Key Tweets from @MarkGraban – Week of May 2, 2016: Kaizen, Medical Error, & More

Here's the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here.

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From 2007 when I realized locked suggestion boxes are dumb: A Different "Lock Box" https://t.co/4OcXD6bjmz #Lean #Kaizen

— Mark Graban (@MarkGraban) May 2, 2016

At work, everyone thinks they know what the problems are, few know the causes fewer know how to problem solve and fewer have courage to try.

— Stephen Parry (@LeanVoices) May 2, 2016

Consultant error + government bureaucracy + typical management mindsets = "forced" layoffs? https://t.co/LFvOSKoHQH

— Mark Graban (@MarkGraban) May 2, 2016

“Toyota Memorial Hospital's foundation is it's people.” https://t.co/Scj2IGtjTH #Lean by @kbjanderson

— Mark Graban (@MarkGraban) May 2, 2016

I have a similar setup for iMac keyboard & trackpad batteries, rotating through charger https://t.co/nr5ByklcGb

— Mark Graban (@MarkGraban) May 2, 2016

“As Nakao-san says: “When #kaizen stops, everything stops.”” https://t.co/zbRlGkFgqR #Lean by @BobEmiliani

— Mark Graban (@MarkGraban) May 2, 2016

“Lean is not inherently easy for the Japanese, just as it isn’t inherently easy for most of us…” https://t.co/Scj2IGtjTH by @kbjanderson

— Mark Graban (@MarkGraban) May 2, 2016

Medication error, not caught by multiple individuals, leads to a patient death after discharge https://t.co/2UDCSRRhiN #patientsafety

— Mark Graban (@MarkGraban) May 2, 2016

Some #Lean healthcare results Dr. Jack Billi will share tomorrow in webinar – register here: https://t.co/BbYzqMUmKG pic.twitter.com/Fx0CYlCfEd

— Mark Graban (@MarkGraban) May 2, 2016

From tomorrow's webinar, Dr. Jack Billi cites @StevenJSpear https://t.co/BbYzqMUmKG #Lean pic.twitter.com/5LZVVqANFb

— Mark Graban (@MarkGraban) May 2, 2016

Tomorrow's webinar – what is a culture of continuous improvement in healthcare? https://t.co/BbYzqMUmKG #Lean pic.twitter.com/2VAyzgkq2V

— Mark Graban (@MarkGraban) May 3, 2016

#Lean healthcare would mean NOT overburdening nurses and other caregivers. We need to do better pic.twitter.com/kjgMoCp6jq

— Mark Graban (@MarkGraban) May 3, 2016

In today's webinar, Dr. Jack Billi connects #Lean to healthcare and MD thinking https://t.co/BbYzqMUmKG pic.twitter.com/0JGd86DZbm

— Mark Graban (@MarkGraban) May 3, 2016

The excuse for coverups?? “One bad event would taint the hospital with all the good things that we do well.” https://t.co/Zsd6d3Napz

— Mark Graban (@MarkGraban) May 3, 2016

Why Brigham and Women's Hospital is blogging about its mistakes https://t.co/Q1A35j6Vze #patientsafety

— Mark Graban (@MarkGraban) May 3, 2016

Dr. Jack Billi: At Univ of Michigan medical school, #Lean is a 2nd year elective course, about 10% choose to take it, learn by doing

— Mark Graban (@MarkGraban) May 3, 2016

“nothing unusual, until her body was shipped to the wrong funeral home.” https://t.co/9dyGJTu3Hr

— Mark Graban (@MarkGraban) May 3, 2016

We typically problem solve for the 10% above the water line rather than working on the 90%. @cherryl_paul pic.twitter.com/wPa0H7OS7p

— Cherryl Paul (@cherryl_paul) May 3, 2016

“hospital leadership is the root of the problem… eliminating the peaks & valleys requires significant change.” https://t.co/y4wGWdKYOx

— Mark Graban (@MarkGraban) May 3, 2016

@MarkGraban @o_matthias1 Pleased to see #lean hospitals news item in Ireland, even if they do use Toyota as a hook. pic.twitter.com/k6KtaAVlyK

— Anthony Alexander (@Antonmars23) May 1, 2016

Don't feel the need to have all the answers. Respect & engage those who do the work. https://t.co/2udtJuXRZT

— Mark Graban (@MarkGraban) May 4, 2016

"Patients Are Not Cars – And Yet "#Lean" Works in Healthcare Because Lean Isn't About Building Cars" https://t.co/qd5XfuwKtq

— Mark Graban (@MarkGraban) May 4, 2016

I was wowed by seeing ping pong tables at Yahoo HQ in 1999, now it seems so cliché https://t.co/XdNvHDR5I4

— Mark Graban (@MarkGraban) May 4, 2016

How else to compete? #Lean perhaps? pic.twitter.com/UE9JEmyK9Z

— Mark Graban (@MarkGraban) May 4, 2016

These are somewhat "unknowable numbers" due to lack of transparency, but it's a serious problem to be solved https://t.co/JRDIakpErn

— Mark Graban (@MarkGraban) May 4, 2016

“rewarding hospitals of mediocre quality was hardly the stated goal when the ACA created financial incentives ” https://t.co/DpZMcJxUxe

— Mark Graban (@MarkGraban) May 4, 2016

Warning: “without your CEO involved, there was never a management system set up to support the [#Lean] wins” https://t.co/XIl9OWdquU

— Mark Graban (@MarkGraban) May 4, 2016

Sad: “It was degrading as a human being… We weren’t treated as individuals. We were treated in this robot way” https://t.co/FlKnqxdaB4

— Mark Graban (@MarkGraban) May 4, 2016

The startup who emailed me this is the anti-#Deming apparently. pic.twitter.com/4FDXZlXEK7

— Mark Graban (@MarkGraban) May 4, 2016

‘It’s Discouraging’ — Sure is. Hospitals say they've put in lots of effort, but are they changing the right things? https://t.co/kx0XGUTQdU

— Mark Graban (@MarkGraban) May 5, 2016

Staffing levels must account for the time required to do this. Don't make people cut corners due to lack of time. https://t.co/OMESHM8HHJ

— Mark Graban (@MarkGraban) May 5, 2016

Interesting to wonder about the limitations of extrapolating to entire US population. https://t.co/8LVvMIq1QI

— Mark Graban (@MarkGraban) May 5, 2016

Transparency expert @DrMartyMD says, physicians should lead the #qualityimprovement discussion #tmamtg https://t.co/CC82ZMjgow

— Texas Medical Assoc. (@texmed) April 18, 2016