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Tag: Patient Safety

Hospitals Prioritize Spending on Pretty Buildings over Safety?

Hospitals Prioritize Spending on Pretty Buildings over Safety?

Here’s an excellent commentary by  Ashish K. Jha, M.D., M.P.H, a professor at the Harvard School of Public Health: “In The Race For ‘Fanciest Hospital In Town,’ Patient Safety Loses Out.” Dr. Jha argues that hospitals glad spend millions of dollars on superficial pretty features that might boost patient satisfaction scores… partly because there are […]

By October 16, 2013 8 Comments Read More →
Some Mature & Wise High School Students on Preventable Medical Errors

Some Mature & Wise High School Students on Preventable Medical Errors

Near home in San Antonio, I had a chance to volunteer last Friday, speaking for an hour to a group of high school juniors and seniors who are part of the health professions  program  within in the Alamo Academies program that prepares students for careers in areas including aerospace and manufacturing (companies like Boeing, Lockheed […]

By October 15, 2013 4 Comments Read More →
SF General Adopts Lean, Faces a Big Test with a “Never Event”

SF General Adopts Lean, Faces a Big Test with a “Never Event”

They just started a year ago (better late than never?), but San Francisco General Hospital had its Lean efforts highlighted in the San Francisco Chronicle last week: “S.F. General following ‘Toyota Way’ to efficiency.” On the very same day, another headline flew past about a patient who had wandered off and gotten lost in the […]

By October 14, 2013 0 Comments Read More →
Too Many Patients Harmed, Too Few Leaders Committed to Real Change?

Too Many Patients Harmed, Too Few Leaders Committed to Real Change?

I recently received two emails that are worth sharing, in anonymous form here. One was from somebody I know who just quit a Lean role at a major academic medical center after a few years there, as he’s looking to join an organization that has a “deeper commitment to profound change” (spoken like a reader […]

How Often Does This Get Repeated? CMS and the Underpants Gnomes

How Often Does This Get Repeated? CMS and the Underpants Gnomes

I’ve recently heard of a scenario in healthcare that I suspect is pretty common, or at least it’s not the first time I’ve heard of this scenario. There have been stories in the news, but without naming names and without any inside information, here is what is reported to have happened in one of these […]

By September 5, 2013 9 Comments Read More →
What I’m Reading 8/29/13: Forcing Happiness, Saving $$ By Not Using Your Health Insurance, and More

What I’m Reading 8/29/13: Forcing Happiness, Saving $$ By Not Using Your Health Insurance, and More

As we move into the Labor Day weekend, I need to close some browser tabs that are full of things that I was maybe going to write about, but don’t merit a full post. So, the latest in my “What I’m Reading” series: “How to Disarm a Nasty Co-Worker: Use a Smile“ (WSJ):  I think […]

By August 29, 2013 1 Comments Read More →
Gemba Wine: A Lean Geek Visits Wineries, Part 3

Gemba Wine: A Lean Geek Visits Wineries, Part 3

Following up on my previous posts (here and here) on a recent visit to the Northern California Wine Country, I’m going to share a few more ideas and thoughts based on what I saw during the trip (when I wasn’t tasting wine with my wife). What’s the Right Pricing? As in any industry, a winery […]

By August 28, 2013 2 Comments Read More →
Video: Influencing Hand Hygiene Behaviors

Video: Influencing Hand Hygiene Behaviors

A friend shared this fun video about how to influence hand washing behavior amongst a group of 12 kids. As the introduction points out, improper hand hygiene can be deadly in hospital settings. In the scenario, the kids are given a task to complete, with the promise of cupcakes at the end as a reward: […]

By August 15, 2013 5 Comments Read More →
ALWAYS Check Two Identifiers – In a Hospital or a Casino

ALWAYS Check Two Identifiers – In a Hospital or a Casino

In hospitals, there’s a big emphasis on healthcare professionals always checking TWO patient identifiers to help avoid getting the wrong patient. You might have two patients with the same name, so you should also check the birth date (since it’s less likely to have two people with the same name and birth date… but not […]

By August 14, 2013 0 Comments Read More →
New Website: AskMeIf.com, Buttons That Put the Quality Burden on Customers

New Website: AskMeIf.com, Buttons That Put the Quality Burden on Customers

I’ve been writing for a long time  that I think it’s inappropriate and ineffective to ask patients and families to inspect or police hand hygiene in hospital settings. It’s the job of healthcare leaders to create systems that include enough time for nurses, doctors, and others to properly practice hand hygiene in the name of […]

Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory

Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory

I published a piece on Monday over at LinkedIn as part of their “Influencers” series: Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory Please check it out and feel free to comment there or here on the blog… The piece starts: When any […]

My Article on Lean Healthcare, Employee & Patient Safety in QHSE Focus

My Article on Lean Healthcare, Employee & Patient Safety in QHSE Focus

QHSE Focus, an iPad magazine, asked me to contribute a piece on Lean healthcare. They published my piece titled, “Employee & Patient Safety: The Only Moral Place to Start with Lean in Healthcare.” You can read a PDF of the article, thanks to the publishers at QHSE Focus. The PDF also contains the table of […]

If Indian Restaurants Can Be Transparent, Why Not Hospitals?

If Indian Restaurants Can Be Transparent, Why Not Hospitals?

I was happy to see that one of my local Indian restaurants not only has very good Yelp reviews… they also have a top score (a perfect score!) from the health inspector. This is proudly displayed (as it should be) near the register. Click on the image for a larger view. Why don’t we see […]

Negligent People or a Bad System Leading to Surgical Errors?

Negligent People or a Bad System Leading to Surgical Errors?

A woman has the wrong side of her brain operated on. The headline features the hospital’s name and the surgeon’s name. It seems the “name, blame, and shame” process has begun. SSM Health Care St. Louis, Dr. Armond Levy face lawsuit after wrong-side brain surgery In complex systems, like healthcare, is it overly simplistic to […]

Remembering the “Second Victims” of Medical Errors, Including Nurses

Remembering the “Second Victims” of Medical Errors, Including Nurses

This week, May 6-13, is National Nurses Week. It’s always important, but it’s especially good to thank and recognize all of the talented, caring, hard working nurses out there. Nursing is important, difficult work. Sadly, the work is made more difficult than it should be due to bad processes and waste in the healthcare system. […]

Notes and References from my #LKNA13 Talk on Lean Healthcare

Notes and References from my #LKNA13 Talk on Lean Healthcare

I had a chance to attend the Lean Kanban North America conference this week. It was a different “tribe” to be a part of, as the topics focused on software and IT settings, including agile development, “kanban” project management, and broader lean management topics. I gave a talk on “lean healthcare,” which is always an […]

A Lean Guy Watches CBC’s “Rate My Hospital”

A Lean Guy Watches CBC’s “Rate My Hospital”

“Approximately 8 to 10% of the individuals who walk through our doors are being hurt by us,” says David  Musyj, CEO of Windsor Regional Hospital. That’s one of the first things you hear in this CBC program “Rate My Hospital,” which aired earlier this month in Canada. See also this page on the investigative report. […]

What I’m Reading: Good News and Bad News on Patient Safety & Government Processes

What I’m Reading: Good News and Bad News on Patient Safety & Government Processes

Here’s the latest in my “What I’m Reading” series, where I clear out some of the inventory of articles I’ve read, but haven’t blogged about. NY crime lab improves efficiency with ‘Lean Six Sigma’ process It’s great to see Lean used to help improve government operations – productivity AND quality. If someone said you could […]