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  <journal-id journal-id-type="publisher-id">52</journal-id>
  <journal-id journal-id-type="short-title">gesr</journal-id>
  <journal-id journal-id-type="doi">10.31703/gesr</journal-id>
  <journal-title-group>
    <journal-title>Global Educational Studies Review</journal-title>
    <abbrev-journal-title abbrev-type="publisher">gesr</abbrev-journal-title>
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  <issn publication-format="print">2708-2113</issn>
  <issn publication-format="electronic">2708-3608</issn>
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  <publisher>
    <publisher-name>Humanity Publications</publisher-name>
    <publisher-loc>Pakistan</publisher-loc>
  </publisher>
</journal-meta>
<article-meta>
  <article-id pub-id-type="publisher-id">394826</article-id>
  <article-id pub-id-type="doi">10.31703/gesr.2023(VIII-III).02</article-id>
  <article-id pub-id-type="other" specific-use="submission-id">5293</article-id>
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    <subj-group subj-group-type="heading">
      <subject>article</subject>
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  <title-group>
    <article-title xml:lang="en">DMAIC Analysis of Educational Institutes in Pakistan</article-title>
  </title-group>
<contrib-group>
  <contrib contrib-type="author" seq="1" corresp="yes">
    <name>
      <surname>Ullah</surname>
      <given-names>Amir</given-names>
    </name>
    <role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
    <role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing – original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing – original draft</role>
    <xref ref-type="aff" rid="aff1"/>
    <xref ref-type="corresp" rid="cor1"/>
  </contrib>
  <contrib contrib-type="author" seq="2">
    <name>
      <surname>Akhtar</surname>
      <given-names>Rehman</given-names>
    </name>
    <role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing – review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing – review &amp; editing</role>
    <xref ref-type="aff" rid="aff1"/>
  </contrib>
  <aff id="aff1">
    <label>1</label>
    <institution-wrap>
      <institution>Industrial Engineering Department, University of Engineering and Technology Peshawar</institution>
    </institution-wrap>
    <addr-line>KP</addr-line>
    <country>Pakistan</country>
  </aff>
</contrib-group>
<author-notes>
  <corresp id="cor1">Corresponding Author: Amir Ullah, Industrial Engineering Department, University of Engineering and Technology Peshawar, KP, Pakistan.</corresp>
<fn fn-type="COI-statement" id="fn-coi">
  <p>The authors declare that they have no conflicts of interest.</p>
</fn>
<fn fn-type="ethics-statement" id="fn-ethics">
  <p>This study did not require formal ethics approval.</p>
</fn>
<fn fn-type="data-availability-statement" id="fn-data">
  <p>Data sharing is not applicable to this article.</p>
</fn>
</author-notes>
<pub-date pub-type="epub" date-type="pub" publication-format="electronic">
  <day>30</day>
  <month>09</month>
  <year>2023</year>
</pub-date>
<pub-date pub-type="collection">
  <month>09</month>
  <year>2023</year>
</pub-date>
<pub-date date-type="pub" publication-format="print">
  <day>13</day>
  <month>03</month>
  <year>2024</year>
</pub-date>
  <volume>8</volume>
  <issue>3</issue>
  <season>Summer</season>
  <fpage>12</fpage>
  <lpage>18</lpage>
  <history>
    <date date-type="accepted">
      <day>13</day>
      <month>03</month>
      <year>2024</year>
    </date>
  </history>
<funding-group>
  <funding-statement>
<p>The authors received no specific funding for this work.</p>
  </funding-statement>
</funding-group>
<permissions>
  <copyright-year>2023</copyright-year>
  <copyright-holder>Humanity Publications</copyright-holder>
  <license license-type="open-access" xml:lang="en" xlink:href="https://creativecommons.org/licenses/by/4.0/">
    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License.</license-p>
  </license>
</permissions>
<self-uri content-type="text/html" xlink:href="https://gesrjournal.com/article/dmaic-analysis-of-educational-institutes-in-pakistan"/>
<self-uri content-type="pdf" xlink:href="https://gesrjournal.com/pdf/gesr/7hbMYbRjFp.pdf"/>
<supplementary-material id="suppl-pdf" content-type="pdf" xlink:href="https://gesrjournal.com/pdf/gesr/7hbMYbRjFp.pdf">
  <label>PDF</label>
  <caption>
    <title>Full Text PDF</title>
  </caption>
</supplementary-material>
  <abstract>
    <p>Pakistan is growing interest in implementing DMAIC in educational institutions to promote both quality and effectiveness. To teach learners about Six Sigma, the education sector is extremely important. Educational institutes don&apos;t want to adopt new technologies teaching methods or assessment strategies and fear of the unknown can make people resistant to trying something new or different they did not use proper training for the students and teachers thus, they didn&apos;t have any idea regarding the Six Sigma project, hence management wind up the training. Six Sigma and the education sector now have gaps in innovative learning styles, quality management, novel classroom learning methods, and effective teacher behaviour. A popular method of quality improvement Six Sigma is to be applied in a study using the DMAIC (define, measure, analyze, implement and control) criteria.</p>
  </abstract>
<kwd-group kwd-group-type="author-keywords">
  <kwd>Reliability analysis</kwd>
  <kwd>regression analysis</kwd>
  <kwd>hypothesis testing</kwd>
  <kwd>before and after implementation of Six Sigma</kwd>
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</front>
<body>
<sec id="sec-1">
  <title>Introduction</title>
<p>Six Sigma is an educational approach that focuses on creating effective learning environments, developing students&apos; character, and setting high standards of instruction. Teachers can assign essays on specific subjects to their students, which can then be presented in class for debate using multimedia tools such as projectors and webinars. This teaching method helps students improve their reasoning, writing, and communication skills. The current quality improvement strategy has also introduced the value-based concept as an alternative to the Six Sigma standard. This approach emphasizes self-control, empathy, emotional development, and a sudden expression of excellence. The DMAIC technique is quite helpful in analyzing and optimizing internal operations. The DMAIC method comprises a five-phase cycle that aids in enhancing quality Because it is growing in popularity for addressing problems related to quality, Six Sigma is frequently used in its implementation. On the other hand, it is practical for consistently enhancing both the quality and analyzing the processes and helps in lowering operational expenses</p><p>Educational institutions can adopt superior management and continuous improvement practices by taking a cue from the Six Sigma corporate model. To increase productivity, Six Sigma is a technique and statistical approach. It entails measuring every step inside the educational institution using qualitative as well as quantitative methods to reduce defects in the educational process and handle concerns with student staff and management performances, and service compliance. Through the creation of value for the students they serve and the maintenance of their reputation, this strategy can help institutions improve operations along the full quality chain.Applying Six Sigma techniques may be a key accelerator for educational institutes as it provides a roadmap for turning data into understanding and reveals opportunities for major improvements in innovative learning styles and student satisfaction. It&apos;s important to keep in mind that Six Sigma is an important education sector effort and should be seen as an essential component of the quality process rather than as a replacement for the current quality measures. By focusing on new measures and using technology for ongoing improvement, Six Sigma can achieve important achievements. Staff and students need to understand the strategy, resources, and tactics to promote academic engagement. The intellectual development inside educational institutions is necessary for the successful adoption of Six Sigma ideas and methods, which may have significant managerial implications.</p><p>In Six Sigma, the DMAIC (Define, Measure, Analyze, Improvement, and Control) method plays an important role. It provides a structured approach to problem-solving, which can be applied to various situations, including a classroom environment. Six Sigma is an approach that aims to improve the quality of education by enhancing the curriculum, students&apos; conduct, and the overall school environment. The use of audio-visual aids such as projectors and video calls can assist students in researching particular topics, which can then be discussed in class. This method helps to improve students&apos; writing, presentation, and critical thinking abilities. The critical quality approach, which emphasizes value concepts related to Six Sigma requirements, is now becoming a standard practice for ensuring quality improvement in education. This approach has the potential to promote disciplined behaviour, better outcomes, emotional growth, and humanity. The DMAIC process is the Six Sigma methodology that is most frequently applied. Several apply this to find solutions for challenges and correct mistakes the educational institute faced the problem which affected the management, students and teachers.</p>
</sec>
<sec id="sec-2">
  <title>Literature Review</title>
<p>They use Six Sigma models to assess the effectiveness of the learning environment and the preparedness of the instructional staff to provide engaging lessons. Scholars and school administrations have been focusing on this area for a long time. With the help of efficient classroom management strategies, educators can minimize actions that hinder students&apos; ability to learn and boost those that help students learn individually and in groups. (Gupta et al., <xref ref-type="bibr" rid="Gupta">2018</xref>). A sustainable curriculum that effectively addresses crucial 21st-century skills is also essential for schools. Greater collaboration between individuals working in educational management is necessary to successfully run any educational program (LeMahieu et al., <xref ref-type="bibr" rid="LeMahieu">2017</xref>). Imagination and creativity are two critical factors that ensure the institution&apos;s success and progress. The administration should make every effort to improve the school&apos;s teaching and learning methodology. Variables such as social, psychological, or environmental factors can affect student success in education, and each person and country has different variables (Mitra, <xref ref-type="bibr" rid="Mitra">2004</xref>). To create a blended learning environment that simulates the real world, the use of technology in the classroom should be increased, allowing students to engage with technology in meaningful ways consequently, is essential for businesses to concentrate on enhancing, regulating, and upholding the standards of the products they produce by creating an appropriate quality system (Kanigolla et al., <xref ref-type="bibr" rid="Kanigolla">2013</xref>). The DMAIC approach represents a few of the Six Sigma techniques that could be used to identify flaws or minimize their impact. There are numerous areas in the education industry where the Six Sigma technique is used to get the desired and improved results (Mehrabi, <xref ref-type="bibr" rid="Mehrabi">2012</xref>). Training could be improved by implementing Six Sigma approaches in the educational industry. Numerous studies have been conducted in a variety of educational fields to improve the quality of education and reduce ineffectiveness by using the Six Sigma methodology. When it comes to solving process-related issues in the growing sector, the DMAIC technique is quite helpful in analyzing and optimizing internal operations (Wang, <xref ref-type="bibr" rid="Wang">2008</xref>). The DMAIC method comprises a five-phase cycle that aids in enhancing quality (Wang, <xref ref-type="bibr" rid="Wang">2008</xref>). Because it is growing in popularity for addressing problems related to quality, Six Sigma is frequently used in its implementation. On the other hand, it is practical for consistently enhancing both the quality and analyzing the processes and helps in lowering operational expenses (Hilton &amp; Sohal, <xref ref-type="bibr" rid="Hilton">2012</xref>).</p>
</sec>
<sec id="sec-3">
  <title>Methodology</title>
<p>The research methodology will involve collecting data on the targeted individuals and using surveys to quickly and effectively gather a lot of information while allowing respondents to choose. The purpose of this research is to enhance the Six Sigma process, reduce knowledge and training gaps, and strengthen resistance to change in educational institutions (Gupta et al., <xref ref-type="bibr" rid="Gupta">2018</xref>). Both primary and secondary data will be required for the study. Samples will be created through direct observation once the reasons for flaws have been identified. The process consists of four stages, which are as follows:</p><p>Firstly, will analyze the issues faced by educational institutions while establishing the research goals (He &amp; Goh, <xref ref-type="bibr" rid="He">2015</xref>). Additional materials on Six Sigma approaches will be reviewed to advance the literature theory used as an effective problem-solving tool.</p><p>Secondly, observations from students and faculty will be recorded and gathered by using an electronic questionnaire. The DMAIC (define, measure, analyze, improvement control) method of Six Sigma is to be used following data collection (Suresh et al., <xref ref-type="bibr" rid="Suresh">2012</xref>).</p><p>Then, using the formula</p><p>Y = f(x),</p><p>If,</p><p>Y is the result and x is the cause,</p><p>The sigma level can be calculated.</p><p>Additionally, Regression analysis, Correlation and Hypothesis testing will be performed to identify the primary sources of the issue and its effects (Gupta et al., <xref ref-type="bibr" rid="Gupta">2018</xref>). The statistical software will then be used to create essential quality factors using the data acquired from this analysis.</p><p>Making a test with sample statistics that can be applied to either accept or reject the null theory is the goal of hypothesis testing (Noronha et al., <xref ref-type="bibr" rid="Noronha">2021</xref>). If the number of samples is more than 30, the Z equation is applied to do this. As follows is the Z formula:</p><p><bold>Z=</bold> <bold>…………….</bold></p><p>The t-test is utilized in its place, though, if the number of samples size is under 30. The following is the t-test formula:</p><p><bold>T=………….</bold></p><p>After measuring sigma levels and hypothesis testing, we may analyze deviations and evaluate statistics efficiently by utilizing charts of control (LeMahieu et al., <xref ref-type="bibr" rid="LeMahieu">2017</xref>). This enables us to find possible problems and lastly, Six Sigma implementation in educational institutions before and after changes (Mitra, <xref ref-type="bibr" rid="Mitra">2004</xref>).</p>
</sec>
<sec id="sec-4">
  <title>Result and Discussion</title>
<p>The DMAIC technique of Six Sigma can be effectively implemented in educational facilities with the participation and education of staff. However, the lack of adequate legal regulations, especially for educational institutions, has stuck its implementation. It would be beneficial to encourage the approach at the state level by creating rules and guidelines for its application in education to promote its wider adoption.</p>
</sec>
<sec id="sec-5">
  <title>Reliability statistics</title>
<p><break/></p>
</sec>
<sec id="sec-6">
  <title>Table 1</title>
<table-wrap id="table1"><label>Table 1</label><caption><title>Table 1</title></caption><table><tbody><tr><td><bold>Crobach’s Alpha</bold></td><td><bold>N of Items</bold></td></tr><tr><td>0.853</td><td>20</td></tr></tbody></table></table-wrap><p><break/></p>
</sec>
<sec id="sec-7">
<p>Table 1 shows that the Cronbach alpha value of 0.853 indicates that the research scales consistently produce reliable results within the intended standards</p>
</sec>
<sec id="sec-8">
  <title>Regression analysis</title>
<p>Researchers use regression analysis to evaluate hypotheses and measure the relationship between variables. Independent analysis is required for each variable.</p>
</sec>
<sec id="sec-9">
  <title>ANOVA Analysis</title>
<p><break/></p>
</sec>
<sec id="sec-10">
  <title>Table2</title>
<table-wrap id="table2"><label>Table 2</label><caption><title>Table 2</title></caption><table><tbody><tr><td><bold>Source</bold></td><td><bold>Sum of Squares</bold></td><td><bold>df</bold></td><td><bold>Mean Square</bold></td><td><bold>F</bold></td><td><bold>Sig.</bold></td></tr><tr><td>Regression</td><td>77.108</td><td>24</td><td>3.213</td><td>2.457</td><td>0</td></tr><tr><td>Residual</td><td>251.012</td><td>192</td><td>1.307</td><td><break/></td><td><break/></td></tr><tr><td>Total</td><td>328.12</td><td>216</td><td><break/></td><td><break/></td><td><break/></td></tr></tbody></table></table-wrap><p><break/></p>
</sec>
<sec id="sec-11">
<p>Significant variations between the mean values of several variables are shown if the F statistic&apos;s value is higher than a critical threshold. With a p-value of 0.00, less than or equal to the alpha threshold of 0.05, the value of F is 2.457, indicating statistical significance. As a result, the mean of the various performance levels at educational institutions differs significantly.</p>
</sec>
<sec id="sec-12">
  <title>Table 3</title>
<table-wrap id="table3"><label>Table 3</label><caption><title>Table 3</title></caption><table><tbody><tr><td><bold>F</bold></td><td><bold>df1</bold></td><td><bold>df2</bold></td><td><bold>Sig.</bold></td></tr><tr><td>1.374</td><td>4</td><td>192</td><td>0.024</td></tr></tbody></table></table-wrap><p><break/></p>
</sec>
<sec id="sec-13">
<p>In this case, the p-value is 0.024, which is less than 0.05, indicating that the hypothesis has been accepted with an F-test of 1.374. If the P- value is greater than 0.05, the hypothesis has been rejected; if it is less than 0.05, the hypothesis has been accepted.</p>
</sec>
<sec id="sec-14">
  <title>Hypothesis Testing</title>
<p><break/></p>
</sec>
</body>
<back>
<fn-group content-type="conflict-of-interest">
  <title>Conflict of Interest</title>
  <fn fn-type="conflict">
<p>The authors declare that they have no conflicts of interest.</p>
  </fn>
</fn-group>
<fn-group content-type="ethics-statement">
  <title>Ethics Statement</title>
  <fn fn-type="ethics">
<p>This study did not require formal ethics approval.</p>
  </fn>
</fn-group>
<fn-group content-type="data-availability">
  <title>Data Availability</title>
  <fn fn-type="data-availability-statement">
<p>Data sharing is not applicable to this article.</p>
  </fn>
</fn-group>
<app-group>
  <app id="app-suppl">
    <title>Supplementary Materials</title>
<supplementary-material id="suppl-pdf" content-type="pdf" xlink:href="https://gesrjournal.com/pdf/gesr/7hbMYbRjFp.pdf">
  <label>PDF</label>
  <caption>
    <title>Full Text PDF</title>
  </caption>
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</app-group>
<ref-list>
  <title>References</title>
<ref id="Gupta">
  <label>1</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Gupta, S., Antony, J., Lacher, F., &amp; Douglas, A</person-group>
    <year>2018</year>
    <article-title>. Lean Six Sigma for reducing student dropouts in higher education â€“ an exploratory study</article-title>
    <source>Total Quality Management &amp; Business Excellence</source>
    Gupta, S., Antony, J., Lacher, F., &amp; Douglas, A. (2018). Lean Six Sigma for reducing student dropouts in higher education â€“ an exploratory study. Total Quality Management &amp; Business Excellence, 31(1â€“2), 178â€“193.
    <pub-id pub-id-type="doi">10.1080/14783363.2017.1422710</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1080/14783363.2017.1422710">10.1080/14783363.2017.1422710</ext-link>
  </mixed-citation>
</ref>
<ref id="LeMahieu">
  <label>2</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">LeMahieu, P. G., Nordstrum, L. E., &amp; Cudney, E. A</person-group>
    <year>2017</year>
    <article-title>. Six Sigma in education</article-title>
    <source>Quality Assurance in Education</source>
    <volume>25</volume>
    <issue>1</issue>
    <fpage>91</fpage>
    LeMahieu, P. G., Nordstrum, L. E., &amp; Cudney, E. A. (2017). Six Sigma in education. Quality Assurance in Education, 25(1), 91â€“108.
    <pub-id pub-id-type="doi">10.1108/qae-12-2016-0082</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1108/qae-12-2016-0082">10.1108/qae-12-2016-0082</ext-link>
  </mixed-citation>
</ref>
<ref id="Mitra">
  <label>3</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Mitra, A</person-group>
    <year>2004</year>
    <article-title>. Six Sigma education: a critical role for academia</article-title>
    <source>The TQM Magazine</source>
    <volume>16</volume>
    <issue>4</issue>
    <fpage>293</fpage>
    Mitra, A. (2004). Six Sigma education: a critical role for academia. The TQM Magazine, 16(4), 293â€“302.
    <pub-id pub-id-type="doi">10.1108/09544780410541963</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1108/09544780410541963">10.1108/09544780410541963</ext-link>
  </mixed-citation>
</ref>
<ref id="Kanigolla">
  <label>4</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Kanigolla, D., Cudney, E. A., Corns, S., &amp; Samaranayake, V. A</person-group>
    <year>2013</year>
    <article-title>. Project- based learning for quality and Six Sigma education</article-title>
    <source>International Journal of Six Sigma and Competitive Advantage</source>
    <volume>8</volume>
    <issue>1</issue>
    <fpage>51</fpage>
    Kanigolla, D., Cudney, E. A., Corns, S., &amp; Samaranayake, V. A. (2013). Project- based learning for quality and Six Sigma education. International Journal of Six Sigma and Competitive Advantage, 8(1), 51.
    <pub-id pub-id-type="doi">10.1504/ijssca.2013.059777</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1504/ijssca.2013.059777">10.1504/ijssca.2013.059777</ext-link>
  </mixed-citation>
</ref>
<ref id="Mehrabi">
  <label>5</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Mehrabi, J</person-group>
    <year>2012</year>
    <article-title>. Application of Six Sigma in educational quality Management</article-title>
    <source>Procedia - Social and Behavioral Sciences</source>
    <page-range>rocedia</page-range>
    Mehrabi, J. (2012). Application of Six Sigma in educational quality Management. Procedia - Social and Behavioral Sciences, 47, 1358â€“1362.
    <pub-id pub-id-type="doi">10.1016/j.sbspro.2012.06.826</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1016/j.sbspro.2012.06.826">10.1016/j.sbspro.2012.06.826</ext-link>
  </mixed-citation>
</ref>
<ref id="Wang">
  <label>6</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Wang, H</person-group>
    <year>2008</year>
    <article-title>. A Review of Six Sigma Approach: Methodology, Implementation and Future Research</article-title>
    <source>2008 4th International Conference on Wireless Communications, Networking and Mobile Computing</source>
    Wang, H. (2008). A Review of Six Sigma Approach: Methodology, Implementation and Future Research. 2008 4th International Conference on Wireless Communications, Networking and Mobile Computing.
    <pub-id pub-id-type="doi">10.1109/wicom.2008.1887</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1109/wicom.2008.1887">10.1109/wicom.2008.1887</ext-link>
  </mixed-citation>
</ref>
<ref id="Hilton">
  <label>7</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Hilton, R. J., &amp; Sohal, A. S</person-group>
    <year>2012</year>
    <article-title>. A conceptual model for the successful deployment of Lean Six Sigma</article-title>
    <source>International Journal of Quality &amp; Reliability Management</source>
    <volume>29</volume>
    <issue>1</issue>
    <fpage>54</fpage>
    Hilton, R. J., &amp; Sohal, A. S. (2012). A conceptual model for the successful deployment of Lean Six Sigma. International Journal of Quality &amp; Reliability Management, 29(1), 54â€“70.
    <pub-id pub-id-type="doi">10.1108/02656711211190873</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1108/02656711211190873">10.1108/02656711211190873</ext-link>
  </mixed-citation>
</ref>
<ref id="He">
  <label>8</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">He, Z., &amp; Goh, T. N</person-group>
    <year>2015</year>
    <article-title>. Enhancing the future impact of Six Sigma management</article-title>
    <source>Quality Technology and Quantitative Management</source>
    <volume>12</volume>
    <issue>1</issue>
    <fpage>83</fpage>
    He, Z., &amp; Goh, T. N. (2015). Enhancing the future impact of Six Sigma management. Quality Technology and Quantitative Management, 12(1), 83â€“92.
    <pub-id pub-id-type="doi">10.1080/16843703.2015.11673368</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1080/16843703.2015.11673368">10.1080/16843703.2015.11673368</ext-link>
  </mixed-citation>
</ref>
<ref id="Suresh">
  <label>9</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Suresh, S., Antony, J., Kumar, M., &amp; Douglas, A</person-group>
    <year>2012</year>
    <article-title>. Six Sigma and leadership: some observations and agenda for future research</article-title>
    <source>The Tqm Journal</source>
    <volume>24</volume>
    <issue>3</issue>
    <fpage>231</fpage>
    Suresh, S., Antony, J., Kumar, M., &amp; Douglas, A. (2012). Six Sigma and leadership: some observations and agenda for future research. The Tqm Journal, 24(3), 231â€“ 247.
    <pub-id pub-id-type="doi">10.1108/17542731211226754</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1108/17542731211226754">10.1108/17542731211226754</ext-link>
  </mixed-citation>
</ref>
<ref id="Noronha">
  <label>10</label>
  <mixed-citation publication-type="journal">
    <person-group person-group-type="author">Noronha, A., Bhat, S., Gijo, E. V., Antony, J., Laureani, A., &amp; Laux, C</person-group>
    <year>2021</year>
    <article-title>. Performance and service quality enhancement in a healthcare setting through lean six sigma strategy</article-title>
    <source>International Journal of Quality &amp; Reliability Management</source>
    <volume>40</volume>
    <issue>2</issue>
    <fpage>365</fpage>
    Noronha, A., Bhat, S., Gijo, E. V., Antony, J., Laureani, A., &amp; Laux, C. (2021). Performance and service quality enhancement in a healthcare setting through lean six sigma strategy. International Journal of Quality &amp; Reliability Management, 40(2), 365â€“390.
    <pub-id pub-id-type="doi">10.1108/ijqrm-07-2021-0226</pub-id>
    <ext-link ext-link-type="doi" xlink:href="https://doi.org/10.1108/ijqrm-07-2021-0226">10.1108/ijqrm-07-2021-0226</ext-link>
  </mixed-citation>
</ref>
</ref-list>
</back>
</article>