<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1692-3324</journal-id>
<journal-title><![CDATA[Revista Ingenierías Universidad de Medellín]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ing. univ. Medellín]]></abbrev-journal-title>
<issn>1692-3324</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Medellín]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1692-33242023000100001</article-id>
<article-id pub-id-type="doi">10.22395/rium.v22n42a1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ELABORACIÓN DEL MODELO ESTRUCTURAL INTERPRETATIVO PARA LA IDENTIFICACIÓN DE FACTORES CLAVES EN LA IMPLEMENTACIÓN DE LEAN HEALTHCARE EN EL CONTEXTO COLOMBIANO]]></article-title>
<article-title xml:lang="en"><![CDATA[INTERPRETATIVE STRUCTURAL MODEL DEVELOPMENT FOR THE IDENTIFICATION OF KEY FACTORS FOR IMPLEMENTING LEAN HEALTHCARE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruíz Orjuela]]></surname>
<given-names><![CDATA[Erika Tatiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Pimiento]]></surname>
<given-names><![CDATA[Néstor Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreño]]></surname>
<given-names><![CDATA[Diego Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Ingeniería Departamento de Ingeniería de Sistemas e Industrial]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Ingenierías Fisico-mecánicas Escuela de Estudios Industriales y Empresariales]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Pedagógica y Tecnológica de Colombia Facultad seccional Duitama ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>22</volume>
<numero>42</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1692-33242023000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1692-33242023000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1692-33242023000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La filosofía lean ha demostrado beneficios en organizaciones de diferentes sectores empresariales por medio de la eliminación de desperdicios y la generación de valor. Las investigaciones realizadas en este campo han buscado identificar los factores críticos de éxito para su implementación. El objetivo de este estudio es comprender las relaciones entre los factores de las Instituciones Prestadoras de Salud en Colombia. Para lograrlo, se realizaron encuestas a expertos y posteriormente se clasificaron estos factores según su poder de influencia y dependencia utilizando la metodología de Interpretative Structural Modelling- ISM. Los resultados de esta investigación contribuyen a identificar los factores claves para la implementación Lean Healthcare en el contexto colombiano: el compromiso de la dirección, la comprensión de la dirección y la formación de los empleados. Por último se presentan recomendaciones y futuros trabajos de investigación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The Lean philosophy has demonstrated benefits in organizations of different business sectors through the elimination of waste and the generation of value; research conducted in this field has sought to identify the critical success factors for its implementation. The objective of this study is to understand the relationships between the factors of Health Care Providing Institutions in Colombia, through surveys with experts, and then classify them according to their power of influence and dependence using the Interpretative Structural Modelling- ISM methodology. The results of this research contribute to identifying the key factors for the implementation of Lean Healthcare in the Colombian context: Management commitment, management understanding, and employee training, and finally recommendations and future research work are presented.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lean Healthcare]]></kwd>
<kwd lng="es"><![CDATA[implementación]]></kwd>
<kwd lng="es"><![CDATA[factores críticos de éxito]]></kwd>
<kwd lng="es"><![CDATA[modelo estructural interpretativo- ISM. MIC MAC]]></kwd>
<kwd lng="en"><![CDATA[Lean Healthcare]]></kwd>
<kwd lng="en"><![CDATA[implementation]]></kwd>
<kwd lng="en"><![CDATA[critical success factors]]></kwd>
<kwd lng="en"><![CDATA[interpretative structural model- ISM. MIC MAC]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>[1]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sahoo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lean practices and operational performance: the role of organizational culture]]></article-title>
<source><![CDATA[International Journal of Quality &amp; Reliability Management]]></source>
<year>2021</year>
<volume>39</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>428-67</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>[2]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[L. Brandao de]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trends and approaches in lean healthcare]]></article-title>
<source><![CDATA[Leadership Health Services]]></source>
<year>2009</year>
<volume>22</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>121-39</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>[3]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dixit]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Routroy]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Dubey]]></surname>
<given-names><![CDATA[S. K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic literature review of healthcare supply chain and implications of future research]]></article-title>
<source><![CDATA[International Journal of Pharmaceutical and Healthcare Marketing]]></source>
<year>2019</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>405-35</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>[4]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bartnik]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Technological change, information processing and supply chain integration: A conceptual model]]></article-title>
<source><![CDATA[Benchmarking: An International Journal]]></source>
<year>2018</year>
<volume>25</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1279-301</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>[5]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bahaitham]]></surname>
<given-names><![CDATA[H. A.]]></given-names>
</name>
</person-group>
<source><![CDATA[A framework for quantifying sustainability of lean implementation in healthcare organizations]]></source>
<year>2011</year>
<publisher-name><![CDATA[University of Central Florida]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>[6]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[K. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Rajeev]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mahipal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Just in time elements extraction and prioritization for health care unit using decision making approach]]></article-title>
<source><![CDATA[International Journal of Quality &amp; Reliability Management]]></source>
<year>2019</year>
<volume>36</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1243-63</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>[7]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Radnor]]></surname>
<given-names><![CDATA[Z. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Holweg]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Waring]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lean in healthcare: the unfilled promise?]]></article-title>
<source><![CDATA[Ciencias Sociales Med]]></source>
<year>2012</year>
<volume>74</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>364-71</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>[8]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vermeulen]]></surname>
<given-names><![CDATA[L. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Beis]]></surname>
<given-names><![CDATA[S. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Cano]]></surname>
<given-names><![CDATA[S. B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Applying outcomes research in improving the medication-use process]]></article-title>
<source><![CDATA[American Journal of Health-System Pharmacy]]></source>
<year>2000</year>
<volume>57</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>2277-82</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>[9]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nicolay]]></surname>
<given-names><![CDATA[C. R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcare]]></article-title>
<source><![CDATA[British Journal of Surgery]]></source>
<year>2012</year>
<volume>99</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>324-35</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>[10]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Poksinska]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The current state of Lean implementation in health care: literature review]]></article-title>
<source><![CDATA[Qual Manag Health Care]]></source>
<year>2010</year>
<volume>19</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>319-29</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>[11]</label><nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[II]]></surname>
<given-names><![CDATA[D. K. Sobek]]></given-names>
</name>
<name>
<surname><![CDATA[Lang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Lean Healthcare: Current State and Future Directions]]></source>
<year>2010</year>
<conf-name><![CDATA[ Proceedings of the 2010 Industrial Engineering Research Conference]]></conf-name>
<conf-loc>Cancun, Mexico </conf-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>[12]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Graban]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Lean hospitals: Improving quality, patient safety, and employee satisfaction]]></source>
<year>2008</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Productivity Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>[13]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[L. B. De]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trends and approaches in lean healthcare]]></article-title>
<source><![CDATA[Leadership in Health Services]]></source>
<year>2009</year>
<volume>22</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>121-39</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>[14]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alarcón]]></surname>
<given-names><![CDATA[O. M. Gelves]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[E. del C. Navarro]]></given-names>
</name>
<name>
<surname><![CDATA[Corrales]]></surname>
<given-names><![CDATA[N. García]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estado del arte y la técnica de las prácticas lean en instituciones de salud en América Latina: Revisión de Literatura]]></article-title>
<source><![CDATA[Avances Investigación Ingeniería]]></source>
<year>2022</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>[15]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rozo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Piraquive]]></surname>
<given-names><![CDATA[F. N.]]></given-names>
</name>
<name>
<surname><![CDATA[Serrano]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Revisión de literatura de prácticas para evaluar la calidad del servicio en instituciones de salud: Hacia un enfoque de Lean Healthcare]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Antioqueño de Investigación]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>[16]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pimiento]]></surname>
<given-names><![CDATA[N. O.]]></given-names>
</name>
<name>
<surname><![CDATA[Grass]]></surname>
<given-names><![CDATA[H. C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Modelo integrado de calidad Lean Healthcare ISO 9001 en el Departamento de Emergencias diseñado a partir de revisión de literatura Quality Integrated]]></article-title>
<source><![CDATA[Researchgate.Net]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B17">
<label>[17]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Dixit]]></surname>
<given-names><![CDATA[A. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Qadri]]></surname>
<given-names><![CDATA[M. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An interpretive hierarchical model for lean implementation in machine tool sector]]></article-title>
<source><![CDATA[International Journal of Productivity and Quality Management]]></source>
<year>2015</year>
<volume>15</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>38-406</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>[18]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[M. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Kant]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge management barriers: An interpretive structural modeling approach]]></article-title>
<source><![CDATA[International Journal of Management Science and Engineering Management]]></source>
<year>2008</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>141-50</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>[19]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Womack]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Lean Thinking]]></source>
<year>2005</year>
<publisher-name><![CDATA[Gestion 2000]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>[20]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rooney]]></surname>
<given-names><![CDATA[S. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Rooney]]></surname>
<given-names><![CDATA[J. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lean Glossary]]></article-title>
<source><![CDATA[Quality Progress]]></source>
<year>2005</year>
<volume>38</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>41-7</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>[21]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mazzocato]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Savage]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Brommels]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aronsson]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Thor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lean thinking in healthcare: a realist review of the literature]]></article-title>
<source><![CDATA[Qual. Saf Health Care]]></source>
<year>2010</year>
<volume>19</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>376-82</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>[22]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[W. S]]></surname>
</name>
<name>
<surname><![CDATA[AJ]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Making cars and making health care: a critical review]]></article-title>
<source><![CDATA[The Medical journal of Australia]]></source>
<year>2009</year>
<volume>191</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28-9</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>[23]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Radnor]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Boaden]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Editorial: Lean in Public Services-Panacea or Paradox?]]></article-title>
<source><![CDATA[Public Money &amp; Management]]></source>
<year>2008</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-7</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>[24]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Westwood]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[M. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Cooke]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Going lean in the NHS]]></source>
<year>2007</year>
<publisher-name><![CDATA[Institute for Innovation and Improvement]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<label>[25]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nabelsi]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Gagnon]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Information technology strategy for a patient-oriented, lean, and agile integration of hospital pharmacy and medical equipment supply chains]]></article-title>
<source><![CDATA[International Journal of Production Research]]></source>
<year>2017</year>
<volume>55</volume>
<numero>14</numero>
<issue>14</issue>
<page-range>3929-45</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>[26]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sreedharan]]></surname>
<given-names><![CDATA[R. V.]]></given-names>
</name>
<name>
<surname><![CDATA[Sunder]]></surname>
<given-names><![CDATA[V. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Raju]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Critical success factors of TQM, Six Sigma, Lean and Lean Six Sigma: A literature review and key findings]]></article-title>
<source><![CDATA[Benchmarking: An International Journal]]></source>
<year>2018</year>
<volume>25</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>3479-504</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>[27]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noori]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The critical success factors for successful lean implementation in hospitals]]></article-title>
<source><![CDATA[International Journal of Productivity and Quality Management]]></source>
<year>2015</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>108-26</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>[28]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rossum]]></surname>
<given-names><![CDATA[L. van]]></given-names>
</name>
<name>
<surname><![CDATA[Aij]]></surname>
<given-names><![CDATA[K. H.]]></given-names>
</name>
<name>
<surname><![CDATA[Simons]]></surname>
<given-names><![CDATA[F. E.]]></given-names>
</name>
<name>
<surname><![CDATA[Eng]]></surname>
<given-names><![CDATA[N. van der]]></given-names>
</name>
<name>
<surname><![CDATA[Have]]></surname>
<given-names><![CDATA[W. D. Ten]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lean healthcare from a change management perspective]]></article-title>
<source><![CDATA[Journal of Health Organization and Management]]></source>
<year>2016</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>475-93</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>[29]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harrison]]></surname>
<given-names><![CDATA[M. I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of organizational context on Lean implementation in five hospital systems]]></article-title>
<source><![CDATA[Health Care Manage Rev]]></source>
<year>2016</year>
<volume>41</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>127-44</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>[30]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hung]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yakir]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gray]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementing a Lean Management System in Primary Care: Facilitators and Barriers From the Front Lines]]></article-title>
<source><![CDATA[Qual Manag Health Care]]></source>
<year>2015</year>
<volume>24</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>103-8</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>[31]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lukas]]></surname>
<given-names><![CDATA[C. V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transformational change in health care systems: an organizational model]]></article-title>
<source><![CDATA[Health Care Manage. Rev]]></source>
<year>2007</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>309-20</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>[32]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patri]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Suresh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors influencing lean implementation in healthcare organizations: An ISM approach]]></article-title>
<source><![CDATA[International Jpurnal of Healthcare Management]]></source>
<year>2017</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-13</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>[33]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Damschroder]]></surname>
<given-names><![CDATA[L. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Aron]]></surname>
<given-names><![CDATA[D. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Keith]]></surname>
<given-names><![CDATA[R. E.]]></given-names>
</name>
<name>
<surname><![CDATA[Kirsh]]></surname>
<given-names><![CDATA[S. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Alexander]]></surname>
<given-names><![CDATA[J. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Lowery]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science]]></article-title>
<source><![CDATA[Implementation Science]]></source>
<year>2009</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B34">
<label>[34]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zepeda]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Tlapa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Báez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Maldonado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores y Herramientas Importantes en Lean Healthcare]]></article-title>
<source><![CDATA[Academia Journals]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B35">
<label>[35]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giraldo Betancur]]></surname>
<given-names><![CDATA[E. A]]></given-names>
</name>
</person-group>
<source><![CDATA[Estudio sobre la aplicación de Lean Healthcare en el sector hospitalario en Medellín]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Eafit]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B36">
<label>[36]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lopez]]></surname>
<given-names><![CDATA[K. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Rubio]]></surname>
<given-names><![CDATA[M. O.]]></given-names>
</name>
<name>
<surname><![CDATA[Forero]]></surname>
<given-names><![CDATA[I. E. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Desarrollo de la metodología lean healthcare en el servicio de medicina interna de una institución hospitalaria de carácter público]]></article-title>
<source><![CDATA[RIMCI]]></source>
<year>2020</year>
<volume>7</volume>
<numero>13</numero>
<issue>13</issue>
</nlm-citation>
</ref>
<ref id="B37">
<label>[37]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Attri]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Dev]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interpretive Structural Modelling ( ISM ) approach : An Overview]]></article-title>
<source><![CDATA[Research Journal of Management Sciences]]></source>
<year>2013</year>
<volume>2</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>3-8</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>[38]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Warfield]]></surname>
<given-names><![CDATA[J. N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Developing Interconnection Matrices in Structural Modeling]]></article-title>
<source><![CDATA[IEEE Transactions on Systems, Man, and Cybernetics]]></source>
<year>1974</year>
<numero>1</numero>
<issue>1</issue>
<page-range>81-7</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>[39]</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Warfield]]></surname>
<given-names><![CDATA[J. N.]]></given-names>
</name>
</person-group>
<source><![CDATA[The Mathematics of Structure]]></source>
<year>2003</year>
<publisher-name><![CDATA[Ajar Publishing Company]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B40">
<label>[40]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sage]]></surname>
<given-names><![CDATA[A. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[T. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[On group assessment of utility and worth attributes using interpretive structural modeling]]></article-title>
<source><![CDATA[Computers &amp; Electrical Engineering]]></source>
<year>1977</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>185-98</page-range></nlm-citation>
</ref>
<ref id="B41">
<label>[41]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Haleem]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gahlot]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementing lean manufacturing system: ISM approach]]></article-title>
<source><![CDATA[Journal of Industrial Engineering and Man]]></source>
<year>2013</year>
<volume>6</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>996-1012</page-range></nlm-citation>
</ref>
<ref id="B42">
<label>[42]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Waller]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Contextual Relations and Mathematical Relations in Interpretive Structural Modeling]]></article-title>
<source><![CDATA[IEEE Transactions on Systems, Man, and Cybernetics]]></source>
<year>1980</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>143-5</page-range></nlm-citation>
</ref>
<ref id="B43">
<label>[43]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[H. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Gupta]]></surname>
<given-names><![CDATA[A. D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The objectives of waste management in India: A futures inquiry]]></article-title>
<source><![CDATA[Technological Forecasting and Social Change]]></source>
<year>1995</year>
<volume>48</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>285-309</page-range></nlm-citation>
</ref>
<ref id="B44">
<label>[44]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Malmbrandt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Åhlström]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An instrument for assessing lean service adoption]]></article-title>
<source><![CDATA[International Journal of Operations &amp; Production Management]]></source>
<year>2013</year>
<volume>33</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1131-65</page-range></nlm-citation>
</ref>
<ref id="B45">
<label>[45]</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mathur]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Achieving Better Integration in Trauma Care Delivery in India: Insights from a Patient Survey]]></article-title>
<source><![CDATA[Journal of Health Management]]></source>
<year>2017</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>603-26</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
