Comments on: Lack of Error Proofing Kills 3 Babies http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/ Mark Graban's leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System Thu, 09 Feb 2012 22:59:58 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Dennis Quaid and Discussion of Medical Mistakes on Oprah Tuesday — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22964 Dennis Quaid and Discussion of Medical Mistakes on Oprah Tuesday — Lean Blog Thu, 28 Jul 2011 12:53:34 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22964 [...] I hope there’s some good discussion on the show about systemic errors and the need for prevention. How can we prevent this same error from occurring again at other hospitals with other babies? Don’t forget the same error occurred, with fatal effects, in Indianapolis a year earlier: [...] [...] I hope there’s some good discussion on the show about systemic errors and the need for prevention. How can we prevent this same error from occurring again at other hospitals with other babies? Don’t forget the same error occurred, with fatal effects, in Indianapolis a year earlier: [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]> By: Wow, the Joint Commission Moves Slowly — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22963 Wow, the Joint Commission Moves Slowly — Lean Blog Thu, 28 Jul 2011 12:53:18 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22963 [...] 2006: Heparin error kills 3 babies in Indianapolis [...] [...] 2006: Heparin error kills 3 babies in Indianapolis [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]> By: Dennis Quaid and Medical Mistakes Episode on Oprah — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22709 Dennis Quaid and Medical Mistakes Episode on Oprah — Lean Blog Thu, 28 Jul 2011 00:07:05 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22709 [...] the hand wringing when they realized this COULD happen at Cedar Sinai? Did they read the news about the Indianapolis case from 2006 and think “well we’re better, it couldn’t happen [...] [...] the hand wringing when they realized this COULD happen at Cedar Sinai? Did they read the news about the Indianapolis case from 2006 and think “well we’re better, it couldn’t happen [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]> By: Dennis Quaid on 60 Minutes — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22708 Dennis Quaid on 60 Minutes — Lean Blog Thu, 28 Jul 2011 00:06:46 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22708 [...] Quaid was right to say the errors were “avoidable” — pointing out it was the same avoidable errors as the case where three babies died at Methodist in Indianapolis. [...] [...] Quaid was right to say the errors were “avoidable” — pointing out it was the same avoidable errors as the case where three babies died at Methodist in Indianapolis. [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]> By: "Lookalike" Drug Packaging — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22707 "Lookalike" Drug Packaging — Lean Blog Thu, 28 Jul 2011 00:06:22 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-22707 [...] Here’s a picture of the two drugs that were mixed up when the three babies were killed at the hospital in Indianapolis last week. [...] [...] Here’s a picture of the two drugs that were mixed up when the three babies were killed at the hospital in Indianapolis last week. [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]> By: Let’s Sign Documents Promising Not to Make Errors? — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-13991 Let’s Sign Documents Promising Not to Make Errors? — Lean Blog Wed, 10 Nov 2010 15:46:17 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-13991 [...] might remember me blogging about the Indianapolis incident where three babies died after being mistakenly given an adult dose of heparin back in 2007. The same set of failure modes [...] [...] might remember me blogging about the Indianapolis incident where three babies died after being mistakenly given an adult dose of heparin back in 2007. The same set of failure modes [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]> By: Liveblogging the Quaid Patient Safety Documentary — Lean Blog http://www.leanblog.org/2006/09/lack-of-error-proofing-kills-3-babies/#comment-9577 Liveblogging the Quaid Patient Safety Documentary — Lean Blog Sat, 24 Apr 2010 13:33:07 +0000 http://leanblog.bigbigdesign.net/2006/09/lack-of-error-proofing-kills-3-babies/#comment-9577 [...] looking learn from mistakes of others. What if Cedar Sinai had asked that question when the babies were killed in Indianapolis? He said “the answer was yes” (it could [...] [...] looking learn from mistakes of others. What if Cedar Sinai had asked that question when the babies were killed in Indianapolis? He said “the answer was yes” (it could [...]

Like or Dislike: Thumb up 0 Thumb down 0

]]>