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      The use and application of Lean Management methods to research processes—a scoping review protocol

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          Abstract

          Introduction

          Waste in medical research is a relatively well-known issue. However, only a few initiatives exist to address this issue. Lean Management methods (Lean) were developed in industrial manufacturing and later applied within healthcare improvement. Overall, the results from studies of the application of Lean to healthcare appear to be positive in terms of greater efficiency regarding treatment outcomes and patient care. Nevertheless, the application of Lean to improve research processes is not well studied and, given that research alongside clinical practice and experiential knowledge provides the foundation for the treatment and care of patients, it is paramount to identify approaches and review the degree to which they increase efficiency within research procedures. Therefore, this review will scope the landscape of studies that investigated Lean and how to implement Lean in research processes, particularly regarding healthcare research.

          Methods and analysis

          Our approach follows the methodological framework of Arksey and O’Malley for conducting scoping reviews (PRISMA-ScR). The search strategy for this scoping review was developed using the PCC model. We will identify the relevant literature by searching four search databases: Scopus, Web of Science, Academic Search Premier and Business Source Complete. Next, we will use citation pearl growing to identify all relevant published literature. The data charting process will follow the PRISMA-ScR checklist and will be organised using NVivo. We will generate qualitative and quantitative assessments of the extracted data by using NVivo, RStudio and Excel. We will follow the PRISMA-ScR guideline when reporting the results.

          Ethics and dissemination

          The review will comprise existing published studies and no primary data will be collected. Our findings will be shared through open access peer-reviewed journals, national and international conferences and emails to all relevant collaborative relationships. We plan to disseminate our findings via academic social media platforms, newspaper articles and blogposts.

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          Most cited references23

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Scoping studies: towards a methodological framework

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              Defining and developing measures of lean production

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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2024
                15 May 2024
                : 14
                : 5
                : e074207
                Affiliations
                [1 ] departmentClinical Research, OPEN , Ringgold_6174University of Southern Denmark , Odense, Denmark
                [2 ] departmentDepartment of Political Science and Public Management , Ringgold_6174University of Southern Denmark , Odense, Denmark
                [3 ] departmentBoard of Direction , Ringgold_11286Odense University Hospital , Odense, Syddanmark, Denmark
                Author notes
                [Correspondence to ] Caroline Ariane Dahl Wraae; cadw@ 123456health.sdu.dk
                Author information
                http://orcid.org/0000-0001-8968-8320
                http://orcid.org/0000-0003-3511-5812
                http://orcid.org/0000-0003-2981-0245
                http://orcid.org/0000-0002-3257-2084
                Article
                bmjopen-2023-074207
                10.1136/bmjopen-2023-074207
                11097865
                38749681
                85373ec1-be9d-4ef6-a777-aefdf486ab63
                © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 20 April 2023
                : 28 April 2024
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100006356, Syddansk Universitet;
                Award ID: No grant number
                Funded by: FundRef http://dx.doi.org/10.13039/501100004196, Odense Universitetshospital;
                Award ID: No grant number
                Categories
                Public Health
                1506
                1724
                Protocol
                Custom metadata
                unlocked

                Medicine
                public health,systematic review,organisational development,literature,organisation and administration

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