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Tag: Healthcare

What I’m Listening To: Atul Gawande, Toyota’s Jeff Miller, Eric Ries

What I’m Listening To: Atul Gawande, Toyota’s Jeff Miller, Eric Ries

I’ve occasionally had a “What I’m Reading” post, where I share links to articles that I’ve enjoyed that don’t necessarily merit a whole blog post. Today is about “What I’m Listening To” — podcasts that I’ve heard and want to share (beyond the episodes I have created for my own podcast series, which will be […]

By October 31, 2014 0 Comments Read More →
Questions That Aren’t Really Questions

Questions That Aren’t Really Questions

My Lean mentors often talk about “leading with questions.” Kim Barnas and ThedaCare use this approach in different ways, including “stat sheets,” which are basically checklists (or standardized work) full of questions for leaders to use in the workplace. See her outstanding book Beyond Heroes: A Lean Management System for Healthcare. What kinds of questions […]

By October 30, 2014 12 Comments Read More →
The New York Jets Illustrate What Happens When an Losing Organization Tries to Copy a Winner

The New York Jets Illustrate What Happens When an Losing Organization Tries to Copy a Winner

Organizations try to copy each other all the time. It doesn’t always work. Manufacturing: A plant manager visits another factory and sees neatly organized tools and then comes home and tells everybody “to do 5S.” They’ve thoroughly missed the fact that the good factory engaged everybody in the 5S process and was using the methodology […]

By October 28, 2014 0 Comments Read More →
Free Webinar Tomorrow – #Lean & Daily Management by @KaiNexus

Free Webinar Tomorrow – #Lean & Daily Management by @KaiNexus

Tomorrow, at 1 pm Eastern, Dr. Greg Jacobson and I are giving a KaiNexus-sponsored webinar: Daily Management with KaiNexus: From Huddle Boards to Web-Based Technology I’ll be talking about daily Lean management practices, such as: Strategy deployment Process audits / rounding Performance measures Kaizen & staff ideas Daily standup meetings (“huddles”) I’ll explain the practice […]

By October 27, 2014 0 Comments Read More →
How Many Die From Medical Mistakes in U.S. Hospitals?

How Many Die From Medical Mistakes in U.S. Hospitals?

Note: This is being republished, with permission, under a Creative Commons license. See the original ProPublica page and comments. by Marshall Allen ProPublica, Sep. 19, 2013, 10:03 a.m.by Charles Ornstein and Lena Groeger, ProPublicaby Dan Nguyen, Charles Ornstein and Tracy Weber, ProPublica by Robin Fields, Al Shaw and Jennifer LaFleur, ProPublica It seems that every […]

Kaizen: Throat Scopes & Applesauce

Kaizen: Throat Scopes & Applesauce

During my recent visit to Franciscan St. Francis Health System, some of the nurses proudly called themselves “Kaizen Queens” (and there was one self-described “Kaizen Princess”) although they also use the term “Kaizeneer” that Franciscan uses more broadly. In the endoscopy department, they have implemented more than 750 improvements so far this year (in a […]

By October 20, 2014 0 Comments Read More →
#Ebola – The Glaring Gap Between Staff Education and Proper, Effective Training

#Ebola – The Glaring Gap Between Staff Education and Proper, Effective Training

I saw this headline the other day: “U.S. Soldiers Get Just Four Hours of Ebola Training” The phrase “just four hours” implies that it wasn’t enough. How do we know? Maybe four hours of training, done properly, is all that’s needed. It might also be four hours MORE than the amount of training given to […]

By October 18, 2014 13 Comments Read More →
LinkedIn Post on Ebola and Everyday Healthcare Failures; A Brave Whistle-Blowing Nurse

LinkedIn Post on Ebola and Everyday Healthcare Failures; A Brave Whistle-Blowing Nurse

I wrote about Ebola earlier this week and have been following the news closely. It’s a fascinating story on many levels, including many leadership failures. I wrote a piece for LinkedIn, written for a general public audience: A Lack of Planning and Protocol Failures in Healthcare Are Not Limited to Ebola I also recommend you […]

By October 16, 2014 1 Comments Read More →
Talking About Breaches of Ebola Protocol is NOT “Blaming Nurses”

Talking About Breaches of Ebola Protocol is NOT “Blaming Nurses”

Note: Scroll down to see comments for additional links, articles, videos and discussion. As I’ve written about (here and here) poor systems, a lack of protocols, and not adhering to protocols and standard practices are almost always “system problems.” A lack of proper training about protocols is a system problem. System problems are the responsibility […]

By October 14, 2014 20 Comments Read More →
Denver Jail’s Suggestion Box (and Problems) in the News

Denver Jail’s Suggestion Box (and Problems) in the News

The Denver jail and its suggestion box program made the local news, thanks to a Freedom of Information Act request: “9 quotes from Denver Jail suggestion box” What do we see in the one image from the video, at left? The common lament of “MORE STAFF.” This is a common lament across industries, including in […]

By October 14, 2014 0 Comments Read More →
Gemba Academy Interviews on Lean Hospitals, Healthcare Kaizen, & KaiNexus

Gemba Academy Interviews on Lean Hospitals, Healthcare Kaizen, & KaiNexus

Thanks to Ron Pereira and my other friends at Gemba Academy for interviewing me when I visited their studio a few weeks back. Gemba Academy has amazing online video education products that I highly recommend. Check them out. There are two new videos on their site, with Ron and me discussing Lean Hospitals and then discussing Healthcare […]

By October 10, 2014 0 Comments Read More →
Ebola & Systems & Processes: Can We Do Better? Can We Learn?

Ebola & Systems & Processes: Can We Do Better? Can We Learn?

Yesterday, Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S. died in a Dallas hospital. As I’ve been following this story, I keep thinking about bad systems and bad processes. Sometimes, there’s a lack of planning and sometimes it’s a lack of proper execution, it seems. I’m not spending much time asking […]

Podcast #211: Mark Graban on “Healthcare Tech Talk”

Podcast #211: Mark Graban on “Healthcare Tech Talk”

MP3 File (run time 52:10) Normally, my podcast is all about my guests. This episode has me being interviewed by the hosts at Healthcare Tech Talk, a new podcast for Healthcare IS professionals. This originally appeared as episode #23 of their series. Thanks to hosts Terry Baker and Kelley Hill for interviewing me and for allowing […]

By October 8, 2014 0 Comments Read More →
Guest Post: Poka Yoke… When It’s Personal

Guest Post: Poka Yoke… When It’s Personal

Mark’s Note: Today’s guest post is by Chris Burnham. I invited him to write this after I saw him share his pre-surgical “poka yoke” (or error proofing) on Twitter (caution: picture of feet). I asked him if “anybody was offended” by his abundance of caution and interest in not having the wrong foot operated on. […]

By October 8, 2014 4 Comments Read More →
Safety is “always our top priority,” except when it isn’t… in football and hospitals

Safety is “always our top priority,” except when it isn’t… in football and hospitals

Although I’m a proud alum of Northwestern University, a former marching band member, and an ardent follower of our football team (as I’ve written about before), I grew up as a fan of the Michigan Wolverines and have many friends who are alumni. After watching NU shock Penn State on Saturday, I flipped over to […]

By September 29, 2014 7 Comments Read More →
The Fallacy of Firing People to Fix Patient Safety

The Fallacy of Firing People to Fix Patient Safety

In a Lean culture, the mindset is that “problems are treasure” or “problems are gold.” By honestly identifying problems, we can solve problems and prevent them from occurring in the future. Problems in healthcare can include medication errors, laboratory specimen mixups, and other problems that can harm or kill patients. The stakes are high. Traditional […]

By September 25, 2014 7 Comments Read More →
“Lean Coffee” Topics for September 2014

“Lean Coffee” Topics for September 2014

As I blogged about last month, “Lean Coffee” is becoming a quarterly event for healthcare professionals here in San Antonio. We held a two-hour discussion this morning, with students, leaders, and Lean practitioners from a university MHA program and some local healthcare organizations. There’s now a landing page that’s the permanent home for Lean Coffee, […]

By September 24, 2014 0 Comments Read More →
“Healthy Debate” About Lean in Healthcare & Emergency Departments

“Healthy Debate” About Lean in Healthcare & Emergency Departments

I was recently interviewed by one of the reporters who put together this web article in Canada: “From the factory floor to the emergency department: Hospitals explore Lean method” The article highlights Lean success stories and it also raises some interesting challenges and data that question the approach. My friends at St. Boniface General Hospital […]

By September 22, 2014 5 Comments Read More →