Lean tools and lean transformation process in health care

V. Cruz Machado, Ursula Leitner

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)


This paper describes 24 case studies concerning lean transformation in health care systems; the cases were analyzed on used lean tools and described lean transformation processes. All the mentioned lean transformation processes were analyzed regarding the common and most important steps. The universal standard process was then created by synthesizing them. Steps and content of this transformation process are proposed and explained. A final purpose of this paper is to discuss lean tools in health care systems and how a standard lean transformation process can be designed regarding best-practices.

Original languageEnglish
Pages (from-to)383-392
Number of pages10
JournalInternational Journal of Management Science and Engineering Management
Issue number5
Publication statusPublished - 1 Jan 2010


  • Health care systems
  • Hospital management
  • Lean management
  • Lean tools

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