ArticleBMC health services research2025
6S management project to improve workplace productivity in Primary Health Centre in India.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPrimary 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.
aimTo 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.
methodsA 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.
resultsOverall 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.
conclusionImplementation 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.
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