#4739. Evaluating the effect of critical failure factors associated with sustainable Lean Six Sigma framework implementation in healthcare organization

August 2026publication date
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Journal’s subject area:
Business, Management and Accounting (all);
Strategy and Management;
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More details about the manuscript: Science Citation Index Expanded or/and Social Sciences Citation Index
Abstract:
The purpose of this study is to develop a structured hierarchical interrelationship-based model to evaluate the critical failure factors (CFFs) that affect the sustainable Lean Six Sigma (SLSS) framework implementation in a healthcare organization. Further, solution approaches have been provided that guide to eliminate them. The interrelation among CFFs has been developed through total interpretive structural modeling (TISM) and classifies the nature using MICMAC technique. Further, prioritized the CFFs based on its driving and dependents power. The methodology enabled the decision-makers, practitioners to systematically analyze the CFFs and develop a structural model for implementing SLSS in the healthcare environment. A total of 14 leading CFFs have been identified, and 7-level structured interrelationship-based model has been formed. Based on the analysis, it was observed that the significant CFFs affect the deployment of the SLSS framework in healthcare organizations. The present study has been conducted in a real-time industrial problem. The development of a structured CFFs based model for SLSS framework implementation using the integrated TISM-MICMAC with a detailed solution approach is a unique effort in a healthcare environment.
Keywords:
Critical failure factors; Healthcare organization; MICMAC; Sustainable Lean Six Sigma; Total interpretive structural modeling

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