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Table 6 Comparison on Lean tools and methods adoption

From: Lean adoption, implementation, and outcomes in public hospitals: benchmarking the US and Italy health systems

Tools and Methods

US (1)

Italy (2)

t-test difference

N

Mean [SD]

N

Mean [SD]

(1)–(2)

5 s: redesign of physical workspace

129

3.977 [1.320]

35

4.143 [1.115]

−0.166

A3 thinking

129

3.341 [1.355]

35

3.114 [1.255]

0.227

Analysis tools such as scatter plots, Pareto charts

129

3.705 [1.208]

35

3.800 [1.256]

−0.095

Daily huddles

129

4.628 [1.409]

35

4.171 [1.014]

0.456

Just-in-time process or inventory management

129

3.891 [1.427]

35

2.743 [1.221]

1.149***

Kaizen improvement events

129

3.318 [1.566]

35

2.143 [1.264]

1.175***

Mistake-proofing

129

3.318 [1.256]

35

2.886 [1.367]

0.432

Redesign for continuous flow [pull system, etc.]

130

3.469 [1.325]

35

3.571 [1.290]

−0.102

PDSA

129

4.388 [1.239]

35

4.171 [1.014]

0.216

Six Sigma DMAIC methodology

130

3.115 [1.622]

35

2.971 [1.382]

0.144

Standard work

130

3.923 [1.198]

35

4.086 [1.040]

−0.163

Training in process improvement tools for employees

129

3.310 [1.535]

35

2.714 [1.467]

0.596*

Value stream process mapping

130

3.477 [1.342]

35

3.629 [1.215]

−0.152

Visual management such as huddle boards

128

4.070 [1.421]

35

3.743 [1.245]

0.327

  1. The value displayed for t-tests are the differences in the means across the groups
  2. ***, **, and * indicate significance at the .1, 1, and 5% critical level respectively