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Tag: Patient Safety

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 […]

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 →
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 →
“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 →
My #IceBucketChallenge Video for #ALS and Patient Safety

My #IceBucketChallenge Video for #ALS and Patient Safety

I was nominated to do the ALS “Ice Bucket Challenge.” I think I was officially the last person to do so, judging from my Facebook feed. I made a donation to the ALS Association and also made this video. I’m doing this to honor a friend’s mother, who has ALS. Watch a touching news story about her of her […]

By August 22, 2014 0 Comments Read More →
Why “More Nurses” Isn’t the Best Way to Solve What Ails Healthcare

Why “More Nurses” Isn’t the Best Way to Solve What Ails Healthcare

There are certainly many serious problems in healthcare. Let’s look at nursing, in particular. It’s a rewarding job, but it’s far more frustrating for nurses than it needs to be. Nurses often don’t have enough time in the day (or in a given hour) to do all of their work the right way in the […]

Why Every Patient Deserves the Care & Caution that Surrounds the American Ebola Patients

Why Every Patient Deserves the Care & Caution that Surrounds the American Ebola Patients

Today’s post a link to my article written for the LinkedIn “Influencers” series: Why Every Patient Deserves the Care & Caution that Surrounds the American Ebola Patients Part of my article: “But, it makes me think… if hospitals CAN be extra cautious and make sure people are following protocols in situations like this, why aren’t […]

The Worst Root Cause Problem Solver in the Animal World Is… Who?

The Worst Root Cause Problem Solver in the Animal World Is… Who?

We all know the beaver is “the engineer of the animal kingdom.” That’s why MIT has a beaver as a mascot… it’s an engineer who likes to build things and is generally nocturnal, an apt description of MIT students. A survey taken by the National Geographic Society has found that the owl, however, is the […]

Podcast #205 – Joe Schnur, Hand Hygiene & Patient Safety

Podcast #205 – Joe Schnur, Hand Hygiene & Patient Safety

MP3 File (run time 32:43) Episode #205 is a conversation with Joe Schnur, VP Business Development at Intelligent M, a company that “designs data-driven hand hygiene compliance  improvement solutions for hospitals that dramatically reduce healthcare-acquired infections and their associated costs.” Joe and I share a passion for improving patient safety and we’ve had a number of […]

Report to President Obama Endorses Lean & Systems Engineering in Healthcare

Report to President Obama Endorses Lean & Systems Engineering in Healthcare

I recently saw a tweet that referenced a May 2014 that was sent to President Obama and his administration: “Report to the President – Better HealthCare and Lower Costs: Accelerating Improvement Through Systems Engineering.” The report was written by the “President’s Council of Advisors on Science and Technology,” or PCAST, and a working group that includes professors, […]

Irony – When An Advocate for Healthcare “Transparency” Hides Who They Are

Irony – When An Advocate for Healthcare “Transparency” Hides Who They Are

I received a tweet the other day from what appears to be a patient safety advocacy group. That’s always great to see. However, I am usually curious to see who the group is, who their leaders are, etc. The website is “Just Ask” or www.PatientSafetyAct.com. They raise serious issues about the lousy (my word, not […]

Podcast #203 – Chris Jerry, The Emily Jerry Foundation, Part 1

Podcast #203 – Chris Jerry, The Emily Jerry Foundation, Part 1

MP3 File (run time 40:21)  | Listen via YouTube Read the transcript My guest for Episode #203 (and an upcoming Part 2) is Chris Jerry, founder of The Emily Jerry Foundation.  The foundation was created in the aftermath of the tragic death of his daughter, Emily – a preventable medical error caused by a number of factors and […]

Cleaning out the Backlog: Krafcik, Email, Lincoln, Leadership, Humility, Patient Falls

Cleaning out the Backlog: Krafcik, Email, Lincoln, Leadership, Humility, Patient Falls

As I sometimes do, I’m going to close out a bunch of browser tabs and share some articles that caught my eye recently but don’t merit full blog posts of their own. I’m cleaning out the LeanBlog backlog and trying to reduce inventory… so here we go: Where is Jon Krafcik Now? You might remember […]

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Today is the first day of the 5th annual Lean Healthcare Transformation Summit. Follow along on Twitter with hashtag #HCSummit14 to see my tweets and thoughts from others. I will be adding updates to this post during the day, as well. These are not meant to be complete notes or a transcript… but quotable and interesting thoughts or comments […]

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 […]

Things That Make Me Worry About My Colonoscopy: Patient Safety

Things That Make Me Worry About My Colonoscopy: Patient Safety

Sorry to get all Katie Couric on you, but I’m going to have a colonoscopy on Friday. I turned 40 last October and I have some family history that leads my doctor to get one done now rather than at 50. Unlike Katie, I won’t be broadcasting mine live, but I’ll share some articles and […]