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. 2022 Jan 29;22:122. doi: 10.1186/s12913-022-07473-w

Table 5.

The operational implementation approach

US Italy
N % Mean SD N % Mean SD
Daily management system index (range: 0–9) 135 4.8 2.53 35 2.4 1.55
HR index (range: 0–5) 129 2.3 1.82 35 2.3 1.85
IT index (range: 0–6) 129 2.7 2.05 35 3.8 1.97
Finance index (range: 0–3) 130 2.0 1.07 35 1.8 1.11
Lean team multi-professionalism 68 14
Information Technology 32 47 7 50
Human Resources 16 24 4 29
Finance 20 29 3 21
Staff involvement index (range: 0–6) 76 3.9 1.34 35 1.04 1.41
Education and training index (range: 0–4) 128 1.79 0.89 35 1.7 0.93
Reward and Recognition 293 23
Departments 103 35 4 17
External Organizations 84 29 6 26
Hospital 106 36 13 57
Number of tools reported as high or very high use (range: 0–14) 130 4.3 3.6 35 3.3 3.3