“…Different survey studies on LSS in healthcare have also been conducted with different purposes, such as measuring the impact of LSS in terms of efficiency, quality, cost and satisfaction, analyzing the factors enabling successful LSS implementations, and evaluating the experience of staff members that have participated in LSS projects, etc (Ahmed et al, 2018a;Ahmed et al, 2018b;AlHazme et al, 2016;Chiarini, 2012;Chiarini and Baccarani, 2016;Dobrzykowski et al, 2016;Goodridge et al, 2018;Hung et al, 2018;Patri and Suresh, 2017;Poksinska et al, 2017;Stelson et al, 2017;van Rossum et al, 2016). In particular, two studies addressing the level of adoption of lean in healthcare are found in the literature.…”