Lean management principles include customer focus, continuous improvement and quality through waste reduction for organizations, including IT, bringing benefits such as bringing people together and ...changing paradigms. In this context, this paper presents a literature review on the current characteristics of lean manufacturing applied to information technology departments or companies. The methodology includes the selection of documents from the Scopus and Web of Science databases, a bibliometric study and a literature review with the selected documents. The bibliometric study identified the document type, language, year of publication, authors, author network, author’s H-index, affiliation, keyword clusters, country or territory and field of knowledge. The VOSviewer software was used to create the maps of the author network and keyword clusters. The literature review presented the main topics of Lean IT, which is a relatively new field of knowledge yet to be fully explored and researched. The results showed that there is no typical pattern regarding the number of publications, and that the concept is still much more used in business than in academy. There is no core of well-defined authors. The Lean methodology is not just the so-called "factory floor". It has been adopted by several other areas; although 50% of the documents are concentrated in two areas: Computer Science and Engineering. Hopefully this paper can contribute as a source of data for future studies on lean management within IT.
The healthcare environment presents a large volume of personal and sensitive patient data that needs to be available and secure. Information and communication technology brings a new reality to ...healthcare, promoting improvements, agility and integration. Regarding high-level and complex decision-making scenarios, the Brazilian Navy (BN), concerning its healthcare field, is seeking to provide better management of its respective processes in its hospital facilities, allowing accurate control of preventive and curative medicine to members who work or have served there in past years. The study addresses the understanding, structure and clarifying variables related to the feasibility of technological updating and installing of a Hospital Information System (HIS) for BN. In this scenario, through interviews and analysis of military organization business processes, criteria and alternatives were established based on multi-criteria methodology as a decision aid. As methodological support for research and data processing, THOR 2 and PROMETHEE-SAPEVO-M1 methods were approached, both based on the scenarios of outranking alternatives based on the preferences established by the stakeholders in the problem. As a result of the methodological implementation, we compare the two implemented methods in this context, exposing the Commercial Software Purchase and Adoption of Free Software, integrated into Customization by the Marine Studies Foundation, as favorable actions to be adopted concerning HIS feasibility. This finding generates a comprehensive discussion regarding the BN perspective and changes in internal development in the military environment, prospecting alignment to the culture of private organizations in Information Technology for healthcare management. In the end, we present some conclusions concerning the study, exploring the main points of the decision-making analysis and for future research.