How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership

Waste in research has been well documented, but initiatives to reduce it are scarce. Here, we share our initial experiences of implementing Lean thinking and visual management into hospital research units in the Region of Southern Denmark. A Transformation Guiding Team (TGT) anchored in the top mana...

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Main Authors: Annmarie Touborg Lassen, Jesper Ryg, Torben Knudsen, Vibeke Andersen, Torkell Ellingsen, Mohammad Naghavi-Behzad, Anna-Marie Bloch Münster, Aleksander Krag, Tahir Masud, Oke Gerke, Kim Brixen, Kirsten Kyvik, Kristian Kidholm, Malene Grubbe Hildebrandt, Jørgen Ejler Pedersen, Henrik J Ditzel, Annette Langhoff, Gert Nielsen
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e058179.full
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Summary:Waste in research has been well documented, but initiatives to reduce it are scarce. Here, we share our initial experiences of implementing Lean thinking and visual management into hospital research units in the Region of Southern Denmark. A Transformation Guiding Team (TGT) anchored in the top management was established with participation from leaders, researchers and patient representatives. The role of the TGT was to implement Lean methods, considering patients as primary end-users of the research results. This is in line with an explicit decision on setting patient values first in clinical settings at participating hospitals. The leaders of the research units were instructed in Lean thinking and Lean methods during a five-module course focusing on increasing value and reducing waste in research production. Initial experiences were that Lean tools could create a patient-centred vision that through visual management could identify waste in work processes. Concerns were lack of evidence for using Lean methods in research leadership and that the model itself could be a time consumer. Some lessons learnt were that adding Lean tools in research leadership should not just provide increased research productivity, but also improve other important key performance indicators such as quality of research and patient-relevant results. We intend to evaluate the value of the initiative by follow-up research and publish the outcome of key behavioural and key performance indicators.
ISSN:2044-6055