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Keywords: OR utilization
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Publishing the latest trends and research developments in Lean Six Sigma (an integrated approach of Lean and Six Sigma).
Journal Articles
José Erivelton De Souza Maciel Ferreira, Larissa Siqueira Rodrigues, Aneline Mesquita Sales Carpino, Francisco Bahia Pena, Marcos Roberto Martins Vasquez, Rian Brito Teles, Francisco Edilson Andrade De Almeida Junior, Moacir De Sousa Soares
International Journal of Lean Six Sigma 1–15.
Published: 11 September 2026
Includes: Supplementary data
Images
in Lean management in a low-digitalization context: implementing manual time and motion analysis in a public hospital emergency department
> International Journal of Lean Six Sigma
Published: 11 September 2026
Figure 1. Multilevel framework for analyzing Lean organizational transformation in a public hospital Source: The authors (2026) A conceptual framework presents macropolitical, micropolitical, and mesopolitical levels of lean organisational transformation. The framework describes 3 levels of... More about this image found in Multilevel framework for analyzing Lean organizational transformation in a ...
Journal Articles
International Journal of Lean Six Sigma 1–29.
Published: 04 September 2026
Images
in Social innovation through lean strategy deployment: the role of Hoshin Kanri in nonprofit organizations
> International Journal of Lean Six Sigma
Published: 04 September 2026
Figure 1. Analogy between AR cycle and PDCA cycle Source: Authors’ elaboration based on Susman and Evered (1978) and Deming (1982) A cyclical model links Diagnosing, Action Planning, Action Taking, Evaluation of Results and Specifying Learning around the P D C A cycle. The outer seq... More about this image found in Analogy between AR cycle and PDCA cycle Source: Authors’ elaboration...
Journal Articles
International Journal of Lean Six Sigma 1–21.
Published: 28 August 2026
... initiatives have proven effective in reducing wait times, costs and waste, thereby improving resource utilization (Pinto, 2014). International cases such as the Virginia Mason Medical Center (IHI, 2005) and ThedaCare (Toussaint and Gerard, 2010) further demonstrate the benefits of this approach, including...
Journal Articles
International Journal of Lean Six Sigma 1–26.
Published: 28 August 2026
... such as flow stabilization, supplier integration, error reduction and employee involvement, which contribute to lower waste generation, safer workplaces and more efficient resource utilization. Second, the strong relationships between Lean and I4.0 (H2) and between I4.0 and Sustainability (H3) reveal...
Images
in Industry 4.0: key driver of the Lean–Sustainability relationship
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 1. Structural model A hypothesis model links Lean Manufacturing, Industry 4.0 and Sustainability through 3 direct relationships and 1 indirect relationship. The model contains 3 constructs: Lean Manufacturing, Industry 4.0 and Sustainability. Solid arrows represent direct relationships,... More about this image found in Structural model A hypothesis model links Lean Manufacturing, Industry 4...
Images
in Industry 4.0: key driver of the Lean–Sustainability relationship
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 2. Conceptual model of the mediating effect of I4.0 between LM and Sustainability A structural model links Lean Manufacturing, Industry 4.0 and Sustainability with first-order constructs, survey items and direct and indirect hypotheses. The model contains 3 second-order constructs: Le... More about this image found in Conceptual model of the mediating effect of I4.0 between LM and Sustainab...
Images
in Industry 4.0: key driver of the Lean–Sustainability relationship
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 3. Results of the structural model A structural model links Lean Manufacturing, Industry 4.0 and Sustainability through direct paths and an indirect effect of 0.138. The model contains 3 constructs: Lean Manufacturing, L M; Industry 4.0, I 4.0; and Sustainability, S. Lean Manufacturing ... More about this image found in Results of the structural model A structural model links Lean Manufactur...
Images
in Industry 4.0: key driver of the Lean–Sustainability relationship
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 4. IPMA map analysis on Sustainability A sustainability importance-performance map places 19 lean manufacturing and Industry 4.0 indicators across 4 quadrants using importance and performance values. The map plots Importance on the horizontal axis from about 0.003 to 0.103 and Perform... More about this image found in IPMA map analysis on Sustainability A sustainability importance-perform...
Images
in Proposition of a Lean health-care maturity assessment instrument: a case study in the Brazilian context
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 1. Hospital Lean maturity level Source: Authors A radar chart compares 5 lean principles on a scale from 0 to 3. The radar chart plots Specify Value at about 2.1, Value Stream at about 2.2, Continuous Flow at about 2.0, Pull System at about 2.0, and Perfection at about 1.8. The scale... More about this image found in Hospital Lean maturity level Source: Authors A radar chart compares 5...
Images
in Proposition of a Lean health-care maturity assessment instrument: a case study in the Brazilian context
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 2. Roadmap for measuring Lean maturity levels in hospitals Source: Authors A flowchart presents 8 phases of lean implementation from adopting lean principles through perfection. The flow begins at Start and proceeds to phase 0, Adopt Lean principles, covering lean culture and skills ... More about this image found in Roadmap for measuring Lean maturity levels in hospitals Source: Authors ...
Journal Articles
International Journal of Lean Six Sigma 1–31.
Published: 28 August 2026
... enabled documentation, coordination and traceability of actions. Free PDF-to-text utilities were used to extract relevant information from open-access scientific literature, ensuring that external knowledge could be accessed and operationalised without subscription-based databases or specialised research...
Journal Articles
International Journal of Lean Six Sigma (2026) 17 (8): 419–453.
Published: 28 August 2026
Images
in Generative artificial intelligence as a governance mechanism in Lean Six Sigma–based new product development: an action research study in an SME
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 1. Action research cycle adapted for AI-enhanced Kaizen in SMEs Note(s): The figure depicts the cyclical structure of the action research process as applied in this study, encompassing diagnosing, action planning, action taking, evaluating and specific learning. The cycle illustrates how... More about this image found in Action research cycle adapted for AI-enhanced Kaizen in SMEs Note(s): Th...
Images
in Generative artificial intelligence as a governance mechanism in Lean Six Sigma–based new product development: an action research study in an SME
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 2. Alignment between action research cycles and DMAIC Note(s): The figure illustrates how the DMAIC phases align with the stages of the action research cycle. Define supports problem diagnosis and planning; measure, analyse and improve are enacted during action taking through analyti... More about this image found in Alignment between action research cycles and DMAIC Note(s): The figure...
Images
in Generative artificial intelligence as a governance mechanism in Lean Six Sigma–based new product development: an action research study in an SME
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 3. Ishikawa diagram identifying potential sources of quality deviations during new product development Note(s): The figure presents the cause-and-effect diagram developed during the diagnostic phase to structure the potential causes of quality deviations observed in the development of fr... More about this image found in Ishikawa diagram identifying potential sources of quality deviations during...
Images
in Generative artificial intelligence as a governance mechanism in Lean Six Sigma–based new product development: an action research study in an SME
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 4. Simplified Obeya room artefact supporting stage-gate governance in SME new product development Note(s): The figure presents an anonymised representation of the visual management board used during the intervention. It combines project-level information with operational monitoring of ... More about this image found in Simplified Obeya room artefact supporting stage-gate governance in SME ne...
Images
in Generative artificial intelligence as a governance mechanism in Lean Six Sigma–based new product development: an action research study in an SME
> International Journal of Lean Six Sigma
Published: 28 August 2026
Figure 5. Defect log sheet used for structured data capture during action Note(s): The artefact was used to record quality deviations, process conditions and immediate actions during production, providing the primary input for PDCA analysis and AI-supported hypothesis generation A Rissolle... More about this image found in Defect log sheet used for structured data capture during action Note(s): ...













