Tag: Blame
KaiNexus Education Video #2 – Focus on Processes, not People
Charity Auction Update - the total raised in the round 1 auctions = $951.37 (plus $40 in Amazon affiliate fees from people buying items...
What Makes a Hospital Great? Culture
This has been sitting in my "to blog about" queue since March, but I wanted to catch up and post this article: "What Makes...
Stopping the Blame Game
This one got stuck in the "stuff to blog about" pile for a few months, but HBR published a gem of an article called...
Questions about and Lessons from a Steering Wheel Falling Off
In the news yesterday, a General Motors recall over what could be just one isolated steering wheel problem in an Ohio-built Chevrolet (don't call...
An Astronaut’s Viewpoints on Systems & Patient Safety
Today, I'm sharing a brilliant Slate.com interview:
"Risky Business: James Bagian "NASA astronaut turned patient safety expert" on Being Wrong."
He's actually also an...
Blog Post About Preventable Errors Felled by Preventable Error
So Monday's blog post was about preventable medical errors - namely errors involving pharmacies giving the wrong meds or wrong doses to patients. That's...
Systems in Place to Prevent These Medication Errors? Seems Not…
A few weeks ago, I saw a horrific story about a retail pharmacy error in the article "Pharmacy Mistakenly Gives Pregnant Woman Abortion Pill."...
Podcast #113 – Aubrey Daniels, PhD, “Safe by Accident?”
Episode #113 is a discussion with Aubrey Daniels, PhD, the founder and chairman of his firm Aubrey Daniels International. Today, we are talking about...
10 Key Lean Mindsets for Healthcare
I really enjoyed having the chance to be in Cincinnati yesterday to participate in a Lean Healthcare workshop put on by TechSolve, a non-profit...
Podcast #111, Jeffrey Liker on Toyota’s Challenges and His New Books
Episode #111 brings us some time with Professor Jeffrey Liker from the University of Michigan, the well-known author of many books in the The...
Do Good Coaches Brush Off Feedback from the Team as Whining?
I got a question via Twitter yesterday from somebody who asked how to help production operators make the case to supervisors that their kaizen...
Reader Question: When the Stated Values Don’t Match Daily Reality
I received a question from a reader, a retiree from a manufacturing company who is now a volunteer for a healthcare organization. We have...
