Tag: Patient Safety

Why don’t we do what we know we’re supposed to do? Why don’t I?

Why don’t we do what we know we’re supposed to do? Why don’t I?

It’s easy to point fingers at others who don’t do what they know they’re supposed to do. Why don’t those nurses and doctors properly clean their hands when they enter and leave every patient room? Why do some surgeons still maintain an intimidating environment in the operating room? Why do some managers or executives ignore […]

By February 11, 2015 6 Comments Read More →
What Does ThedaCare CEO Dean Gruner, MD Say About Safety?

What Does ThedaCare CEO Dean Gruner, MD Say About Safety?

For today’s “Throwback Thursday,” I recently re-watched parts of a DVD I helped produce a few years back for the ThedaCare Center for Healthcare Value — Thinking Lean at ThedaCare DVD: Strategy Deployment, Alignment & Leadership. In the video, ThedaCare’s CEO, Dr. Dean Gruner, is talking about their “True North” objectives. First and foremost in that list […]

By February 5, 2015 6 Comments Read More →
Politicians and Patient Safety: Bill Clinton, Joe Biden, and More [Videos]

Politicians and Patient Safety: Bill Clinton, Joe Biden, and More [Videos]

Healthcare has become very politicized in the U.S. (and in Canada and other countries). I think the patient safety crisis (and trying to solve it) is something that should be a non-partisan issue. Neither party wants patients to die from preventable medical errors and nobody has a vested political interest in defending the status quo. […]

By February 3, 2015 2 Comments Read More →
Tweets & Notes from a Patient Safety Conference

Tweets & Notes from a Patient Safety Conference

Today and tomorrow, I’m attending the “Patient Safety, Science & Technology Summit” in Irvine, California, as part of my role as a board member for the Louise H. Batz Patient Safety Foundation. I’m taking notes via Twitter and I will post some below. The conference hashtag is #PSSTS. I’ll  update this post occasionally over the next few days. […]

By January 23, 2015 0 Comments Read More →
#Throwback Thursday: Punishing and Jailing People for Patient Harm

#Throwback Thursday: Punishing and Jailing People for Patient Harm

Today is another “Throwback Thursday” post where I revisit posts from the past. Friday and Saturday, I’m going to be attending the “Patient Safety, Science & Technology Summit” in Irvine, California. I won’t be speaking, but I’ll be participating and networking in my role as a board member for the Louise H. Batz Patient Safety Foundation, […]

By January 21, 2015 0 Comments Read More →
Fear of speaking up is a broader problem, not just in military medicine

Fear of speaking up is a broader problem, not just in military medicine

Announcement: Dr. Greg Jacobson and I are doing a new webinar for KaiNexus on “More Leadership Behaviors That Create a Culture of Continuous Improvement‘” on January 27. It’s free… learn more and register here. * * * * * * * * * Here’s a troubling article from the New York Times: “Military Hospital Care […]

By January 13, 2015 3 Comments Read More →
What’s Up With Neckties in Healthcare?

What’s Up With Neckties in Healthcare?

It’s a simple question: what’s up with so many men wearing ties in healthcare? Are you / they wearing them because you like to, want to, or have to? When I worked at a video game and computer software store in high school, I had to wear a shirt and tie. This was the era […]

By December 17, 2014 13 Comments Read More →
Scheduling Time for Breaks, Lunch, and Kaizen

Scheduling Time for Breaks, Lunch, and Kaizen

Call me old fashioned, but I figure any employee who works a full day deserves proper breaks, including a lunch break. This is true for nurses who work ten hour shifts. And, it’s especially true for the 65% of nurses who have worked a 12 or 13-hour shift. Many studies show that fatigue and errors […]

By December 12, 2014 4 Comments Read More →
SAFETY – Question Your Assumptions

SAFETY – Question Your Assumptions

Mark’s note: Today’s guest post is by Brian Buck, a fellow lean healthcare  practitioner who blogged until about two years ago at his site “Improve With Me.”  Recently, I took my son to his primary care provider and the doctor asked if I would like a flu shot for my four year old son.  I […]

By November 19, 2014 2 Comments Read More →
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 8 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 →
Podcast #207 – Chris Jerry, The Emily Jerry Foundation, Part 2

Podcast #207 – Chris Jerry, The Emily Jerry Foundation, Part 2

MP3 File (run time 49:30) Episode #207 is part two of my conversation with 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 bad systems. You can read Emily’s story here. In the first […]

By August 28, 2014 0 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 […]

Advertisment ad adsense adlogger