Tag: Quality

Lean Factories and Lean Hospitals Are Safer and They’re Better Listeners

Lean Factories and Lean Hospitals Are Safer and They’re Better Listeners

When we introduce the idea of Lean to healthcare organizations, it’s very common for somebody (often a senior physician) to say something like, “But we don’t want assembly line medicine.” The implication is that assembly lines and factories are cold, rigid, uncaring places that focus on ruthless efficiency and making the numbers at the expense […]

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. We’re talking today […]

The One Thing Google Should Show When You Search for a Hospital

The One Thing Google Should Show When You Search for a Hospital

Today’s post is hosted over at LinkedIn, as part of my participation in the LinkedIn Influencers series. The post is titled: “The One Thing Google Should Show When You Search for a Hospital.” It’s not about Lean per se, but it’s about topics that I hope we’d agree are relevant: Transparency of quality and patient […]

A Story About a Hospital Putting Safety First Over Patient Satisfaction

A Story About a Hospital Putting Safety First Over Patient Satisfaction

In yesterday’s blog post (“Safety is always our top priority” – From lip service to daily practice?“), I challenged hospital leaders to back up the “happy talk” with real action and stories about putting safety first. It’s easier said than done. I wanted to share a story from Karen Kiel-Rosser, Vice President/Quality Improvement Officer at Mary […]

By February 26, 2015 6 Comments Read More →
Who Ever Asks “Let’s Plus/Delta” That Doctor Appointment or Hospital Stay?

Who Ever Asks “Let’s Plus/Delta” That Doctor Appointment or Hospital Stay?

It’s a pretty common facilitation technique to do a “plus / delta” discussion at the end of a meeting, exercise, etc. In the plus column go the things that went well, were enjoyable, were helpful, and should repeated. The “deltas” (which is meant to seem more positive than saying “minuses,” I guess) are the things […]

By February 17, 2015 8 Comments Read More →
Mark Graban Interviewed by Dr. Bob Wachter on Lean & Patient Safety

Mark Graban Interviewed by Dr. Bob Wachter on Lean & Patient Safety

I’m honored to have been interviewed by Dr. Robert Wachter for his “Web M&M” interview series on the AHRQ website. In Conversation with…Mark Graban, MS, MBA Dr. Wachter is a leader in the patient safety movement who I’ve respected and admired for quite a while. You can read his “Wachter’s World” blog and his book Understanding […]

By January 28, 2015 3 Comments Read More →
Looking back at the Toyota Tsutsumi plant tour, part 2

Looking back at the Toyota Tsutsumi plant tour, part 2

Last week, I wrote a post (part 1) looking back  at our visit to the Toyota Tsutsumi factory that was part of our Japan tour that took place two months ago now. See previous posts in this series. I’m going to try to do one post a week on this topic. If you’re in San Francisco, I’m giving […]

By January 27, 2015 0 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 →
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 →
“Quality Circles” Are Alive & Well in Japanese Organizations; We Might Call it A3 Problem Solving

“Quality Circles” Are Alive & Well in Japanese Organizations; We Might Call it A3 Problem Solving

One question I was asked to ask during my Japan trip was to see if “Quality Circles” are still active in Japanese companies. I think the term was brought to the U.S. in the 1980s and 1990s, but generally wasn’t widely adopted for a number of reasons – probably due to management mindsets and organizational […]

By November 20, 2014 4 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 […]

“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 →
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 […]

3 Ways to React to Human Error

3 Ways to React to Human Error

What happens when a mistake is made in your organization? How do you react when an error occurs? A lab specimen gets mislabeled. The wrong product is shipped to the wrong customer. A patient is injected with the wrong medication. These are moments that matter. Does emotion take over or do we stay calm? How […]

Weird Al’s Hilarious “Mission Statement” Song & Video Mocks Corporate Buzzwords

Weird Al’s Hilarious “Mission Statement” Song & Video Mocks Corporate Buzzwords

“Weird Al” Yanokvic skewers corporate buzzwords in this new song and music video. He also skewers the now-tired “hand writing on a white board” style of corporate videos, which I think is even more brilliant of him. There are a few somewhat Lean-related buzzwords in the video… the last one looks like it has PDSA […]

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, […]

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 […]