"Even Skilled Physicians Make Mistakes"


    WSJ.com – The Doctor's Office (free feature):

    “Most medical errors in the doctor's office are process errors. These result from communication problems, office administration problems, incorrect medical test reports and decisions based on incomplete information. Many process errors are minor and are caught and corrected before harm is done. Unfortunately, some are major and result in significant injury.”

    This article also claims only 20% of physician errors are due to lack of skill or lack of training.

    Do we think this is true in our factories? How many times do we see the same errors/defects being created, the ones that are systemic problems that are hard to fix? Thinking back to the late W.E. Deming, he pointed out that it was management's job to fix the system (by taking input from and working with workers)… not to punish or penalize those who make “common cause” errors within the system.

    We're maybe quick to think of a doctor and say “he (or she) is only human”. Isn't the same true of everyone working in our factories and within out processes?

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    Mark Graban
    Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.


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