
Joining me for Episode #352 of the podcast is Frederick Southwick, M.D. He is a Professor of Medicine and is also Director of Patient Care Quality and Safety in the Division of Hospitalist Medicine at the University of Florida in Gainesville.
Fred is the author of many books including Critically Ill: A 5-Point Plan to Cure Healthcare Delivery. In the podcast, Fred will talk about why he shifted from infectious diseases to focusing on hospital medicine and healthcare improvement. This was driven partially by two very personal episodes with problems in the healthcare system that his then-wife and he both suffered from. Fred was appointed as a Harvard University Advanced Leadership fellow, where he studied business and public health.
Fred was exposed to Lean through MIT Prof. Steven Spear and they have published an article together, where they call for “all academic physicians caring for patients to focus on systems and quality improvement.” In the episode, Fred reflects on how he personally shifted from blaming doctors to looking at systems as the primary driver of quality and safety problems.
He also teaches Lean to medical students and has two public classes on “Fixing Healthcare” (including one with a deeper focus on Lean) through Coursera.
I hope you enjoy the conversation as much as I did.
Streaming Player:

For a link to this episode, refer people to www.leanblog.org/352.
For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS, through Android apps, or via Apple Podcasts. You can also subscribe and listen via Stitcher or Spotify.
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Questions, Topics, and Links:
- Background and introductions
- Why focus on quality and patient safety?
- The medical errors that affected his then-wife, then Fred:
- “Who was caring for Mary?“
- “Who was caring for Mary?” revisited: a call for all academic physicians caring for patients to focus on systems and quality improvement. — with Steve Spear
- “Losing My Leg to a Medical Error”
- Why was he “ostracized” after this article was published?
- How did you learn about Lean? — Spear
- How and when did you start teaching MDs about Lean?
- Coursera courses
- What are the most important things for them to learn about Lean?
- PDSA and the scientific method
- Quality and cost go hand in hand
Thanks for listening!
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- Engage people at all levels in sustainable improvement
- Shift from fear of mistakes to learning from them
- Apply Lean thinking in practical, people-centered ways
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