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Stakeholder dynamics and the implementation of process innovations: the case of Lean thinking in a UK NHS Hospital Trust

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Papadopoulos, Thanos and Merali, Yasmin (2009) Stakeholder dynamics and the implementation of process innovations: the case of Lean thinking in a UK NHS Hospital Trust. International Journal of Healthcare Technology and Management, Vol.10 (No.4/5). pp. 303-324. doi:10.1504/IJHTM.2009.030453 ISSN 1368-2156.

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Official URL: http://dx.doi.org/10.1504/IJHTM.2009.030453

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Abstract

This paper addresses the dynamics and mechanisms underpinning the trajectories and outcomes of process innovation. It deploys actor-network theory to explore the role of emergent stakeholder dynamics and networks in shaping the trajectory and outcomes of a project to implement Lean thinking (Lean) in a theatres unit of a UK National Health Service hospital. It traces the process of network formation, stabilisation and maintenance over time, and shows that different meanings for Lean become manifest during the implementation process, manifested through the emergence and mobilisation of a global and a local network that interact with each other using the project as a negotiation space in order to achieve their diverse interests.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social Sciences > Warwick Business School > Information Systems & Management
Faculty of Social Sciences > Warwick Business School
Journal or Publication Title: International Journal of Healthcare Technology and Management
Publisher: Inderscience Publishers
ISSN: 1368-2156
Official Date: 2009
Dates:
DateEvent
2009Published
Volume: Vol.10
Number: No.4/5
Number of Pages: 22
Page Range: pp. 303-324
DOI: 10.1504/IJHTM.2009.030453
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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