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Lean management in health care: definition, concepts, methodology and effects reported (systematic review protocol)


Lawal, AK and Rotter, T and Kinsman, L and Sari, N and Harrison, L and Jeffrey, C and Kutz, M and Khan, MF and Flynn, R, Lean management in health care: definition, concepts, methodology and effects reported (systematic review protocol), Systematic Reviews, 19, (3) pp. 103. ISSN 2046-4053 (2014) [Contribution to Refereed Journal]

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DOI: doi:10.1186/2046-4053-3-103


BACKGROUND: Lean is a set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits. It emphasizes the consideration of the customer's needs, employee involvement and continuous improvement. Research on the application and implementation of lean principles in health care has been limited.

METHODS: This is a protocol for a systematic review, following the Cochrane Effective Practice and Organisation of Care (EPOC) methodology. The review aims to document, catalogue and synthesize the existing literature on the effects of lean implementation in health care settings especially the potential effects on professional practice and health care outcomes. We have developed a Medline keyword search strategy, and this focused strategy will be translated into other databases. All search strategies will be provided in the review. The method proposed by the Cochrane EPOC group regarding randomized study designs, non-randomised controlled trials controlled before and after studies and interrupted time series will be followed. In addition, we will also include cohort, case-control studies, and relevant non-comparative publications such as case reports. We will categorize and analyse the review findings according to the study design employed, the study quality (low- versus high-quality studies) and the reported types of implementation in the primary studies. We will present the results of studies in a tabular form.

DISCUSSION: Overall, the systematic review aims to identify, assess and synthesize the evidence to underpin the implementation of lean activities in health care settings as defined in this protocol. As a result, the review will provide an evidence base for the effectiveness of lean and implementation methodologies reported in health care.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:Lean; systematic review; health care; toyota management system
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health care administration
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health policy evaluation
UTAS Author:Kinsman, L (Professor Leigh Kinsman)
ID Code:97772
Year Published:2014
Deposited By:Health Sciences B
Deposited On:2015-01-13
Last Modified:2015-02-13

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