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Reviews on Environmental Health

Editor-in-Chief: Carpenter, David O. / Sly, Peter

Editorial Board: Brugge, Doug / Edwards, John W. / Field, R.William / Garbisu, Carlos / Hales, Simon / Horowitz, Michal / Lawrence, Roderick / Maibach, H.I. / Shaw, Susan / Tao, Shu / Tchounwou, Paul B.

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Volume 28, Issue 4


Effects of Lean Six Sigma application in healthcare services: a literature review

Selim Ahmed
  • Corresponding author
  • Department of Business Administration, International Islamic University Malaysia, P.O. Box 10, 50728 Kuala Lumpur, Malaysia
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Noor H.A. Manaf
  • Department of Business Administration, International Islamic University Malaysia, P.O. Box 10, 50728 Kuala Lumpur, Malaysia
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Rafikul Islam
  • Department of Business Administration, International Islamic University Malaysia, P.O. Box 10, 50728 Kuala Lumpur, Malaysia
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2014-01-11 | DOI: https://doi.org/10.1515/reveh-2013-0015


The healthcare organization is the place where defects and mistakes cannot be tolerated. A simple mistake can cost a human life so defects or mistakes must be eliminated in healthcare service processes. A Lean Six Sigma (LSS) approach is the best option in a healthcare environment for dealing with a critical patient. The LSS methodology optimizes the average reduction of a desired process. The expected results can be reductions in several aspects of healthcare such as patient waiting time in emergency departments, lost charges for billing in patient financial services, delinquent medical records, diagnostic result turnaround times, accounts receivable days, patients’ length of stay, or medication errors. This paper mainly discusses the effects of the LSS approach in different hospitals around the world according to the literature review. This review also discusses the relationship between LSS as well as their impacts on healthcare services based on literature review.

Keywords: healthcare; Lean Six Sigma; patient; quality service


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About the article

Corresponding author: Selim Ahmed, Department of Business Administration, International Islamic University Malaysia, P.O. Box 10, 50728 Kuala Lumpur, Malaysia, Phone: +60146460092, E-mail:

Received: 2013-10-21

Accepted: 2013-11-04

Published Online: 2014-01-11

Published in Print: 2013-12-01

Citation Information: Reviews on Environmental Health, Volume 28, Issue 4, Pages 189–194, ISSN (Online) 2191-0308, ISSN (Print) 0048-7554, DOI: https://doi.org/10.1515/reveh-2013-0015.

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