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July 26, 2026Discover Health SystemsOpen Access

Issues and challenges in the implementation of lean healthcare in hospitals: a systematic review

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Authors

NKNik Dewi Delina Nik Mohd KamilASAhmad Syuaib A. SazaliDDDarryl Daring

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Overview

Systematic review identifies barriers in Lean healthcare implementation, highlighting key solutions for success.

Key Points

  • Identify key issues and challenges in implementing Lean healthcare initiatives in hospitals.
  • Systematic review following the PRISMA framework
  • Literature search on PubMed, Scopus, and Web of Science
  • Inclusion of 15 studies published from January 2015 to December 2023
  • Resource constraints were reported in 66.7% of studies as the most prominent barrier.
  • Organisational resistance was found in 46.7% of studies, linked to fear of job losses and lack of leadership support.
  • Gaps in knowledge and training, along with communication issues, were significant challenges noted.

Cite This Study

Kamil et al. (2026) studied this question.

synapsesocial.com/papers/6a65a3e4d3aea3239cd76c48https://doi.org/10.1007/s44250-026-00403-1
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