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Tag: Nursing

Debate about Lean at SF General Hospital – Hire a Consultant or More RNs?

Debate about Lean at SF General Hospital – Hire a Consultant or More RNs?

Happy June, everybody! Summer is here. We’ve actually had a delightfully long spring here in San Antonio, which means the temperature hasn’t really been above 90 yet, which counts as cool (and comfortable for us). I’m headed off to Los Angeles tomorrow for the 5th annual Lean Healthcare Transformation Summit. Let me know if you’ll […]

Lean Thinking: We Don’t Blame Individuals for Systemic Errors

Lean Thinking: We Don’t Blame Individuals for Systemic Errors

I saw this video last night on Paul Levy’s blog and it’s important enough that I want to share it here with a few additional thoughts. In the Lean methodology, our mindset is that we respect people as individuals, respecting their human nature, and this means we appreciate that we are fallible and make mistakes. […]

Healthcare Leaders Need to Actively Manage the System

Healthcare Leaders Need to Actively Manage the System

Thanks to my friends at the Lean Enterprise Institute for hosting a new article of mine on their Lean Post blog. “The Question All Healthcare Leaders Should be Asking Themselves” What is that question? Click to find out. And please also check out information about the online “Key Concepts of Lean in Healthcare” class I’m […]

By January 16, 2014 0 Comments Read More →
There’s Only One Acceptable Answer to “Are You Busy?”

There’s Only One Acceptable Answer to “Are You Busy?”

In some  “Kaizen Kickoff” coaching that I’ve been doing recently, I’ve been spending time with managers and other leaders as they interact with nurses and other staff members with the goal of finding problems, opportunities for improvement, and ideas. One question that would normally get asked of  busy staff members (who would almost always moving […]

By September 30, 2013 2 Comments Read More →
UK: Nurses Struggle to Get Their Work Done; Dissatisfaction Soars, Quality in Jeopardy?

UK: Nurses Struggle to Get Their Work Done; Dissatisfaction Soars, Quality in Jeopardy?

I recently saw this headline in the London Evening Standard: “Nurses struggle to ‘get the job done’ due to staff shortages and lack of time on 12 hour shifts.” The article starts with jumping to solutions (needing/wanting more staff), but the problem statement is what we should focus on – and it’s an important one: […]

By February 7, 2013 6 Comments Read More →
CBC on Lean in Saskatchewan Hospitals

CBC on Lean in Saskatchewan Hospitals

I’ve been to Saskatoon, Saskatchewan before — in February. It was a very cold, snowy place, to say the least! But, there are many warm, caring people who are using Lean management to improve the hospital working environment and patient care. The CBC news had a nice story (with video):  Simple hospital innovation saves time, […]

Oregon Hospitals Using the “Transforming Care at the Bedside” Program

Oregon Hospitals Using the “Transforming Care at the Bedside” Program

Here is an article from HealthLeaders Media about the Transforming Care at the Bedside  program: “Rural Oregon Hospitals Implement Frontline Caregiver Program.” TCAB is a program that’s similar to the UK NHS program called Releasing Time to Care  where nurses are taught how to analyze and improve their own work. Eight hospitals in Oregon are […]

By November 1, 2011 0 Comments Read More →

Lean Lessons for Healthcare from a Boeing 737 Factory Video

Podcaster Cali Lewis (a fellow DFW-area Texan) hosts a show called GeekBeat.tv, where she normally highlights new consumer tech gadgets and nerdy robots from MIT. Her most recent video features video from her visit to Boeing and their 737 assembly factory. In the brief visit, we can see a few Lean practices in action, or […]

An American ED Doc in New Zealand – Reflections on Pushback and Learning

An American ED Doc in New Zealand – Reflections on Pushback and Learning

Mark’s note: Today’s guest post is from Dr. Mark Jaben, an American doctor who worked in New Zealand, leading to this blog post. I have talked with Mark about Lean quite a bit over the past few years and we were able to cross paths at Cindy Jimmerson’s Lean Healthcare West conference in Montana last […]

By January 31, 2011 5 Comments Read More →
Cases of Technology “Solutions” Looking for a Problem?

Cases of Technology “Solutions” Looking for a Problem?

One of my favorite of the 14 “Toyota Way” principles to discuss with hospitals, in particular, is  principle #8, which  says: “Use only reliable, thoroughly tested technology that serves your people and processes.” Too many organizations, across multiple industries, think that software, robotics, or other forms of technology will be a “silver bullet” or what […]

By January 26, 2011 13 Comments Read More →
Las Vegas Paper Writes Series on Patient Safety Failings, Hospital Culture

Las Vegas Paper Writes Series on Patient Safety Failings, Hospital Culture

I found this lengthy series of articles from the Las Vegas Sun, published under the heading of  “Do No Harm: Hospital Care in  Las Vegas.” The series serves as a good introduction to those who are new to healthcare and the types of systemic challenges that the industry faces. The stories in the series are […]

By January 10, 2011 0 Comments Read More →
Reader Question: Support and “First Responders” for Healthcare Professionals

Reader Question: Support and “First Responders” for Healthcare Professionals

Here is a new reader question from Steve Palmreuter in Michigan. He raises a topic that I’ve been thinking about lately, so I’m happy to share it with you (with his permission). You might remember Steve as I blogged about a news story in 2009 that highlighted his shift from manufacturing to healthcare and we’ve […]

By December 21, 2010 4 Comments Read More →
Hoarders and Stashers? Ask Why…

Hoarders and Stashers? Ask Why…

Short post today, but a simple message, I think. One of the best lessons I’ve learned about Lean management is about the need to ask “why?” Don’t assume, don’t blame – ask why. It’s a very common situation in a hospital to find hoarders everywhere. Be very careful when you enunciate that word, “hoarders,” or […]

By November 18, 2010 11 Comments Read More →

Why Nurses Should Reject “LAME” and Demand Lean

There’s a long-standing argument that I’ve been dragged into with a group that calls itself “new systems thinkers.” They loudly criticize Lean as being altogether awful (with the alternative, predictably, being their services). One of them wrote a blog post about why nurses should reject lean – you can likely find it via this Google […]

By November 9, 2010 23 Comments Read More →
My Interview with Justin Holland, of GE Healthcare

My Interview with Justin Holland, of GE Healthcare

Today’s post is an interview I conducted via email with Justin Holland, Managing Principal of GE Healthcare Americas. Before joining GE, he was most recently Vice President of Business Performance at  Cleveland Clinic. In this interview we cover topics including how GE integrated lean with six sigma, how healthcare organizations are striving to have a […]

By September 2, 2010 0 Comments Read More →
Releasing Time to Care (Lean Nursing) in New Zealand

Releasing Time to Care (Lean Nursing) in New Zealand

Here is a nice little (under 2 minutes) news video from New Zealand talking about one hospital (in Auckland) and their implementation of the “Releasing Time to Care” program that was started in the British NHS. Other hospitals across New Zealand are doing this too, apparently The story talks about how nurses were spending on […]

By August 28, 2010 0 Comments Read More →
Lean Healthcare Featured in Sunday’s NY Times Business Page

Lean Healthcare Featured in Sunday’s NY Times Business Page

Today’s New York Times has an outstanding article about Lean Healthcare and what Seattle Children’s Hospital calls C.P.I. or Continuous Performance Improvement. The article: “Factory Efficiency Comes to the Hospital” I wish the headline had also addressed quality, waiting time, and staff engagement, but the article body does, at least. The article highlights Seattle Children’s […]

Two Extreme Sides to Every Story in Politics *and* Lean??

Two Extreme Sides to Every Story in Politics *and* Lean??

This is going to seem like a political rant, but I promise this is mainly a post about Lean and healthcare, or at least it’s about dysfunctional parallels in both settings. It used to said that President Ronald Reagan and Speaker Tip O’Neill would actually go have a drink together at the end of the […]