Comments on: Guest Post: Captain Sully Talks about Lean and Healthcare Safety http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/ Mark Graban's leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System Fri, 10 Feb 2012 10:01:31 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Steve "Monty" Montague http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/#comment-9308 Steve "Monty" Montague Mon, 29 Mar 2010 20:31:09 +0000 http://www.leanblog.org/?p=5625#comment-9308 Sorry I'm so far behind in commenting here Mark... I'll simply invoke one of my 5 plebe responses, "No excuse sir." As to an ASRS-type reporting system, AHRQ has been designating Patient Safety Organizations for over a year now with the intent of providing such a system. PSO's fall well short of ASRS, but they're a start. Lawsuits, shame, and blame are difficult to shed. There is no question that lean and CRM are absolutely necessary in healthcare. Standardized workplace, standardized work, standardized teamwork is simply better. Culture change: as you and I have discussed several times, doing is becoming. The change to a safety first culture is achieved by safety first actions, or standardized best practices. The good news is that yes, people are listening. I think that Dr. Don Berwick at CMS will help, and Drs. Gawande and Pronovost are no longer lone voices crying in the wilderness. They are part of a growing chorus calling for greater structure and mandatory compliance with best practices. Keep the faith! Sorry I’m so far behind in commenting here Mark… I’ll simply invoke one of my 5 plebe responses, “No excuse sir.”
As to an ASRS-type reporting system, AHRQ has been designating Patient Safety Organizations for over a year now with the intent of providing such a system. PSO’s fall well short of ASRS, but they’re a start. Lawsuits, shame, and blame are difficult to shed.
There is no question that lean and CRM are absolutely necessary in healthcare. Standardized workplace, standardized work, standardized teamwork is simply better.
Culture change: as you and I have discussed several times, doing is becoming. The change to a safety first culture is achieved by safety first actions, or standardized best practices.
The good news is that yes, people are listening. I think that Dr. Don Berwick at CMS will help, and Drs. Gawande and Pronovost are no longer lone voices crying in the wilderness. They are part of a growing chorus calling for greater structure and mandatory compliance with best practices.

Keep the faith!

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]]> By: Il meglio della blogosfera lean #31 — Encob Blog http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/#comment-9277 Il meglio della blogosfera lean #31 — Encob Blog Sat, 27 Mar 2010 07:33:41 +0000 http://www.leanblog.org/?p=5625#comment-9277 [...] Captain Sully talks about Lean and Healthcare Safety dal Lean Blog, guest post di Naida Grunden: Sicurezza aerea spiegata da capitano Sully (Hudson River Miracle) e applicabile in tutti i settori: sanità, industria o ovunque altro. Si parla dell’importanza della condivisione delle procedure di sicurezza, del significato delle checklist e del lavoro standardizzato (traduzione automatica) [...] [...] Captain Sully talks about Lean and Healthcare Safety dal Lean Blog, guest post di Naida Grunden: Sicurezza aerea spiegata da capitano Sully (Hudson River Miracle) e applicabile in tutti i settori: sanità, industria o ovunque altro. Si parla dell’importanza della condivisione delle procedure di sicurezza, del significato delle checklist e del lavoro standardizzato (traduzione automatica) [...]

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]]> By: Dean Bliss http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/#comment-9236 Dean Bliss Thu, 25 Mar 2010 18:10:43 +0000 http://www.leanblog.org/?p=5625#comment-9236 GREAT stuff, Mark and Naida. I see many parallels between the culture of the airlines and the culture of hospitals. We need to work to turn the tide and make standardized work the rule rather than the exception in healthcare. GREAT stuff, Mark and Naida. I see many parallels between the culture of the airlines and the culture of hospitals. We need to work to turn the tide and make standardized work the rule rather than the exception in healthcare.

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]]> By: Mark Graban http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/#comment-9225 Mark Graban Thu, 25 Mar 2010 14:05:02 +0000 http://www.leanblog.org/?p=5625#comment-9225 More data to back up what you're saying, Mike: http://runningahospital.blogspot.com/2010/03/still-missing-boat.html From Paul Levy: "You might expect that ranking of quality and safety would have risen over the past several years. But there was a major disappointment in 2009, as its place was lowered substantially." More data to back up what you’re saying, Mike:

http://runningahospital.blogspot.com/2010/03/still-missing-boat.html

From Paul Levy:

“You might expect that ranking of quality and safety would have risen over the past several years. But there was a major disappointment in 2009, as its place was lowered substantially.”

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]]> By: Mark Graban http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/#comment-9224 Mark Graban Thu, 25 Mar 2010 13:07:24 +0000 http://www.leanblog.org/?p=5625#comment-9224 From an old friend on Facebook: "Great blog. Education has also studied aviation for ways to improve success rates (especially in poorly-performing, highly disadvantaged schools). The idea is that, like in airline safety, we cannot afford to fail these students. The same principles noted here are applied to schools as organizations (well, in theory). I think this is a really fruitful way to think about school quality...wish it were more than just theory for most schools. HROs - high reliability organizations. That's the phrase I couldn't remember. Schools should be HROs, much like the airline industry. Interesting idea." From an old friend on Facebook:

“Great blog. Education has also studied aviation for ways to improve success rates (especially in poorly-performing, highly disadvantaged schools). The idea is that, like in airline safety, we cannot afford to fail these students. The same principles noted here are applied to schools as organizations (well, in theory). I think this is a really fruitful way to think about school quality…wish it were more than just theory for most schools.

HROs – high reliability organizations. That’s the phrase I couldn’t remember. Schools should be HROs, much like the airline industry. Interesting idea.”

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]]> By: Mike Stoecklein http://www.leanblog.org/2010/03/guest-post-sully-talks-about-healthcare-safety/#comment-9223 Mike Stoecklein Thu, 25 Mar 2010 11:56:57 +0000 http://www.leanblog.org/?p=5625#comment-9223 This is a timely and helpful posting to your Lean Blog, Mark. I have been in Chicago these past 4 days at the American College of Healthcare Executives (ACHE) annual congress meeting. The good news - there were several presentations on this and related topics (more so than in past years). One in particular that cited Captain Sullenberger's actions and also his background that prepared him on the day he needed to make the decision to land that plane on the Hudson River. The bad news - of the 5000+ Congress attendees, there were only about 100 to hear this particular presentation on high reliability organizing (which health care needs to learn about). There are many things that compete for senior leadership's time and attention, and patient safety gets some of that attention, but it is not enough to truly transform healthcare. I see it every day in my work, and the current work for healthcare reform on a national political level only adds to the list of competing priorities by folks "in the trenches". The primary topic in almost every hospital board room and C-Suite discussion is about "operating margin", not creating a culture of high reliability and safety at the bedside. I said "almost" every hospital, because I'm a "glass is half full" kind of guy. The HRO presentation also cited a recent article featuring Dr. John Toussaint from Thedacare and other leaders in lean thinking. This line (attributed to Dr. Toussaint) was highlighted, "The ability to create lasting improvement improvement in patient care while reducing waste and managing costs has required nothing short of a cultural upheaval." .-= Mike Stoecklein´s last blog ..<a href="http://gembawalkabout.tumblr.com/post/471420064" rel="nofollow">More Thoughts on Innovation</a> =-. This is a timely and helpful posting to your Lean Blog, Mark. I have been in Chicago these past 4 days at the American College of Healthcare Executives (ACHE) annual congress meeting. The good news – there were several presentations on this and related topics (more so than in past years). One in particular that cited Captain Sullenberger’s actions and also his background that prepared him on the day he needed to make the decision to land that plane on the Hudson River. The bad news – of the 5000+ Congress attendees, there were only about 100 to hear this particular presentation on high reliability organizing (which health care needs to learn about). There are many things that compete for senior leadership’s time and attention, and patient safety gets some of that attention, but it is not enough to truly transform healthcare. I see it every day in my work, and the current work for healthcare reform on a national political level only adds to the list of competing priorities by folks “in the trenches”. The primary topic in almost every hospital board room and C-Suite discussion is about “operating margin”, not creating a culture of high reliability and safety at the bedside. I said “almost” every hospital, because I’m a “glass is half full” kind of guy. The HRO presentation also cited a recent article featuring Dr. John Toussaint from Thedacare and other leaders in lean thinking. This line (attributed to Dr. Toussaint) was highlighted, “The ability to create lasting improvement improvement in patient care while reducing waste and managing costs has required nothing short of a cultural upheaval.”
.-= Mike Stoecklein´s last blog ..More Thoughts on Innovation =-.

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