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What Is Lean Manage...
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Rotter, ThomasHealthcare Quality Programs, School of Nursing, Queen’s University, Kingston, Canada
(author)
What Is Lean Management in Health Care? : Development of an Operational Definition for a Cochrane Systematic Review
- Article/chapterEnglish2019
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2018-04-10
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Sage Publications,2019
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LIBRIS-ID:oai:DiVA.org:liu-154052
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-154052URI
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https://doi.org/10.1177/0163278718756992DOI
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Language:English
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Summary in:English
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Subject category:art swepub-publicationtype
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Funding agencies: Saskatchewan Health Quality Council [C7036]; College of Pharmacy and Nutrition at the University of Saskatchewan, Canada
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Industrial improvement approaches such as Lean management are increasingly being adopted in health care. Synthesis is necessary to ensure these approaches are evidence based and requires operationalization of concepts to ensure all relevant studies are included. This article outlines the process utilized to develop an operational definition of Lean in health care. The literature search, screening, data extraction, and data synthesis processes followed the recommendations outlined by the Cochrane Collaboration. Development of the operational definition utilized the methods prescribed by Kinsman et al. and Wieland et al. This involved extracting characteristics of Lean, synthesizing similar components to establish an operational definition, applying this definition, and updating the definition to address shortcomings. We identified two defining characteristics of Lean health-care management: (1) Lean philosophy, consisting of Lean principles and continuous improvement, and (2) Lean activities, which include Lean assessment activities and Lean improvement activities. The resulting operational definition requires that an organization or subunit of an organization had integrated Lean philosophy into the organization?s mandate, guidelines, or policies and utilized at least one Lean assessment activity or Lean improvement activity. This operational definition of Lean management in health care will act as an objective screening criterion for our systematic review. To our knowledge, this is the first evidence-based operational definition of Lean management in health care.
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Plishka, ChristopherCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
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Lawal, AdegboyegaCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
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Harrison, LizSchool of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon,Canada
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Sari, NazmiDepartment of Economics, University of Saskatchewan, Saskatoon, Canada
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Goodridge, DonnaCollege of Medicine, University of Saskatchewan, Saskatoon, Canada
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Flynn, RachelFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
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Chan, JamesSchool of Health Sciences, University of Northern British Columbia, Canada
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Fiander, MichelleCollege of Pharmacy, Department of Pharmacotherapy,University of Utah, USA
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Poksinska, Bozena Bonnie,1973-Linköpings universitet,Logistik- och kvalitetsutveckling,Tekniska fakulteten(Swepub:liu)bozpo01
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Willoughby, KeithEdwards School of Business, University of Saskatchewan, Saskatoon, Canada
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Kinsman, LeighUniversity of Tasmania and TasmanianHealth Service (North),Launceston, Tasmania, AustraliaCorresponding Author:Christopher Plishka, University of Saskatchewan, E3315 Health Sciences Building, 104 ClinicPlace, Saskatoon, Saskatchewan, Canada S7N 5E5.Email: chris.plishka@usask.caEvaluation & the Health Professions1-25ªThe Author(s) 2018Reprints and permission:sagepub.com/journalsPermissions.navDOI: 10.1177/0163278718756992journals.sagepub.com/home/ehp
(author)
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Healthcare Quality Programs, School of Nursing, Queen’s University, Kingston, CanadaCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
(creator_code:org_t)
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In:Evaluation & the Health Professions: Sage Publications42:3, s. 366-3900163-27871552-3918
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