relationship between management commitment and OE through confirmatory factor analysis ( CFA ) using data from 761 companies. Findings During the qualitative phase of the study, 24 items were identified and organized into three primary dimensions: cultural enablers, continuous improvement and enterprise...

... seen at Link to the terms of the CC BY 4.0 licence. Continuous improvement Value stream mapping Operational excellence Leadership for continuous improvement Leadership for lean Design for lean six sigma The volatility of global markets requires organisations to adapt to changing...

... into continuous improvement frameworks. Also, Professor Antony could collaborate with scholars in organisational behaviour, psychology, and leadership studies to better understand the cultural and human dimensions of OpEx. Originality This study contributes to the theoretical and practical knowledge of OpEx...

...Yolandie Richards; Rojanette Coetzee Purpose This study aims to examine the integration of continuous improvement ( CI ) and innovation thinking in the banking sector, identifying the differences between CI and innovation thinking, the root causes of non-integration and proposing actionable...

...William Johny Honorato; Napoleão Verardi Galegale Purpose This study aims to propose a Lean Six Sigma ( LSS )-based model to assess the maturity of continuous improvement practices in information technology ( IT ) processes. Design/methodology/approach The model was developed through...

... continuous improvement programs. Then, eclectic and pattern coding were used to develop success factor themes in this industry. Findings This research found that the majority of the respondents in this study use Lean or other continuous improvement methods, with 87% of the respondents using a continuous...

... (Figure 1) – Ten foundational principles organised into three core dimensions: Cultural enablers (lead with humility; respect every individual); Continuous improvement (focus on process; embrace scientific thinking; flow and pull value; assure quality at the source; seek perfection...

...Omar Varanda Cotaet; Caio Senna do Amaral; Marly Monteiro de Carvalho Purpose This study aims to investigate the effectiveness of applying continuous improvement techniques, specifically DMAIC (Define, Measure, Analyze, Improve and Control), in optimizing the roguing process in soybean seed...

...Mostafa Elmarzouki; Wang Jiuhe Purpose This study aims to bridge the gap between traditional continuous improvement methodologies and emerging digital technologies by systematically analyzing how hybrid innovation models – integrating Lean Manufacturing, Six Sigma and Industry 4.0 tools – drive...