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Lean Six Sigma (LSS) implementation follows a structured approach called define-measure-analyze-improve-control (DMAIC). Earlier research about its application in emergency healthcare services shows that it requires organizational transformation, which many healthcare setups find difficult. The Kotter change management model facilitates organizational transformation but has not been attempted in LSS settings till now. This study aims to integrate the LSS framework with the Kotter change management model to come up with an integrated framework that will facilitate LSS deployment in emergency health services.

Two-stage Delphi method was conducted by using a literature review. First, the success factors and barriers of LSS are investigated, especially from an emergency healthcare point of view. The features and benefits of Kotter's change management models are then reviewed. Subsequently, they are integrated to form a framework specific to LSS deployment in an emergency healthcare set-up. The elements of this framework are analyzed using expert opinion ratings. A new framework for LSS deployment in emergency healthcare has been developed, which can prevent failures due to challenges faced by organizations in overcoming resistance to changes.

The eight steps of the Kotter model such as establishing a sense of urgency, forming a powerful guiding coalition, creating a vision, communicating the vision, empowering others to act on the vision, planning for and creating short-term wins, consolidating improvements and producing still more change, institutionalizing new approaches are derived from the eight common errors that managers make while implementing change in the institution. The study integrated LSS principles and Kotter’s change management model to apply in emergency care units in order to reduce waste and raise the level of service quality provided by healthcare companies.

The present study could contribute knowledge to the literature by providing a framework to integrate lean management and Kotter's change management model for the emergency care unit of the healthcare organization. This framework guides decision-makers and organizations as proper strategies are required for applying lean management practices in any system.

The proposed framework is unique and no other study has prescribed any integrated framework for LSS implementation in emergency healthcare that overcomes resistance to change.

Industry 4.0 (I4.0) influences the supply chain, including innovation, structure, availability and communication. It influences the supply chain by modifying how products are designed, manufactured, delivered and discarded for the sustainability of an organization. Sustainability emphasizes the use of optimal raw materials, efficient storage and delivery, on-time supply, productivity development, recycling, remanufacturing and refurbishing. The aim of this study is to identify and establish causal relationships among the key aspects that contribute to the success of I4.0-enabled sustainable supply chain (I4eSSC). The objective is to classify these components into discrete categories according to their causal and consequential linkages.

This paper presents a three-phase hybrid Criteria Importance Through Inter-criteria Correlation and Grey Decision-Making Trial and Evaluation Laboratory (G-DEMATEL) framework to achieve the stated objectives. A study is conducted to empirically examine the Indian automobile sector in order to illustrate the suitability of the suggested framework.

During the initial stage, a total of 26 success factors have been identified for the I4eSSC implementation. During the second part of the study, a total of 20 success factors were found and deemed critical success factors (CSFs). During the concluding stage, it was seen that out of the total of 20 chosen CSFs, nine were categorized in the cause group, whereas the remaining 11 were classified under the effect group. The analysis revealed that the element of “adoption of emerging technology for sustainable product and process development” was assigned the greatest level of importance.

This study aims to motivate professionals to enhance the integration of I4.0 into sustainable supply chains to maximize the advantages offered by these two separate concepts. It is imperative to devote genuine consideration to the examination of causal group variables in the context of I4eSSC, since these elements possess a direct influence on the overall performance of systems and exert a significant impact on the components within the effect group.

This study presents an extensive compilation of CSFs pertaining to the implementation of I4eSSC. The primary objective is to determine the relative relevance of these factors and explore the intricate causal relationships that exist among them. Furthermore, this study stands out due to its novel application of a specific decision-making methodology within the field of I4eSSC.

This study aims to discover the key performance indicators (KPIs) of the agricultural cold supply chain (ACSC) and analyze their consequences on the performance of ACSC within the bounds of Indian topography.

The KPIs have been explored based on the literature review both in global and Indian context and domain expert's opinions. The interdependency characteristics and cause–effect relationship among the KPIs have been analyzed using a fuzzy decision-making trial and evaluation laboratory (f-DEMATEL) approach.

The findings extracted from the empirical assessment of the problem find strong compliance with the notions of theoretical model assessment. The results highlight that the cost of product waste and operating and performance costs are the two most important performance indicators of an Indian ACSC. Furthermore, governmental policies and regulations and the effectiveness of cold chain (CC) equipment also have a high degree of influencing characteristics on ACSC performance.

To connect the study with practicalities, the assessment of the KPIs is allied with real-time practices by clustering the beliefs of Indian professionals. Therefore, the decision-making behavior of the experts might be influenced by geographical constraints. However, the key findings provide advantages to the ACSC players, a bright hope for future food security and a significant profit for farmers.

The presented paper encompasses various aspects of the ACSC, including theoretical and empirical perspectives exercised to contemplate the system dynamics, which inculcates the essence of the associated practicalities. Thus, this study has various practical contributions relevant to managerial and societal perspectives.

This article aims at - exploring and prioritizing the barriers to adoption of digitization in supply chains (SCs), categorizing them into sustainability triple bottom line (STBL) based upon their direct impact and suggesting digital technologies to address each barrier.

A five-phase methodology is used which consists of an exploration of 44 barriers to the adoption of digitization in SCs, analysis of 44 barriers for mean, standard deviation and Cronbach alpha based on questionnaire-based feedback of 25 experts, extraction of 10 most significant barriers through 05 experts, followed by categorization of the barriers into STBL referring to their direct impact on STBL, prioritization of ten barriers using Fuzzy Technique for Order Performance by Similarity to Ideal Solution and recommendation of digital technologies to address each barrier.

While all the barriers considered in this study significantly impede the adoption of digitization in SCs, lack of top management commitment (B1) is found to be most crucial while lack of culture toward use of information and communication technology required for digitization (B3) has minimum impact. Large investment in digital infrastructure (B6), difficulty in integration of cyber physical systems (CPSs) on varied platforms (B8) and lack of experts having knowledge of digital technologies (B2) are equally important barriers requiring more attention while adopting digitization in SCs.

This study is mainly based on feedback from 25 seasoned experts; a wider cross section of experts will give more insight.

The outcomes are very significant for organizations looking to adopt digitization in their SCs. Simultaneous consideration to all the barriers becomes impractical hence prioritization of same will be useful for the SC managers to benchmark their preparedness and decide strategies for the adoption of digitization with due consideration toward the impact of barriers on STBL. The digital technologies recommended will further aid in planning the digital strategies to address each barrier.

A unique approach to explore, analyze, prioritize and categorize the barriers to adoption of digitization in SCs is used to provide a deeper understanding of factors deterring the same. It implies that a supportive top management along with systematic allocation of finances plays a crucial role. The importance of availability of digital experts for integrating CPSs on a single platform is also highlighted. The digital technologies recommended will further assist the organizations toward adoption of digitization in SCs with due consideration to STBL.

Organizations and markets are constantly developing and changing, impacting how organizations create value and manage supply chains. This paper aims to identify the motor themes and subthemes of academic research that relate supply chain management (SCM) maturity and business models (BMs).

The Science Mapping Analysis Tool (SciMAT) was used to conduct a seven-step bibliometric analysis of 889 documents indexed in the Scopus database clustering by relatedness of works and keywords. The methodological approach included content analysis of the literature, longitudinal analysis and strategic diagram analysis.

The thematic evolution analysis revealed that three themes drive the studies on SCM maturity and BM: industry 4.0 (motor theme), environmental management (transversal theme) and product management (highly developed and isolated theme). The strategic diagrams and co-word networks allowed to graphically identify the main topics connecting SCM maturity and BM. Considering this connection, the scientific mapping emphasizes the significance and strength of the link between digital technologies, technology management and manufacturing management in Industry 4.0. In addition, the connections between the subthemes revealed that circular economy and green human resource management are important concepts to advance theory and practice on the connection between SCM maturity and BM.

This research extends the knowledge base by providing an analysis of the key themes and the links with subthemes in the literature that relate to SCM maturity and BM. Key studies are analyzed and linked with the key topics identified using the SciMAT software. Future research avenues are outlined, providing new insights to advance theory and practice.