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Call for change to avoid medical mistakes in hospitals

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KING5.com News for Seattle, Washington KING5 HealthLink

A scary example of how a lack of 5S can literally kill.

The mother of four had gone in for a procedure on a brain aneurysm. But afterward, instead of injecting her with a harmless marker dye, a toxic cleansing solution – chlorohexidine – was injected into her bloodstream.

The solutions were both unlabeled and looked the same. “

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Mark Graban is an internationally-recognized consultant, author, and speaker who has worked in healthcare, manufacturing, and startups. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent book is an anthology titled Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus.

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