Primary Health Centers (PHCs) in India face challenges of overcrowding, infrastructure vows, and disarrayed workflows. The 6S management method—Sort, Set in Order, Shine, Standardize, Sustain, and Safety—offers a structured, low-cost approach to improving efficiency, safety, and quality in healthcare delivery. To examine the feasibility and impact of implementing the 6S method in a PHC setting, focusing on improvements in workplace organization, safety, and healthcare service processes. A prospective longitudinal study was conducted at a PHC in India over three months. The 6S method was introduced through staff by conducting training to them, weekly audits, and feedback mechanisms. Pre- and post-intervention assessments were carried out using two structured evaluation tools: one based on quantitative scoring, and another based on operational compliance. Data were analyzed using Jamovi software. Overall workplace performance improved from approximately 30% before implementation to 95% after. The most significant gains were observed in Set in Order (5% to 100%), Shine (0% to 95%), and Standardize (20% to 100%). Evaluations also revealed increased adherence to safety protocols, improved cleanliness, reduced visual cluttering, and better staff discipline. A minor gap remained in achieving paperless standardization, but the transformation reflected a shift from a high-risk environment to a high-performing, lean healthcare facility. Implementation of the 6S method significantly improved workplace efficiency, hygiene, safety, and standardization in a resource-constrained PHC setting. The approach is feasible, scalable, and aligned with national healthcare quality improvement priorities.
Sravanthi et al. (Wed,) studied this question.