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This study aims to examine the effect of lean accounting implementation on organizational performance through the mediating effect of strategic decision-making and continuous improvement. Five hundred and five executives in the medical device manufacturing industry's organization were chosen as the sample, and the data were collected. The results of the structural equation model (SEM) of the analysis model’s fit index of conceptual model are indicated by the index examining the absolute quality of fit measure. Additionally, the results of ordinary least squares (OLS) regression analysis and path coefficients and hypothesis testing show that lean accounting implementation plays a positive, significant role in determining and driving strategic decision-making and continuous improvement. Strategic decision-making and continuous improvement positively affect organizational performance. Therefore, firms with lean manufacturing must focus lean accounting to lead to information for decision making and revenue improvement and to increase the profit for firms.

The Effect of Lean Accounting Implementation on Organizational Performance