title: Transforming the patient care environment with Lean Six Sigma and realistic evaluation.
abstract: Lean Six Sigma (LSS) is a structured methodology for transforming processes, but it does not fully consider the complex social interactions that cause processes to form in hospital organizations. By combining LSS implementations with the concept of Realistic Evaluation, a methodology that promotes change by assessing and considering the individual characteristics of an organization's social environment, successful and sustainable process improvement is more likely.
authors.affiliation: Case Western Reserve University, USA. jasonblack1@gmail.com
authors.forename: Jason
authors.initials: J
authors.lastname: Black
mesh_terms: D017598:Efficiency, Organizational; D006739:Hospital Administration / Q000592:standards; D005791:Patient Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods*; D018581:Technology Transfer