Evidence map›Paper›PMID 41617240›Full record

ArticleBMJ open2026

Internal Regulation Core as a hub of disruptive innovation in hospital management: a scoping review protocol.

Lilian Mesquita Gomes, Fernando de Melo Bomfim Moreira, Gesner Francisco Xavier Júnior, Helena Duani, Marcus Vinicius Melo de Andrade, Teresa Cristina Abreu Ferrari

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lilian Mesquita GomesPós Graduação em Saúde do Adulto, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil lilian-med@hotmail.com.ORCID http://orcid.org/0009-0003-8512-6701
Fernando de Melo Bomfim MoreiraClínica de Oftalmologia, Belo Horizonte, Minas Gerais, Brazil.ORCID http://orcid.org/0009-0009-6815-4894
Gesner Francisco Xavier JúniorInformation Science Departament, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Helena DuaniDepartment of Internal Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0001-9345-018X
Marcus Vinicius Melo de AndradePós Graduação em Saúde do Adulto, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Teresa Cristina Abreu FerrariPós Graduação em Saúde do Adulto, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.ORCID http://orcid.org/0000-0001-9459-2294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis scoping review protocol aims to examine the role of the Internal Regulation Core (IRC) as an intra-hospital governance structure that coordinates capacity and patient flow and may function as a strategic hub for disruptive innovation in hospital management. By integrating organisational routines, rules and, when available, enabling technologies, IRCs may strengthen operational efficiency and contribute to higher-quality care delivery. As hospitals face increasing operational complexity and constrained resources, clarifying what IRCs are, how they are implemented across settings, and what innovations and impacts are reported has become a priority. METHODS AND ANALYSIS: This scoping review will follow the Joanna Briggs Institute guidance and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. A comprehensive search will be conducted across five databases (MEDLINE/PubMed, Embase, Scopus, Web of Science and LILACS) and grey literature sources, without language or date restrictions. The searches were conducted up to 6 July 2025. Two reviewers will independently screen studies and extract data using a standardised form; disagreements will be resolved by consensus or a third reviewer. Findings will be synthesised descriptively and thematically, with results presented in tables and narrative summaries, including innovation streams. TRIAL REGISTRATION NUMBER: Open Science Framework (10.17605/OSF.IO/HWZJS).

Indexed as

Hospital AdministrationOrganizational InnovationHumansResearch DesignScoping Reviews as TopicHealth Care CostsHealth economicsHealth policyHealth ServicesHEALTH SERVICES ADMINISTRATION & MANAGEMENTHospitals

Identifiers

PMID41617240
PMCPMC12863311

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.