Tag: Patient Safety

The Blame and Shame(ful) Culture of Healthcare

The Blame and Shame(ful) Culture of Healthcare

Mark’s Note: This is another guest post by Drew Locher (check out past posts and my podcast with him). There’s been a lot in the news about “medical error” arguably being the 3rd leading cause of death in the United States. But what about the errors that don’t cause death, but cause harm and/or annoyance? […]

Seven Years Ago and a Week: A Patient Safety Story

Seven Years Ago and a Week: A Patient Safety Story

Mark’s note: Today’s post is written by Laura Townsend, the founder of the Louise H. Batz Patient Safety Foundation. I learned about the foundation when I moved to San Antonio four years ago and am honored to serve on their board. Laura and her family, like others in the patient safety movement, have found the […]

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better […]

Key Tweets from @MarkGraban – Week of March 28, 2016: Moving, Sticky Notes, Berwick

Key Tweets from @MarkGraban – Week of March 28, 2016: Moving, Sticky Notes, Berwick

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better […]

Podcast #246 – Steve Montague, #Lean, Checklists & #PatientSafety

Podcast #246 – Steve Montague, #Lean, Checklists & #PatientSafety

Episode #246 is my second episode in recognition of Patient Safety Awareness Week. My guest is Steve Montague, who talked about Lean and Crew Resource Management with me in episode #195 in 2014. He’s a retired Navy fighter pilot, a commercial pilot, and a consultant for hospitals and health systems… and a fellow Texan and a […]

From a Patient Safety Tragedy to Lean & Baldrige Success in a Small Texas Hospital

From a Patient Safety Tragedy to Lean & Baldrige Success in a Small Texas Hospital

As Patient Safety Awareness Week continues, thanks to all of you who shared this PBS News Hour story with me via email or Twitter. If you ever see something you think might be of interest, please let me know. On March 9, this story aired on PBS: After tragic mistake, rural hospital transforms into model of […]

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Today is the first of two episodes that I’ll post here during Patient Safety Awareness Week. I agree with the National Patient Safety Foundation that every day should be patient safety day. I’m sure my guest for episode #245 would agree with that. He is Tom Evans, MD, FAAFP, the President and CEO of the Iowa Healthcare […]

Patient Safety Awareness Week 2016: Still Much Work to be Done

Patient Safety Awareness Week 2016: Still Much Work to be Done

This week is the annual Patient Safety Awareness Week. As the National Patient Safety Foundation says, “Every day is patient safety day.” I’ve expressed similar sentiments here on the blog before. I think we need more ongoing efforts to raise awareness, for healthcare professionals and the general public, about the scale of the problem AND […]

Announced “Workplace Principles” for NHS Wales Staff Sound Like Lean Principles

Announced “Workplace Principles” for NHS Wales Staff Sound Like Lean Principles

Each Saturday, I get an email newsletter from the UK-based site “Nursing Times.” Last week, this article, caught my eye: “Workplace principles revealed for NHS staff in Wales.” A free registration might be required to read it or other articles, but it’s worth it.

Key Tweets from @MarkGraban – Week of January 25, 2016: Bill Clinton, Patient Safety, Workshops

Key Tweets from @MarkGraban – Week of January 25, 2016: Bill Clinton, Patient Safety, Workshops

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a better […]

By January 29, 2016 0 Comments Read More →
Podcast #240 – @LeahBinder of @LeapfrogGroup on #PatientSafety

Podcast #240 – @LeahBinder of @LeapfrogGroup on #PatientSafety

My guest for episode #240 is somebody I’ve wanted to interview for a long time, Leah Binder, the president and CEO of Leapfrog Group, “a voluntary program aimed at mobilizing employer purchasing power to alert America’s health industry that big leaps in health care safety, quality and customer value will be recognized and rewarded.” read […]

By January 26, 2016 0 Comments Read More →
The Shared Interests & Goals of Lean and the Patient Safety Movement

The Shared Interests & Goals of Lean and the Patient Safety Movement

Later today and tomorrow, I’ll be attending the annual World Patient Safety, Science & Technology Summit that’s produced by a non-profit called the Patient Safety Movement. If you’re also at the event, please say hi! Follow the event on the hashtag #0X2020. I attended last year and wrote a post titled “Politicians and Patient Safety: […]

By January 22, 2016 0 Comments Read More →
Throwback Thursday: Flexing, Gemba Claus, Problems, Shook, Jail, and Holiday Gifts

Throwback Thursday: Flexing, Gemba Claus, Problems, Shook, Jail, and Holiday Gifts

As we start easing into the holidays, I wanted to share a few throwback posts from this day or this week from previous years: From this date in 2009: The Emperor’s Sacred Cow’s New Clothes – “Flexing” Hospital Staff I’d argue that “flexing” should really be called something more brutally accurate like “sending staff home […]

By December 17, 2015 0 Comments Read More →
Key Tweets from @MarkGraban – Week of November 23, 2015: Starbuck Drips, GE Dumps Annual Reviews, Bad Books

Key Tweets from @MarkGraban – Week of November 23, 2015: Starbuck Drips, GE Dumps Annual Reviews, Bad Books

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow [email protected] join the fun and the conversation. See the previous installments of Key Tweets here. If you’re reading this via email or RSS, you might get a […]

By November 29, 2015 0 Comments Read More →
Throwback Thursday: Why Do We Need to Ask Patients to be Vigilant?

Throwback Thursday: Why Do We Need to Ask Patients to be Vigilant?

Here’s a “Throwback Thursday” post from this date back in 2008. The post is titled, “Why Do Hospitals Have to Rely on Vigilant Patients and Families?” I think it’s still an important and relevant post, here in 2015. Why do we ask patients and families to be vigilant and inspect the work being done…

By November 5, 2015 0 Comments Read More →
Throwback Thursday: This Hospital CEO Was Never Going to Get Lean

Throwback Thursday: This Hospital CEO Was Never Going to Get Lean

It’s tempting to visit a place like ThedaCare and then mandate “everybody must have huddle boards.” Then, a bunch of huddle boards get purchased and installed… and maybe not used. It’s another thing for executives to realize that they have to change the way they manage. There’s a great quote that ThedaCare folks readily share, including Kim Barnas in her book Beyond Heroes:

By September 24, 2015 2 Comments Read More →
When Warnings Aren’t Given or Heeded, People Die: Planes, Ice Cream & Hospitals

When Warnings Aren’t Given or Heeded, People Die: Planes, Ice Cream & Hospitals

In healthcare, it’s a well-known problem that people often don’t speak up to point out risks or to report near misses. It’s an organizational culture problem… people are afraid of being blamed, punished, or retaliated against for speaking up. A 2012 “report released…  by the inspector general of the U.S. Department of Health and Human […]

By August 12, 2015 5 Comments Read More →
Why This Sushi Company Policy Letter Should be Copied by Hospitals – As Long as They All Actually Live by It

Why This Sushi Company Policy Letter Should be Copied by Hospitals – As Long as They All Actually Live by It

I love the Texas-based grocery store chain “Central Market.” It’s like a local version of a Whole Foods, basically. One of their features is a sushi area that’s run by a third-party company, Yummi Sushi. Posted prominently is a letter that outlines their stated approach to quality and safety. Click the photo for a larger […]