Lean production in complex socio-technical systems: A systematic literature review

Abstract Although lean production (LP) is usually associated with complexity reduction, it has been increasingly applied in highly complex socio-technical systems (CSS) (e.g. healthcare), in which the complexity level cannot be reduced below a certain (high) threshold. This creates a paradoxical situation, which is not well understood in theory and can be underlying the frustrating results of many lean implementations. This article presents a systematic literature review of how LP has dealt with complexity, both in theory and in practice, from a complexity science perspective. The review was based on 94 papers, which were analyzed according to seven criteria: how the concept of complexity is being used in lean research; the complexity level of the studied systems; the compatibility between the methodological approach and the nature of complexity; how complexity is managed by LP; barriers to LP in CSS; side-effects of LP in CSS; and whether complexity is always detrimental to LP. A research agenda is also proposed.

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