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 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.

Dual in-plane electronic speckle pattern interferometry system with electro-optical switching and phase shifting

A dual in-plane electronic speckle pattern interferometry (ESPI) system has been developed for in situ measurements. The optical setup is described here. The system uses an electro-optical switch to change between the illumination directions for x and y sensitivity. The ability of the electro-optic device to change the polarization of the laser light forms the basis of this switch. The electro-optic device is a liquid-crystal layer cemented between two optically flat glass plates. An electric field can be set up across the layer by application of a voltage to electrodes. The speckle interferometry system incorporates two additional liquid-crystal devices to facilitate phase shifting, and the overall system is controlled by advanced software, which allows switching between the two perpendicular planes in quasi real time. The fact that there are no moving parts is an advantage in any ESPI system for which mechanical stability is vital.