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Main Difference between DMAIC Six Sigma and Lean Six Sigma are:

DMAIC focuses on defects and improving quality, while Lean focuses on speed and waste. The danger of implementing Lean without considering DMAIC first, is you will speed up processes, but the defects will still be there.
Perhaps a good example is the recent problem a well-known car brand had with sticking accelerators, resulting in a recall of over 50000 vehicles with questions over their famous reliability. They have become masters of the Lean concepts, but possibly not enough focus on defects?

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