{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T22:22:27Z","timestamp":1770848547981,"version":"3.50.1"},"reference-count":18,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Clinique et Biologique"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.tracli.2025.10.001","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T07:10:02Z","timestamp":1759993802000},"page":"3-9","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing blood centre operations through Lean Six Sigma methodologies \u2013 A prospective interventional study in the blood donor area of a tertiary care blood centre"],"prefix":"10.1016","volume":"33","author":[{"given":"Rowena D.L.","family":"Robins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hari","family":"Haran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sriraman","family":"Punniakoti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahayaraj","family":"James","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.tracli.2025.10.001_b0005","article-title":"Modern blood banking & transfusion practices","volume":"688","author":"Harmening","year":"2018","journal-title":"FA Davis"},{"key":"10.1016\/j.tracli.2025.10.001_b0010","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1111\/1468-0009.00206","article-title":"Improving the quality of health care in the United Kingdom and the United States: a framework for change","volume":"79","author":"Ferlie","year":"2001","journal-title":"Milbank Q"},{"key":"10.1016\/j.tracli.2025.10.001_b0015","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13012-020-0975-2","article-title":"The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review","volume":"15","author":"Hill","year":"2020","journal-title":"Implement Sci"},{"key":"10.1016\/j.tracli.2025.10.001_b0020","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1108\/IJQRM-03-2016-0035","article-title":"Lean Six Sigma: yesterday, today and tomorrow","volume":"34","author":"Antony","year":"2017","journal-title":"Int J Qual Reliab Manag"},{"key":"10.1016\/j.tracli.2025.10.001_b0025","doi-asserted-by":"crossref","first-page":"6679","DOI":"10.1080\/00207540802230504","article-title":"In pursuit of implementation patterns: the context of Lean and Six Sigma","volume":"46","author":"Shah","year":"2008","journal-title":"Int J Prod Res"},{"key":"10.1016\/j.tracli.2025.10.001_b0030","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1016\/j.jclepro.2019.05.253","article-title":"Analysis and modeling the enablers of Green Lean Six Sigma implementation using Interpretive Structural Modeling","volume":"231","author":"Kaswan","year":"2019","journal-title":"J Clean Prod"},{"key":"10.1016\/j.tracli.2025.10.001_b0035","article-title":"Applying lean six sigma to improve healthcare: an empirical study","volume":"5","author":"Yeh","year":"2011","journal-title":"Afr J Bus Manag"},{"key":"10.1016\/j.tracli.2025.10.001_b0040","first-page":"773","article-title":"Lean six sigma in the healthcare sector: a systematic literature review","volume":"50","author":"Rathi","year":"2022","journal-title":"Mater Today"},{"key":"10.1016\/j.tracli.2025.10.001_b0045","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1136\/jclinpath-2013-201553","article-title":"Lean management systems: creating a culture of continuous quality improvement","volume":"66","author":"Clark","year":"2013","journal-title":"J Clin Pathol"},{"key":"10.1016\/j.tracli.2025.10.001_b0050","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1136\/jclinpath-2013-201624","article-title":"Lean laboratories: laboratory medicine needs to learn from other industries how to deliver more for less","volume":"66","author":"Knowles","year":"2013","journal-title":"J Clin Pathol"},{"key":"10.1016\/j.tracli.2025.10.001_b0055","series-title":"Quality Management and Six Sigma Sciyo","article-title":"Six sigma as a quality management tool: evaluation of performance in laboratory medicine","author":"Coskun","year":"2010"},{"key":"10.1016\/j.tracli.2025.10.001_b0060","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1111\/j.1423-0410.2006.00734.x","article-title":"An investigation of the impact of prolonged waiting times on blood donors in Ireland","volume":"90","author":"McKeever","year":"2006","journal-title":"Vox Sang"},{"key":"10.1016\/j.tracli.2025.10.001_b0065","doi-asserted-by":"crossref","first-page":"1537","DOI":"10.2147\/PPA.S320163","article-title":"Service quality improvement of outpatient blood collection by lean management","volume":"9","author":"Fu","year":"2021","journal-title":"Patient Prefer Adherence"},{"key":"10.1016\/j.tracli.2025.10.001_b0070","article-title":"Lean management to reduce waiting time for routine blood service at Blood Transfusion Service Unit Cipto Mangunkusumo Hospital","author":"Putriasih","year":"2020","journal-title":"Jurnal Kebijakan Kesehatan Indonesia"},{"key":"10.1016\/j.tracli.2025.10.001_b0075","doi-asserted-by":"crossref","first-page":"135","DOI":"10.4103\/0973-6247.214354","article-title":"Evaluation of process excellence tools in improving donor flow management in a tertiary care hospital in South India","volume":"11","author":"Venugopal","year":"2017","journal-title":"Asian J Transfus Sci"},{"key":"10.1016\/j.tracli.2025.10.001_b0080","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.4102\/phcfm.v8i1.1084","article-title":"Impact of Lean on patient cycle and waiting times at a rural district hospital in KwaZulu-Natal","volume":"8","author":"Naidoo","year":"2016","journal-title":"Afr J Prim Health Care Fam Med"},{"key":"10.1016\/j.tracli.2025.10.001_b0085","first-page":"171","article-title":"Reducing patient waiting time for the outpatient phlebotomy service using six sigma","volume":"29","author":"Kim","year":"2009","journal-title":"Korean J Lab Med"},{"key":"10.1016\/j.tracli.2025.10.001_b0090","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1186\/s12913-024-10828-0","article-title":"A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact","volume":"24","author":"Endalamaw","year":"2024","journal-title":"BMC Health Serv Res"}],"container-title":["Transfusion Clinique et Biologique"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1246782025005397?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1246782025005397?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T21:45:11Z","timestamp":1770846311000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1246782025005397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1246782025005397"],"URL":"https:\/\/doi.org\/10.1016\/j.tracli.2025.10.001","relation":{},"ISSN":["1246-7820"],"issn-type":[{"value":"1246-7820","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Enhancing blood centre operations through Lean Six Sigma methodologies \u2013 A prospective interventional study in the blood donor area of a tertiary care blood centre","name":"articletitle","label":"Article Title"},{"value":"Transfusion Clinique et Biologique","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.tracli.2025.10.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Soci\u00e9t\u00e9 francophone de transfusion sanguine (SFTS). Published by Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}