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The growth of costs and losses caused by avoidable mistakes lead to the search for solutions, and Health Lean Management appears as a potential solution to help in solving service quality problems, as well as reducing risks. This study aims to analyse the state of the art in the literature centred on the Lean approach in the context of risk management in healthcare organizations, and to identify new research opportunities, highlighting possible lines of future research.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>Following a systematic literature review approach, 51 papers were considered relevant for this research, and reviewed to explore the development of literature in this area.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>Based on the results, five main research streams were identified: (1) risk management oriented towards patient safety; (2) risk management oriented towards employee safety; (3) importance of attitudes and behaviours in risk reduction projects; (4) Lean tools used in healthcare risk management and (5) Integration of approaches. Moreover, several shortcomings were identified in literature.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>Identified shortcomings represent significant opportunities for further research development.<\/jats:p><\/jats:sec>","DOI":"10.1108\/ijqrm-06-2023-0210","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T07:55:56Z","timestamp":1719906956000},"page":"851-892","source":"Crossref","is-referenced-by-count":6,"title":["Lean thinking and risk management in healthcare organizations: a systematic literature review and research agenda"],"prefix":"10.1108","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0921-4078","authenticated-orcid":false,"given":"Luis","family":"Mendes","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2409-3180","authenticated-orcid":false,"given":"Grazielle","family":"Fran\u00e7a","sequence":"additional","affiliation":[]}],"member":"140","published-online":{"date-parts":[[2024,7,1]]},"reference":[{"issue":"4","key":"key2025021308235007000_ref001","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1515\/reveh-2013-0015","article-title":"Effects of lean six sigma application in healthcare services: a literature review","volume":"28","year":"2013","journal-title":"Reviews on Environmental Health"},{"key":"key2025021308235007000_ref002","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2147\/JHL.S120166","article-title":"Leadership requirements for lean versus servant leadership in health care: a systematic review of the literature","volume":"9","year":"2017","journal-title":"Journal of Healthcare Leadership"},{"issue":"7-8","key":"key2025021308235007000_ref003","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1108\/JHOM-12-2016-0245","article-title":"Lean leadership attributes: a systematic review of the literature","volume":"31","year":"2017","journal-title":"Journal of Health, Organisation and Management"},{"issue":"2","key":"key2025021308235007000_ref004","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1108\/JHOM-04-2013-0083","article-title":"Readiness factors for lean implementation in healthcare settings \u2013 a literature review","volume":"28","year":"2014","journal-title":"Journal of Health, Organisation and Management"},{"issue":"1","key":"key2025021308235007000_ref005","doi-asserted-by":"publisher","first-page":"241","DOI":"10.24874\/IJQR15.01-14","article-title":"Application of lean six sigma to reduce patient waiting time: literature review","volume":"15","year":"2021","journal-title":"International Journal for Quality Research"},{"key":"key2025021308235007000_ref006","first-page":"1103","article-title":"Lean based approach for identifying risks and improving safety of healthcare delivery systems: a novel application of FMEA and FTA in blood transfusion unit at a local public hospital in Jordan","year":"2017"},{"issue":"10","key":"key2025021308235007000_ref007","doi-asserted-by":"publisher","first-page":"1151","DOI":"10.1017\/ice.2019.199","article-title":"Reduced isolation room turnover time using lean methodology","volume":"40","year":"2019","journal-title":"Infection Control and Hospital Epidemiology"},{"issue":"3","key":"key2025021308235007000_ref008","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1504\/IJSOM.2019.098351","article-title":"Literature review on lean healthcare implementation: assessment methods and practices","volume":"32","year":"2019","journal-title":"International Journal of Services and Operations Management"},{"issue":"4","key":"key2025021308235007000_ref009","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1097\/QMH.00000000000186","article-title":"Using lean six sigma to improve delayed intracranial hemorrhage screening in a geriatric trauma population","volume":"27","year":"2018","journal-title":"Quality Management in Health Care"},{"issue":"1","key":"key2025021308235007000_ref010","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.acuro.2017.03.009","article-title":"Application of lean healthcare methodology in a urology department of a tertiary hospital as a tool for improving efficiency","volume":"42","year":"2018","journal-title":"Actas Urologicas Espanolas"},{"key":"key2025021308235007000_ref011","doi-asserted-by":"crossref","unstructured":"Calero, L., Maccasi, A. and Raymundo, C. 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