Here's the latest installment of “Key Tweets,” a (usually) weekly post that presents some of my tweets (or retweets) from the week, including pictures and other interesting stuff.
You can follow me @MarkGraban and join the fun and the conversation, but you don't need a Twitter account to view any of this.
See the previous installments of Key Tweets.
We've now raised $3750 for @batzpatientsafe – check out our anthology eBook:
Practicing #Lean by Mark Graban [Leanpub PDF/iPad/Kindle] – ALL proceeds are donated to a great cause. https://t.co/YMzh5AS0fC— Mark Graban (@MarkGraban) May 3, 2018
Today’s Dilbert… pic.twitter.com/4jnU72FYrQ
— New England Lean (@NELeanguy) April 23, 2018
I guess my dentist doesn’t feel the need to explain WHY I owe $564. pic.twitter.com/zfWAn6HHHH
— Mark Graban (@MarkGraban) April 23, 2018
What can a frontline worker do to “take responsibility” in an unsafe workplace @mikeroweworks?? Refuse to do a certain job a certain way? https://t.co/75YVKmUzyk
— Mark Graban (@MarkGraban) April 23, 2018
Of Course People Aren’t Going to Do What They’re Told https://t.co/zgLxf3w2V1
— Dan Markovitz (@danmarkovitz) April 23, 2018
The @AmericanAir onboard announcement peddling credit cards was really obnoxious today. The FA suggested we take multiple applications to take home for spouse, neighbors, and friends. Are you effing kidding me??? 🤬
— Mark Graban (@MarkGraban) April 23, 2018
“Is this coat yours?”
“Yes.”
“It’s a guessing game,” says the @AmericanAir flight attendant.
This seems like a solvable problem, a system for knowing whose coat is whose.
— Mark Graban (@MarkGraban) April 23, 2018
Quick read, and worth it. — Is This The One Question That Determines If You're Truly a Lean-Thinking Hospital?? https://t.co/qPqgVNfFen via @markgraban pic.twitter.com/ntVvFeAGBF
— Jon (@TechNurseJon) April 23, 2018
Error Proofing vs Fool Proofing – #Lean https://t.co/FziSGNkyC3
— Mark Graban (@MarkGraban) April 24, 2018
"Taking steps to improve #healthequity is a natural extension of our organizational priority of Respect for People. We believe the #diversity of our team and our patients is a strength, and we should provide health care accordingly." -Gary Kaplan, MD, on equitable care @BeckersHR
— Virginia Mason Inst (@VM_Institute) April 24, 2018
It was an honor to assist and participate – #Lean #Kaizen https://t.co/hwTh7TZ8cl
— Mark Graban (@MarkGraban) April 25, 2018
The subtle defect in the @Starbucks lid makes the beverage very difficult to drink. It’s missing the small pinhole that serves to help coffee flow through the drinking hole. pic.twitter.com/0rWlsvGFoM
— Mark Graban (@MarkGraban) April 25, 2018
Tesla & @ElonMusk should try this, since humans are underrated… supporting humans allows them to avoid injury and keep applying their brains to help improve how work is done. Robots can't do that.
Ford is using bionic suits to help employees work safer https://t.co/iPHYelNiXk
— Mark Graban (@MarkGraban) April 25, 2018
“Five hospitals that received an "A" grade [from @LeapfrogGroup] this spring for the first time held "F" ratings in past years.” #patientsafety https://t.co/mAc5fLVsw3
— Mark Graban (@MarkGraban) April 25, 2018
I think it requires less mental gymnastics to just plot the actual ratings, instead of the weekly % change. #plotthedots
NBC Bet $69 Million on Megyn Kelly—Then Viewers Vanished https://t.co/eWIhTynhzN pic.twitter.com/eME3YgFv6m
— Mark Graban (@MarkGraban) April 26, 2018
“An example of Virginia Mason’s focus on safety is its innovative #PatientSafety Alert system, which empowers all employees to immediately submit alerts online or by phone when they see anything that poses a hazard or could become a safety concern.” https://t.co/gQmQbRlbn4
— Mark Graban (@MarkGraban) April 26, 2018
Coming soon! Patient-Centered Strategy, Jeff Hunter describes a powerful system for strategy formulation that unites senior leaders and caregivers in the creative process. Sign up to be notified when the book is available. https://t.co/AfRpeLYixG pic.twitter.com/djACjeBHqf
— Catalysis (@HCValue) April 26, 2018
“Hospitals will be required next year to publish their standard list of prices online in a machine-readable format, if the Centers for Medicare & Medicaid Services finalizes a proposed rule announced Tuesday afternoon.” https://t.co/d30DSdqcxD
— Mark Graban (@MarkGraban) April 27, 2018
Join us for an Improvement Methodologies workshop wtih @MarkGraban & @KaiNexus at @CambridgeIBD on June 5. https://t.co/0Me5iRYh78 #lean #workshop #CI #leadership pic.twitter.com/O760QfZbdp
— Iowa Lean Consortium (@IowaLean) April 27, 2018
“After implementing #Lean methodologies, researchers found that EHR use time decreased from 2.8 hours per day to 1.9 hours per day per therapist while patient care time increased from 53 percent to 71 percent.” https://t.co/tH16MdiJAQ
— Mark Graban (@MarkGraban) April 27, 2018
“a medical culture that punishes people for admitting their errors is bad for everyone” #patientsafety https://t.co/P0uhWAoBb4
— Mark Graban (@MarkGraban) April 27, 2018
Please subscribe to my YouTube Channel – Mark Graban – #Lean https://t.co/8iuIHrn2PJ pic.twitter.com/dnkfVZcN9l
— Mark Graban (@MarkGraban) April 27, 2018
Did they really improve that much or did they just learn how to game the system?
“Five Hospitals Progress from “F” to a First-time “A” in the Nation’s Leading Scorecard on Hospital Errors” https://t.co/U4oGiVEu4n
— Mark Graban (@MarkGraban) April 27, 2018
So a perfect self-reported handwashing score for @LeapfrogGroup means the hospital has a "policy" and "evaluates" how people follow that policy. That's not necessarily actual handwashing though. pic.twitter.com/7767ThqjZQ
— Mark Graban (@MarkGraban) April 27, 2018
Then I get a call at 5 pm from a tech who had my appt as 12-4, not cancelled. Their systems are all messed up. Poor guy keeps showing up to angry customers. I was patient. Not his fault. System problem for @directv https://t.co/A28UaoyQqt
— Mark Graban (@MarkGraban) April 27, 2018
Blaming staff – great for morale
“blamed his aides for installing a $43,000 privacy booth in his office and approving more than $100,000 in first-class flights that he took last year” https://t.co/9MXEWl0FCI
— Mark Graban (@MarkGraban) April 28, 2018
Honda is more like Toyota than Tesla in this regard: “The plant’s 4,200 employees have the option of taking vacation days, unpaid days or coming into work to do other tasks.” https://t.co/OocDL0rCp6
— Mark Graban (@MarkGraban) April 28, 2018
“In his first and only game for Brooklyn, on June 17, 1885, Smith's teammates were reported to have intentionally committed 14 errors to punish Smith for his perceived brash and cocky demeanor.” https://t.co/Jh9HYxuX0V
— Mark Graban (@MarkGraban) April 29, 2018
When Leaders Collaborate: Finding the A-Ha Moments that Lead to #Lean Transformation [Webinar Overview]
summary of a presentation by @JohnToussaintMD & @paul_pejsa https://t.co/Gt23DzifWZ
— Mark Graban (@MarkGraban) April 30, 2018
“The Toyota Production System is on full display at Georgetown, and a tour of the massive factory leaves you amazed at the level of coordination.” #Lean https://t.co/FNPigibIug
— Mark Graban (@MarkGraban) April 30, 2018
One person tragically dies from an engine that blows up and a whole industry pivots trying understand root cause.
250000 people die from medical error and a whole industry looks the other way. We know the problem we are trying to solve. How do we solve it?— John Toussaint (@JohnToussaintMD) April 28, 2018
You can’t “get #lean” without humility:
“The [CEOs] were willing to accept the challenge of leading resolutely while openly acknowledging that they didn’t have the answers. This, they seemed to agree, is the most difficult aspect of leadership.”https://t.co/yARTGtUbi0
— Mark Graban (@MarkGraban) May 1, 2018
ah, re-education…
“This mistake… was due to human error. In the weeks since, we have reported the incident through all of the required channels, both internally and externally, and have re-educated staff to reduce the risk of it happening again.” https://t.co/7VeO0RPU6U
— Mark Graban (@MarkGraban) May 1, 2018
“There are approximately 1.5 million adverse drugs events each year, of which 54% are related to infusion errors,” ” https://t.co/hn3l5ft6vN
— Mark Graban (@MarkGraban) May 1, 2018
“No,” [Bruce] responded, “you can only tell the condition of the huddle board.” https://t.co/i82Gsrsvo2
— Mark Graban (@MarkGraban) May 1, 2018
Join me in Iowa, June 5: Improvement Methodologies Workshop with Mark Graban – #Lean #PlotTheDots #Kaizen https://t.co/hxrr4Nywr3 pic.twitter.com/cKPBAT23W3
— Mark Graban (@MarkGraban) May 1, 2018
“Retailers are shooting themselves in the foot trying to save pennies by lowering labor costs, and that’s costing them dollars on the top line,” said Rogelio Oliva, a business school professor at Texas A&M University.
— Mark Graban (@MarkGraban) May 1, 2018
“The greatest costs for a hospital are human costs, salaries and benefits, but there is a limit to low staffing. Patients notice poor service and safety problems quickly emerge – more patient falls, more wrong medications given, etc.” https://t.co/FNNfvhPskr
— Mark Graban (@MarkGraban) May 2, 2018
“There are other [Model 3] components that appear to the untrained eye to be jerry-rigged, leaving [experts] guessing about their purpose. A damper weight on a suspension control arm, for example, was secured using glue and industrial-strength zip ties.” https://t.co/WB3G0ezB3L
— Mark Graban (@MarkGraban) May 2, 2018
"Our metric went from 90% to 91%, so we're improving."
Not necessarily. The metric could just be fluctuating around a stable average. #plothedots
— Mark Graban (@MarkGraban) May 2, 2018
We’ll meet sales targets no matter how much it costs us!! 🤦🏻♂️ pic.twitter.com/STxhziMlpC
— Mark Graban (@MarkGraban) May 3, 2018
“welcome signs in each room from the nurse reminding patients to “call, don’t fall” — is the issue patients not calling or staff not being able to respond??
Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program https://t.co/UI2ObfLA9W
— Mark Graban (@MarkGraban) May 3, 2018
“Erlanger ended Q3 with net income from operations of ~$4.05M, which was below the system's budgeted income of $8.27M…
Mr. Tabor told the committee the Epic implementation "was a huge impact, and that was not unexpected."
But not budgeted for?
— Mark Graban (@MarkGraban) May 3, 2018
“Since then, my concern about the application of Leader Standard Work and Gemba Walks has deepened as these potentially valuable practices have too often degenerated into obligatory scripted play acting.”https://t.co/D0df6oWLvn
— Mark Graban (@MarkGraban) May 3, 2018
Certainly we are not going to get after the medical error problem without engaging physicians. Jack Billi at Michigan and Mark Graban and I published “Lean for Doctors”https://t.co/KHrte8i201 a few months ago.
— John Toussaint (@JohnToussaintMD) May 1, 2018
Former ThedaCare CEO Dean Gruner: “There comes to a point where people stop thinking, started to take a standard work as the solution for everything when, in reality, we pay people to think and to learn. We had gotten away from that.” – #Lean https://t.co/agDzU5Jotc
— Mark Graban (@MarkGraban) May 4, 2018
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Mark Graban
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.