Tag: Healthcare

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 11 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 19 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 →
Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Two pet peeves of mine are hearing people say things like “Lean is all about reducing waste” and or “Lean is all about cost cutting” (and thankfully others are also trying to dispel that myth). Another pet peeve is people drawing conclusions off of two data points, but we’ll come back to that later in […]

By September 17, 2014 2 Comments Read More →
Reflections on Almost 10 Years in Lean Healthcare

Reflections on Almost 10 Years in Lean Healthcare

I often get asked, “How did you get into healthcare?” I was working on a chapter for a Lean healthcare compilation book that’s being published in Holland and I wrote the following material that wasn’t the right fit for that chapter, but I wanted to share below: It has now been just about ten years […]

By September 15, 2014 6 Comments Read More →
Lean Healthcare Success in Minnesota – And One Off Base Op-Ed

Lean Healthcare Success in Minnesota – And One Off Base Op-Ed

Here’s an article that summarizes the pocket of Lean healthcare activity in and around Winona and LaCrosse, Minnesota: “Waste reduction: Area health systems embrace lean practice“ One hospital mentioned is Winona Health. You can listen to my earlier podcast with their CEO, Rachelle Schultz. I’m glad she’s one of the CEOs who realizes that Lean […]

By September 8, 2014 0 Comments Read More →
Mark Graban Interviewed by HealthcareTechTalk.net

Mark Graban Interviewed by HealthcareTechTalk.net

I was recently interviewed for the Healthcare Tech Talk podcast, talking about Lean healthcare, Kaizen, and how IT professionals can get involved in these pursuits within a hospital or health system. I appreciate them having me on their show. My episode: Episode 23- Healthcare technology professionals can stop asking. Yes Lean transformation includes you! It’s […]

By September 5, 2014 2 Comments Read More →