Call for change to avoid medical mistakes in hospitals

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
Mark Graban

Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups.

Mark's latest book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, a recipient of the Shingo Publication Award.

He is also the author of Measures of Success: React Less, Lead Better, Improve More, 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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