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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 professional speaker who has worked in healthcare, manufacturing, and startups. His latest book is Measures of Success: React Less, Lead Better, Improve More. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. He also published the anthology Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also a Senior Advisor to the technology company KaiNexus.
Latest posts by Mark Graban (see all)
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