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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author 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
author_facet 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
author_sort Annmarie Touborg Lassen
collection DOAJ
description 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.
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spelling doaj-art-1ab9980de7e64a0382c8fa0e07b1ecc02025-01-24T20:40:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058179How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadershipAnnmarie Touborg Lassen0Jesper Ryg1Torben Knudsen2Vibeke Andersen3Torkell Ellingsen4Mohammad Naghavi-Behzad5Anna-Marie Bloch Münster6Aleksander Krag7Tahir Masud8Oke Gerke9Kim Brixen10Kirsten Kyvik11Kristian Kidholm12Malene Grubbe Hildebrandt13Jørgen Ejler Pedersen14Henrik J Ditzel15Annette Langhoff16Gert Nielsen17Department of Clinical Research, University of Southern Denmark, Odense, Denmark4 Department of Geriatric Medicine, Odense University Hospital, Clinical Institute, University of Southern Denmark, Odense, DenmarkDepartment of Gastroenterology, Southwest Jutland Hospital, Esbjerg, DenmarkDepartment of Regional Health Research, University of Southern Denmark, Odense, Denmark2 Research Unit of Rheumatology, Department of Clinical Research, University of Southern Denmark, Odense University Hospital, Odense, DenmarkDepartment of Nuclear Medicine, Odense University Hospital, Odense, DenmarkDepartment of Managment, Southwest Jutland Hospital, Esbjerg, Denmark29 Department of Gastroenterology, Odense University Hospital, University of Southern Denmark, Odense, Denmark1University of NottinghamDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark3 Board of Direction, Odense University Hospital, Odense, Syddanmark, DenmarkInstitute of Regional Health Research, University of Southern Denmark, Odense, DenmarkCentre for Innovative Medical Technology, Odense University Hospital, Odense, DenmarkDepartment of Nuclear Medicine, Odense University Hospital, Odense, DenmarkDepartment of Quality and Patient Collaboration, Odense University Hospital, Odense, DenmarkDepartment of Cancer and Inflammation Research, Institute for Molecular Medicine, University of Southern Denmark, Odense, DenmarkThe Research Committee, Odense University Hospital, Odense, DenmarkThe Research Committee, Odense University Hospital, Odense, DenmarkWaste 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.https://bmjopen.bmj.com/content/12/6/e058179.full
spellingShingle 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
How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership
BMJ Open
title How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership
title_full How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership
title_fullStr How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership
title_full_unstemmed How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership
title_short How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership
title_sort how to increase value and reduce waste in research initial experiences of applying lean thinking and visual management in research leadership
url https://bmjopen.bmj.com/content/12/6/e058179.full
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