A critical review of the research literature on Six Sigma, Lean and StuderGroup's Hardwiring Excellence in the United States: the need to demonstrate and communicate the effectiveness of transformation strategies in healthcare

Table 1 Relationship of change and practice.

	No Change in Practices	Transformation in Practices
No Change in Culture	Stasis	Reluctant participants Failed implementation
Transformation in Culture	Turnover, loss of best people	Sustainable organizational transformation

ISSN: 1748-5908