Checklists and Standardized Work in Patient Care
Here is an outstanding piece by one of my favorite medical writers, on the use of checklists (a form of Standardized Work) to improve healthcare quality.
How can “a stupid little checklist” have such an impact? Take a look at the article and see.
Within the first three months of the project, the infection rate in Michigan's I.C.U.s decreased by sixty-six per cent. The typical I.C.U.â€”including the ones at Sinai-Grace Hospitalâ€”cut its quarterly infection rate to zero. Michigan's infection rates fell so low that its average I.C.U. outperformed ninety per cent of I.C.U.s nationwide. In the Keystone Initiative's first eighteen months, the hospitals saved an estimated hundred and seventy-five million dollars in costs and more than fifteen hundred lives. The successes have been sustained for almost four yearsâ€”all because of a stupid little checklist.
Standardized Work and Lean (I'll call this article an example of “Lean” even though Gawande doesn't) are not glamorous. This isn't an exciting new drug or a flashy “gee whiz” technology. This is basic process management and kaizen 101… yet it's so effective. We need more of this in our hospitals…
What do you think? Scroll down to comment or share your thoughts and the post on social media. Don't want to miss a post or podcast? Subscribe to get notified about posts via email daily or weekly.
- Alternative History: Toyota's CEO Accelerates Lean Healthcare Improvement in the 2000s - February 7, 2023
- When Burnout Turns to Moral Injury for Healthcare Clinicians - February 6, 2023
- Jody Crane, MD: Lean in Emergency Medicine and Hospitals; 3 Big Issues Causing Tough Times in Healthcare - February 1, 2023