Tag: Errors

The Need to Error Proof Medication Vials, Including COVID Vaccines

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I've given a few presentations about Lean and mass vaccination clinics, based on my visits (as a guest observer / learner and as somebody...

Why Did Some Patients Get Injected With 5X the Pfizer Covid...

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Before I get into this post, I want to also point you to another post that I wrote for the Value Capture blog: Salem Health...

Using a Checklist is Better Than Reprimanding Someone and Saying “Don’t...

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I bet the company that services my pool was surprised that I had a checklist-related process improvement suggestion for them after a mistake was made instead of being angry and wanting somebody punished or talked to...

#Throwback Thursday: Wrong House Gets Demolished (And It Happened Again)

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Today's Throwback Thursday looks back to an article from April 2010: Should Have Posted a "Caution: Don't Knock Our House Down" Sign? A house in Denton,...

Medical Mistake in In-Vitro Fertilization: What’s More Effective, Blaming Process or...

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IVF baby given to wrong woman - as couple's last embryo was aborted | Mail Online This was front-page news in one of the UK...