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Archive for April, 2010

Should Have Posted a “Caution: Don’t Knock Our House Down” Sign?

Should Have Posted a “Caution: Don’t Knock Our House Down” Sign?

I saw this on the national cable news two nights ago, the horrifying story of a Denton TX woman whose house was basically destroyed by a bulldozer. Was it a runaway bulldozer? Nope, different type of “accident.” Workers were supposed to tear down the house across the street (oops, indeed). See this article: “Texas Woman […]

Learning and Sharing Lean Healthcare in Winnipeg

Learning and Sharing Lean Healthcare in Winnipeg

The Winnipeg Free Press has an article about their local St. Boniface Hospital, a member of the LEI/ThedaCare network I’m involved with called the Healthcare Value Leaders Network. About 40 of us from different Network member organizations visited last Thursday and Friday for what we call a “gemba meeting” — going and seeing, first hand, […]

The Waste of Pulling Promised Training Funds in Rhode Island

I’m sharing this appeal on behalf of a good Lean friend, Karl Wadensten from VIBCO in Rhode Island. Karl is fired up, rightfully so, because the Rhode Island state legislature has proposed cutting some previously-promised employee training funds. Believe it not, business and the unions are united in their view that it’s wrong to cut […]

Follow Ups from @ericries #leanstartup Webinar

Thanks to Eric Ries for an outstanding webinar today for LEI, “Lessons from Lean Startups.” We had over 1300 registrants from over 60 countries, plus he had the challenge of a very diverse audience (people from startups, big companies, hospitals, and government). The slides and audio archive will be available soon (by Friday?) on lean.org. […]

Upcoming WIHI Broadcast with Toussaint, Spear, and Kaplan

The Institute for Healthcare Improvement (IHI) has a free podcast/audio series called WIHI. My friend e-Patient Dave told me about a recent broadcast (archived here) called “The Meaningful Methodology of Patient- and Family-Centered Care.” As Dave, an advocate for patient involvement, has learned about Lean we’re both discovering the parallels and the complementary nature of […]

Read this Book – But Don’t Copy ThedaCare

Read this Book – But Don’t Copy ThedaCare

Due out in June is a book that I think will be an important one for the Lean Healthcare movement. That book is about the Lean journey of the Wisconsin health system ThedaCare. It’s called “On the Mend: Transforming Healthcare to Save Lives and Transform the Industry,” published by the Lean Enterprise Institute (conflict of […]

How I Broke My Blog and Fixed It… Lessons Learned

How I Broke My Blog and Fixed It… Lessons Learned

For those of you who have had difficulty accessing LeanBlog.org for the past two weeks or so, I apologize. It’s been frustrating to me and I’ve gotten a number of emails from people who couldn’t get the site to load. I think I finally got to the root cause, with the help of tech support […]

Eric Ries and Lean Startups in the NY Times

Looking ahead to Wednesday’s free LEI webinar “Lessons from Lean Startups” with Eric Ries, it’s exciting to see Eric and Steve Blank featured in the NY Times today (“The Rise of the Fleet-Footed Start-Up“). You can sign up for the webinar at www.lean.org/webinar. The live event is Wednesday 4/28 at 2 PM EDT, where you […]

Liveblogging the Quaid Patient Safety Documentary

Liveblogging the Quaid Patient Safety Documentary

I’m blogging notes and thoughts as I watch the Discovery Channel documentary by actor Dennis Quaid and others —   “Chasing Zero: Winning the War on Healthcare Harm” that first aired April 24 at 8 am EDT. With laptop and Tivo remote in hand… away we go. Link to the show info at discovery.com is […]

Parallels between “Lean Startups” and “Adaptive Design”

I’ve been a fan of the “Lean Startups” work of Eric Ries since last year, so I’m happy to be producing a free LEI webinar called “Lessons from Lean Startups,” to be presented live on April 28 at 2 PM EDT. I have also just started reading the book Designed to Adapt: Leading Healthcare in […]

Retaining Employees through Respect and Development

I was recently in Toronto and I heard a story on an AM news station that really caught my ear. I have searched on the station’s website and the web, but I can’t find the exact story, but I found this newspaper article that references the same study. The one surprising statistic, based on a […]

Lean is “Taking Canadian Healthcare by Storm,” but Look Out for “L.A.M.E.”

In an article (“Assembly required: Health care from the Toyota factory floor“) from Canada’s National Post newspaper says Lean healthcare is “taking Canadian healthcare by storm.” The piece leads with some work done by Windsor’s Hotel-Dieu Grace Hospital – a member of the Healthcare Value Leaders Network that’s co-facilitated by the Lean Enterprise Institute. HDGH […]

Dennis Quaid and Patient Safety – Upcoming Documentary

Dennis Quaid and Patient Safety – Upcoming Documentary

You might be familiar with the case where the actor Dennis Quaid’s twins were harmed by an overdose at the famed Cedar-Sinai Hospital in Los Angeles. I blogged about it originally in late 2007 as the post “How Often Must the Same Mistake Be Repeated?” The post title referenced the fact that the exact same […]

LeanBlog.org Site Problems

Dear readers – as you may have noticed, my site has been suffering from intermittent downtime, due to problems with the shared database server provided by my hosting company. If you come to the site and it doesn’t load, try hitting “refresh” or “reload” in your browser until the page loads. This usually works, especially […]

Right Sized Capacity in a Stockholm Hospital

Right Sized Capacity in a Stockholm Hospital

When I was in Sweden in late January, I had a chance to visit the Capio S:t Görans Hospital in Stockholm. I saw many amazing things, including Lean practices and culture. I haven’t taken the time to write about this yet, but I’ll start today with some thoughts on “rightsizing” of equipment and capacity. My […]

LeanBlog Podcast #89 – Keith Russell, Ph.D., Lean in Pharma R&D

LeanBlog Podcast #89 – Keith Russell, Ph.D., Lean in Pharma R&D

Please upgrade your browser MP3 File Our guest for Podcast #89 is Keith Russell, a Global Continuous Improvement Leader at AstraZeneca R&D. I met Keith at a recent Lean & Six Sigma conference for Pharma R&D where we both presented. Keith has substantial in-house R&D experience across the entire value stream and currently works with […]

What Makes You Want to Do Better?

Recently, I was able to visit VIBCO, a Lean manufacturing company in Rhode Island. Company President Karl Wadensten is the host of “The Lean Nation” radio show. It was my third time visiting the factory in the last six months, walking the gemba to see first hand, hearing from their great employees. This time, VIBCO […]

Lucian Leape Loathes Lean or “L.A.M.E.”?

Lucian Leape Loathes Lean or “L.A.M.E.”?

Noted patient safety expert Dr. Lucian Leape spoke out recently spoke out about medical school culture being a root cause of poor quality (see my blog post “Is Medical Education a Systemic Root Cause of Poor Quality?“). Now, he’s criticizing Lean in the publication “Modern Healthcare,” as part of this article “Leape sees potential for […]