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Tag: Patient Safety

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 […]

Are Today’s Hospitals Too Much Like “The Old GM?”

Are Today’s Hospitals Too Much Like “The Old GM?”

As a former GM employee and a GM customer, I’m really fascinated by the reaction of the public, the media, and Congress to the recalls and scandal over ignition switch problems in some GM small cars from recent years. The defect or design flaw is believed to have caused between 13 and 300 deaths (depending […]

Good Questions, But With Some Misunderstandings about Lean Healthcare

Good Questions, But With Some Misunderstandings about Lean Healthcare

In 2009, I wrote about a nurses’ union in New Brunswick that supported Lean because they realized this methodology could help reduce waiting times and improve working conditions. It’s win/win. Yet, as part of the recent politicized Lean healthcare brew-ha-ha in Saskatchewan (read more here), the Saskatchewan Union of Nurses (SUN) has been critical of the provinces’ […]

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. […]

More on Lean in Saskatchewan

More on Lean in Saskatchewan

Since the healthcare improvement work I do is apolitical and non-partisan, I’m generally not one to butt into the political affairs of Canada or other countries. But, when I hear complaints about Lean or when it’s being called a “scam” and a “cult” by some in Saskatchewan (read here), my ears perked up and I […]

Some People Who Are Making a Difference for Patient Safety

Some People Who Are Making a Difference for Patient Safety

This week is National Patient Safety Awareness Week. See my thoughts on this from 2012. Every week should be National Patient Safety IMPROVEMENT Week, as the problem is that dire. But, it’s great to try to bring to light the risks of our modern healthcare system in the U.S. and other countries. I often point […]

Happy Talk Headlines vs. Sad Realities to Fix in Healthcare

Happy Talk Headlines vs. Sad Realities to Fix in Healthcare

As National Patient Safety Awareness Week continues, thanks go to Graham Foster for sending me this article from the UK: Most NHS staff deem care ‘fit for their own family’. Well, that’s a positive, happy sounding headline. “Most” think the care is good enough to recommend. But, after reading the reality expressed in the article, the […]

Podcast #195 – Steve Montague, Lean + TeamSTEPPS for Patient Safety

Podcast #195 – Steve Montague, Lean + TeamSTEPPS for Patient Safety

Please upgrade your browser MP3 File (run time 38:47) Joining me for episode #195 is my friend Steve Montague from LifeWings. Steve and I met initially through our shared interest in Lean and, like Ron Pereira, we discovered we both lived in Keller, Texas (I’ve since moved to San Antonio). Steve is a retired Navy […]

Medical Errors: The Names Change, but the Headlines Are Sadly the Same

Medical Errors: The Names Change, but the Headlines Are Sadly the Same

When I started blogging here in 2005, I was still about six months away from my transition from “lean manufacturing” to “lean healthcare.” It was mind boggling and disturbing to me to learn about the healthcare quality and patient safety crisis (something I had been oblivious to being healthy and not having a family member […]

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