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	<title>Comments on: This Will Happen Again, Unless&#8230;</title>
	<atom:link href="http://www.leanblog.org/2007/10/this-will-happen-again-unless/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/</link>
	<description>Mark Graban&#039;s leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System</description>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-3128</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Mon, 11 Feb 2008 15:29:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-3128</guid>
		<description>Tom - that&#039;s bad that they lost her specimen and had to put her through more stress and pain. It&#039;s beyond outrageous that they would charge you and the insurance company for the &quot;rework.&quot;</description>
		<content:encoded><![CDATA[<p>Tom &#8211; that&#8217;s bad that they lost her specimen and had to put her through more stress and pain. It&#8217;s beyond outrageous that they would charge you and the insurance company for the &#8220;rework.&#8221;</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-3128" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('3128', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-3128-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-3128" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('3128', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-3128-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Anonymous</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-3121</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 08 Feb 2008 18:21:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-3121</guid>
		<description>Yep - the hospital lost my wifes biopsy - they had to do it all over again and they charged us the copayment to boot. Talk about being upset. If anyone has had a biopsy done in the uterus you will understand the pain one must feel with this proceedure. YIKES - She did have cancer but it didnt get outside the walls - THANK GOD everything worked out. I told my wife they need take a few lean classes and understand we are the customer. I hate waiting on doctors in the urgent care area - they take forever there also - more and more problems with the health care system - even the doctors feel this way. TOP management needs to wake up. &lt;br/&gt;&lt;br/&gt;Tom</description>
		<content:encoded><![CDATA[<p>Yep &#8211; the hospital lost my wifes biopsy &#8211; they had to do it all over again and they charged us the copayment to boot. Talk about being upset. If anyone has had a biopsy done in the uterus you will understand the pain one must feel with this proceedure. YIKES &#8211; She did have cancer but it didnt get outside the walls &#8211; THANK GOD everything worked out. I told my wife they need take a few lean classes and understand we are the customer. I hate waiting on doctors in the urgent care area &#8211; they take forever there also &#8211; more and more problems with the health care system &#8211; even the doctors feel this way. TOP management needs to wake up. </p>
<p>Tom</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-3121" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('3121', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-3121-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-3121" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('3121', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-3121-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Anonymous</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-3024</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 19 Jan 2008 20:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-3024</guid>
		<description>I just wanted to let everyone here know about a new blog for: Medical Error Talk &lt;br/&gt;&lt;br/&gt;http://medicalerrortalk.blogspot.com&lt;br/&gt;&lt;br/&gt;This blog is aimed for physicians who may anonymously post comments about medical errors that they or their colleagues may have committed; the idea is to generate a discussion about the error, what can be learned from it, and how it may be prevented in the future. Given the debate about medical error-reporting in the US and how it may impact physician compensation through performance scales that are based on rate of medical errors, it is critical that we as a physician community learn from each other through open discourse about our medical errors, especially if they resulted in complications for the patient. The ultimate goal of this medical forum is to improve patient care.&lt;br/&gt;&lt;br/&gt;Every physician makes mistakes during his/her lifetime, which if not discussed openly for the sake of educating others in our field, will continue to happen over and over again with varying consequences to our patients. Lets make an attempt to stop that cycle using this forum.</description>
		<content:encoded><![CDATA[<p>I just wanted to let everyone here know about a new blog for: Medical Error Talk </p>
<p><a href="http://medicalerrortalk.blogspot.com" rel="nofollow">http://medicalerrortalk.blogspot.com</a></p>
<p>This blog is aimed for physicians who may anonymously post comments about medical errors that they or their colleagues may have committed; the idea is to generate a discussion about the error, what can be learned from it, and how it may be prevented in the future. Given the debate about medical error-reporting in the US and how it may impact physician compensation through performance scales that are based on rate of medical errors, it is critical that we as a physician community learn from each other through open discourse about our medical errors, especially if they resulted in complications for the patient. The ultimate goal of this medical forum is to improve patient care.</p>
<p>Every physician makes mistakes during his/her lifetime, which if not discussed openly for the sake of educating others in our field, will continue to happen over and over again with varying consequences to our patients. Lets make an attempt to stop that cycle using this forum.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-3024" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('3024', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-3024-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-3024" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('3024', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-3024-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-2659</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Thu, 11 Oct 2007 06:48:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-2659</guid>
		<description>Ah, technology.  But isn&#039;t implementing flow cheaper than technology?  Why bandaid a bad process with technology that costs $$$$?</description>
		<content:encoded><![CDATA[<p>Ah, technology.  But isn&#8217;t implementing flow cheaper than technology?  Why bandaid a bad process with technology that costs $$$$?</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-2659" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('2659', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-2659-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-2659" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('2659', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-2659-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Anonymous</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-2658</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 11 Oct 2007 02:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-2658</guid>
		<description>There are actually verification systems available that will verify that you have the correct match if you are doing some sort of batching process. What you really need to know is that most labs are not willing to pay for this technology until they have a problem.</description>
		<content:encoded><![CDATA[<p>There are actually verification systems available that will verify that you have the correct match if you are doing some sort of batching process. What you really need to know is that most labs are not willing to pay for this technology until they have a problem.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-2658" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('2658', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-2658-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-2658" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('2658', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-2658-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Neutron Jerk</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-2644</link>
		<dc:creator>Neutron Jerk</dc:creator>
		<pubDate>Fri, 05 Oct 2007 00:34:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-2644</guid>
		<description>The NBC main doctor lady described batching fine and why you should do one at a time.  Then, after hearing how the victim had that worthless second opinion (same defective slide, new doc), the doctor says &quot;don&#039;t just take the pathology report, take the slide.&quot;  Was she even listening????  That didn&#039;t help the victim here.</description>
		<content:encoded><![CDATA[<p>The NBC main doctor lady described batching fine and why you should do one at a time.  Then, after hearing how the victim had that worthless second opinion (same defective slide, new doc), the doctor says &#8220;don&#8217;t just take the pathology report, take the slide.&#8221;  Was she even listening????  That didn&#8217;t help the victim here.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-2644" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('2644', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-2644-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-2644" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('2644', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-2644-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Neutron Jerk</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-2643</link>
		<dc:creator>Neutron Jerk</dc:creator>
		<pubDate>Fri, 05 Oct 2007 00:30:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-2643</guid>
		<description>How does a 2nd opinion help if a 2nd pathologist reads the same defective slide?  The Today Show says &quot;get a second opinion.&quot;  I guess you need them to start &quot;from scratch&quot; and hope that the odds of the same rare error happening twice are even slimmer and you can avoid the wrong diagnosis.</description>
		<content:encoded><![CDATA[<p>How does a 2nd opinion help if a 2nd pathologist reads the same defective slide?  The Today Show says &#8220;get a second opinion.&#8221;  I guess you need them to start &#8220;from scratch&#8221; and hope that the odds of the same rare error happening twice are even slimmer and you can avoid the wrong diagnosis.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-2643" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('2643', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-2643-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-2643" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('2643', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-2643-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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		<title>By: Anonymous</title>
		<link>http://www.leanblog.org/2007/10/this-will-happen-again-unless/#comment-2642</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 05 Oct 2007 00:26:00 +0000</pubDate>
		<guid isPermaLink="false">http://leanblog.bigbigdesign.net/2007/10/this-will-happen-again-unless/#comment-2642</guid>
		<description>The Today Show video makes it seem like the &quot;corner cutting&quot; was the fault of one indivdual.  Blah.  That&#039;s horrible.</description>
		<content:encoded><![CDATA[<p>The Today Show video makes it seem like the &#8220;corner cutting&#8221; was the fault of one indivdual.  Blah.  That&#8217;s horrible.</p>
<p>Like or Dislike: <img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="up-2642" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_up.png" alt="Thumb up" onclick="javascript:ckratingKarma('2642', 'add', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_');" title="" /> <span id="karma-2642-up" style="font-size:12px; color:#009933;">0</span>&nbsp;<img style="padding: 0px; border: none; cursor: pointer;" onmouseover="this.width=this.width*1.3" onmouseout="this.width=this.width/1.2" id="down-2642" src="http://www.leanblog.org/wp-content/plugins/comment-rating/images/1_14_down.png" alt="Thumb down" onclick="javascript:ckratingKarma('2642', 'subtract', 'www.leanblog.org/wp-content/plugins/comment-rating/', '1_14_')" title="" /> <span id="karma-2642-down" style="font-size:12px; color:#990033;">0</span></p>]]></content:encoded>
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