Tag: Patient Safety

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 […]

Healthcare Headlines in the UK are Mostly Similar to the US

Healthcare Headlines in the UK are Mostly Similar to the US

As I wrote about last month, I love newspapers, so I felt like I fit into the culture last week when I spent five days of my vacation in London, a city I really love. People in England seem to be avid readers, based on the number of newspapers on sale and the number of […]

2015 Lean Healthcare Transformation Summit Notes & Highlights (#HCSummit15)

2015 Lean Healthcare Transformation Summit Notes & Highlights (#HCSummit15)

Wednesday was the first day of the 6th annual Lean Healthcare Transformation Summit, being held this year in Addison (Dallas), Texas. I’m here and this year my colleagues Dr. Greg Jacobson and Jeff Roussel from KaiNexus are attending, so please say hi if you are here. Tuesday, I taught a workshop on daily continuous improvement (Kaizen) and […]

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

U.S. Hospitals Have the Best E.R. Care for Kids, But Aren’t Prepared For Them?

There’s been a back and forth of views about the state of pediatric emergency medicine recently in the Wall St Journal. Let me start first, actually, with the more recent statement, a rebuttal from Michael Gerardi M.D., FACEP, President of the American College of Emergency Physicians, in the form of a letter to the editor. read more

Another Experiment That Works in Healthcare: Safety Huddles

Another Experiment That Works in Healthcare: Safety Huddles

Following up on yesterday’s post on seemingly successful experiments with ACOs, here’s another article, from HBR, on “safety huddles” in healthcare: “How Every Hospital Should Start the Day“ I’ve seen some hospitals using daily safety huddles. It sends a powerful message when leaders make patient safety (and staff safety) a visible priority in the organization. Recently, […]

An Experiment That Works in Healthcare: Pioneer ACOs

An Experiment That Works in Healthcare: Pioneer ACOs

You might be considered “wonky” for enjoying the topics discussed here at LeanBlog.org… but that’s fine. This is a safe environment for being wonky about Lean and improvement. From Vox.com, Sarah Kliff normally does a great job covering healthcare topics, including this latest piece: read more

That Medication Cabinet is Secure… Or Secure-ish

That Medication Cabinet is Secure… Or Secure-ish

I was on a long flight the other day and I watched an episode of the ABC comedy Black-ish. In episode 3 of the first season, the mother of the family, named Rainbow (her parents were hippies), is trying to impress her young daughter by showing her what it’s like to be an anesthesiologist. The […]

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

Cleaning out the Backlog: 3P in the NHS, “Secret” HAI Weapons, MRI $$$, and Fines for Medical Harm

As I sometimes do, I’m going to close out a bunch of browser tabs (which makes my Mac run faster) and I’ll do that by sharing some articles that caught my eye but maybe don’t merit full blog posts of their own. I’m cleaning out the LeanBlog backlog and trying to reduce inventory… so here […]

Why Would These Workplace Slogans Be Offensive to Employees?

Why Would These Workplace Slogans Be Offensive to Employees?

Reminder: I’m doing a webinar today with Dr. Greg Jacobson, CEO of KaiNexus, titled “How To Spread Continuous Improvement” and I hope you’ll join us. Register if you can attend live at 1 pm CDT or we’ll send you a link to the recording. Dr. W. Edwards Deming advised against relying on slogans and posters […]

Guest Post: “Do No Harm” – Patient Safety is Defined by Standard of Care

Guest Post: “Do No Harm” – Patient Safety is Defined by Standard of Care

Mark’s Note: I met today’s guest blogger, Gus Lusack, when I was working with a hospital pathology department in the British NHS. Gus was the microbiology manager at the time and, while most of my engagement was in the core lab, we had many great conversations about Lean and healthcare improvement. He’s now working as […]

An Invention to Prevent Empty Gel or Foam Sanitizer Dispensers in a Hospital

An Invention to Prevent Empty Gel or Foam Sanitizer Dispensers in a Hospital

Every time I am in a hospital or clinic setting, one of the first things I do is get a pump or squirt of gel or foam from a wall-mounted dispenser to clean my hands. Or, I should say *try* to get hand sanitizer. For one, it’s important to practice proper hand hygiene when entering […]

Podcast #220 – Dr. Bob Wachter, Lean & The Digital Doctor

Podcast #220 – Dr. Bob Wachter, Lean & The Digital Doctor

My guest for episode #220 is somebody I’ve wanted to interview for a long time, Dr. Robert Wachter, one of the leading voices in the modern patient safety movement. He’s most recently author of a brand-new book The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age. His book was excerpted in […]

Podcast #218 – Karen Kiel-Rosser, Baldrige & Mary Greeley Medical Center

Podcast #218 – Karen Kiel-Rosser, Baldrige & Mary Greeley Medical Center

MP3 File (run time 33:49) My guest for episode #218 is Karen Kiel-Rosser, Vice President/Quality Improvement Officer at Mary Greeley Medical Center in Iowa. You can see her full bio below in this post. You might remember Karen from a recent post where she told a great story about putting patient safety first. read more

It’s Patient Safety Awareness Week and I Was Surprised That This Video Made Me Cry

It’s Patient Safety Awareness Week and I Was Surprised That This Video Made Me Cry

This week is the annual Patient Safety Awareness Week, presented by the National Patient Safety Foundation, a non-profit that I like and support. As Lean thinkers, I hope we’d recognize that the amount of patient harm and death that’s caused by preventable medical errors is a huge problem around the world. read more