gms | German Medical Science

21. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin e. V.

Deutsches Netzwerk Evidenzbasierte Medizin e. V.

13. - 15.02.2020, Basel, Schweiz

Lean Evidence Management – Applicability and Feasibility of an Industrial Management Principle in Clinical Research

Meeting Abstract

  • Markus K. Diener - University of Heidelberg, Department of General, Visceral and Transplantation Surgery, Heidelberg, Deutschland; University of Heidelberg, The Study Center of the German Surgical Society (SDGC), Heidelberg, Deutschland
  • Felix J. Hüttner - University of Heidelberg, Department of General, Visceral and Transplantation Surgery, Heidelberg, Deutschland; University of Heidelberg, The Study Center of the German Surgical Society (SDGC), Heidelberg, Deutschland
  • Phillip Knebel - University of Heidelberg, Department of General, Visceral and Transplantation Surgery, Heidelberg, Deutschland; University of Heidelberg, The Study Center of the German Surgical Society (SDGC), Heidelberg, Deutschland
  • André L. Mihaljevic - University of Heidelberg, Department of General, Visceral and Transplantation Surgery, Heidelberg, Deutschland; University of Heidelberg, The Study Center of the German Surgical Society (SDGC), Heidelberg, Deutschland
  • Pasca Probst - University of Heidelberg, Department of General, Visceral and Transplantation Surgery, Heidelberg, Deutschland; University of Heidelberg, The Study Center of the German Surgical Society (SDGC), Heidelberg, Deutschland

Nützliche patientenrelevante Forschung. 21. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin. Basel, Schweiz, 13.-15.02.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. Doc20ebmS4-V1-03

doi: 10.3205/20ebm019, urn:nbn:de:0183-20ebm0194

Published: February 12, 2020

© 2020 Diener et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background/research question: Clinical research is faced with the identical economic pressure as the whole medical system. The current organization of clinical research lacks of centralized prioritization of urgent and relevant scientific research questions. As a result, evidence is produced today by chance or due to the pressure of so-called megatrends. Besides impaired process quality of the whole evidence production process shortness of financial and personnel resources are wasted for scientific projects of inferior originality and relevance (research waste).

Methods: Aim of this empirical study was the evaluation of the applicability of the industrial management principles of Lean Management in clinical research. Literature searches were done in order to assess the current body of evidence of research management with a special focus on the terms prioritization and waste reduction in clinical research. The principles of the management philosophy of lean management were applied to the process of evidence production in clinical research.

Results: This study showed that the keywords production, quality, competitiveness, innovation and economics are evenly important for industrial and evidence production in research. The system of Lean Evidence Management was created by the interdependent incorporation of Evidence Mapping, Prioritization, Scientific Communication and Knowledge Transfer. The central element of evidence mapping was framed and visualized exemplarily for pancreatic surgery. All analyzes showed high applicability of the Lean Management principles in clinical research.

Conclusion: Besides feasibility, effectiveness and increase of output and quality is most likely. With Lean Evidence Management a new term and concept was created, which is currently not available in the literature.

Competing interests: Keine