Comments on: Saving Lives and Losing Them http://www.leanblog.org/2007/07/saving-lives-and-losing-them/ 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: Biggles http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2265 Biggles Fri, 13 Jul 2007 17:30:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2265 Never forget 2 things about Michael moore: a) Like other feature film makers, he deals with fantasy, and b) the real reason he is against the American medical system is he is sick and tired of American medical professionals telling him he is not the picture of health (overweight and most likely with high BP) that should be projected to the American public. Never forget 2 things about Michael moore: a) Like other feature film makers, he deals with fantasy, and b) the real reason he is against the American medical system is he is sick and tired of American medical professionals telling him he is not the picture of health (overweight and most likely with high BP) that should be projected to the American public.

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]]> By: Ron Pereira http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2264 Ron Pereira Fri, 13 Jul 2007 14:29:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2264 Hi Andrew,<br/><br/>I will grant you I probably should have followed the 24 hour rule before posting my thoughts.<br/><br/>But let me ask you something. Do you think Michael Moore practices this "impulse control" rule? Perhaps you may want to watch the video before answering.<br/><br/>Cheers,<br/>Ron Hi Andrew,

I will grant you I probably should have followed the 24 hour rule before posting my thoughts.

But let me ask you something. Do you think Michael Moore practices this “impulse control” rule? Perhaps you may want to watch the video before answering.

Cheers,
Ron

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]]> By: Andrew http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2261 Andrew Fri, 13 Jul 2007 13:32:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2261 Ron Pereira said... <br/>That guy has to be about the biggest waste this great land of ours has ever produced. I just cannot find the words to explain it properly. I wish he would just leave... move to Canada, Cuba, anywhere. Just leave and quit giving Democrats a bad name. They have enough issues as it is. Sorry... couldn't resist. <br/><br/>Poor impluse control is a sure sign of immaturity. When our nation finds the courage to act as adults perhaps we'll solve some really important problems. Ron Pereira said…
That guy has to be about the biggest waste this great land of ours has ever produced. I just cannot find the words to explain it properly. I wish he would just leave… move to Canada, Cuba, anywhere. Just leave and quit giving Democrats a bad name. They have enough issues as it is. Sorry… couldn’t resist.

Poor impluse control is a sure sign of immaturity. When our nation finds the courage to act as adults perhaps we’ll solve some really important problems.

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]]> By: Mark Graban http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2256 Mark Graban Wed, 11 Jul 2007 16:54:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2256 Hi Renee - thanks for your comment. Standardized work *is* a great way of improving quality in healthcare. Michael Moore wasn't highlighting anything close to that issue, of how variation or failure to follow standard practices leads to many patient injuries and deaths.<br/><br/>I believe that standard work DOES absolutely require common sense and thinking. I view standard work as a set of guidelines and a playbook. Sometimes, you have a good reason for deviated from the playbook. But, if you're always deviating from the playbook or doing so without a good reason, that's a problem. <br/><br/>Standard Work requires that employees have their thinking caps on, this isn't a "be a robot and leave your brain at the door" system. <br/><br/>It's important to consider WHAT to standardize, not to standardize for the sake of standardizing. If it's important, for infection prevention, to insert a central line using a certain procedure, then the process should be standardized -- people need to follow that standard. They also need to understand WHY to follow the standard, it's not just "because managers said so." It's for the patient, it's for the employee's safety, etc. Hi Renee – thanks for your comment. Standardized work *is* a great way of improving quality in healthcare. Michael Moore wasn’t highlighting anything close to that issue, of how variation or failure to follow standard practices leads to many patient injuries and deaths.

I believe that standard work DOES absolutely require common sense and thinking. I view standard work as a set of guidelines and a playbook. Sometimes, you have a good reason for deviated from the playbook. But, if you’re always deviating from the playbook or doing so without a good reason, that’s a problem.

Standard Work requires that employees have their thinking caps on, this isn’t a “be a robot and leave your brain at the door” system.

It’s important to consider WHAT to standardize, not to standardize for the sake of standardizing. If it’s important, for infection prevention, to insert a central line using a certain procedure, then the process should be standardized — people need to follow that standard. They also need to understand WHY to follow the standard, it’s not just “because managers said so.” It’s for the patient, it’s for the employee’s safety, etc.

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]]> By: Renee http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2255 Renee Wed, 11 Jul 2007 16:31:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2255 Standardized procedures (quality) in the medical field is coming, though it's a slow movement--at least that's what the healthcare professionals we've talked to say. Visual work instructions have worked so well in manufacturing and aerospace, it seems like healthcare could benefit, too. Nurses love our standardized procedures, but we still meet with resistance from hospitals. As I understand it, they can only use these types of documents as "guidelines." That's because any procedure has to be done within the context of the patient's condition. In simplistic terms, that means you can't do step 3 of a procedure that requires an injection in the arm if you're dealing with a patient who has no arm. Of course, that leaves me wondering about the role common sense plays . . . Thanks for pressing on with the battle for quality care AND access to care. Standardized procedures (quality) in the medical field is coming, though it’s a slow movement–at least that’s what the healthcare professionals we’ve talked to say. Visual work instructions have worked so well in manufacturing and aerospace, it seems like healthcare could benefit, too. Nurses love our standardized procedures, but we still meet with resistance from hospitals. As I understand it, they can only use these types of documents as “guidelines.” That’s because any procedure has to be done within the context of the patient’s condition. In simplistic terms, that means you can’t do step 3 of a procedure that requires an injection in the arm if you’re dealing with a patient who has no arm. Of course, that leaves me wondering about the role common sense plays . . . Thanks for pressing on with the battle for quality care AND access to care.

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]]> By: jt http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2254 jt Wed, 11 Jul 2007 12:49:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2254 Great job focusing on the problem. It pains me to see the amount of people who think this guy is the gospel. If only we could all refocus on solving the problem and not who's right or wrong. The uninsured would just be another bar in our Pareto chart. Great job focusing on the problem. It pains me to see the amount of people who think this guy is the gospel. If only we could all refocus on solving the problem and not who’s right or wrong. The uninsured would just be another bar in our Pareto chart.

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]]> By: Kevin http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2253 Kevin Wed, 11 Jul 2007 09:28:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2253 Great post, again, on something I've stayed away from. One item I was fascinated by is that Moore points to France as "the perfect model." They do have lower mortality, higher access, an interesting concept of the sicker you are the less you pay. Guess what... they're also running increasingly high healthcare deficits and are looking to... get this... adopt private U.S. HMO models. Of course Moore conveniently left that on the cutting room floor! Great post, again, on something I’ve stayed away from. One item I was fascinated by is that Moore points to France as “the perfect model.” They do have lower mortality, higher access, an interesting concept of the sicker you are the less you pay. Guess what… they’re also running increasingly high healthcare deficits and are looking to… get this… adopt private U.S. HMO models. Of course Moore conveniently left that on the cutting room floor!

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]]> By: Ron Pereira http://www.leanblog.org/2007/07/saving-lives-and-losing-them/#comment-2251 Ron Pereira Tue, 10 Jul 2007 01:45:00 +0000 http://leanblog.bigbigdesign.net/2007/07/saving-lives-and-losing-them/#comment-2251 That guy has to be about the biggest waste this great land of ours has ever produced. I just cannot find the words to explain it properly. I wish he would just leave... move to Canada, Cuba, anywhere. Just leave and quit giving Democrats a bad name. They have enough issues as it is. Sorry... couldn't resist. That guy has to be about the biggest waste this great land of ours has ever produced. I just cannot find the words to explain it properly. I wish he would just leave… move to Canada, Cuba, anywhere. Just leave and quit giving Democrats a bad name. They have enough issues as it is. Sorry… couldn’t resist.

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