Healthcare – Creating Value for Patients It’s been more than 10 years since Atul Gawande wrote The Checklist Manifesto, showing the world that a simple 2-minute checklist prior to surgery resulted in fewer deaths. Adoption is “pretty spotty”, and in…
Healthcare – Creating Value for Patients Sometimes you just need to get a team together and improve. Here’s a good example of use of A3 thinking to improve opioid prescribing in outpatient rheumatology. Reducing harm requires the conditions to speak up, raise…
Here are the most clicked articles of the last half of 2019 mixtapes: Many of you were interested in links with interesting questions about operational excellence: How Can There Be Standards in a Service Job When No Two Instances Are The…
Healthcare – Creating Value for Patients It’s been 20 years since To Err is Human, the seminal report from the Institute of Medicine, was released, estimating, to many people’s surprise, that almost 100,000 deaths per year in hospitals could be prevented. …
Healthcare – Creating Value for Patients Does Lean “work” in hospitals in the US? Sort of, according to the Journal of Healthcare Management. There is evidence that Lean improves efficiency and financial performance, but little evidence to support improvements in patient…
Healthcare – Creating Value for Patients Healthcare improvement is often done through QI projects in an “artisan” fashion. To improve healthcare improvement, combat bias and us evidence according to Mary Dixon-Woods. Her article elicited a response in the same publication. One would think…
Healthcare – Creating Value for Patients “Imagine walking into a restaurant and being seated. Sometime after your meal, you receive the check and find an additional charge that was not indicated on the menu or previously mentioned by your waiter.…
Healthcare – Creating Value for Patients If you set a target without providing a clear path on how you want it achieved, and then punish staff when they fail to achieve it, then staff will achieve the target – by any means necessary and…
Healthcare – Creating Value for Patients Transformation and quality improvement is rarely sustained without changing management behaviours and management systems. John Toussaint writes about the challenges of adopting lean management systems in the NHS in “Is quality a strategy or an operation?”.…
Healthcare – Creating Value for Patients Globally, at least 5 patients die every minute due to unsafe care. For Patient Safety Week, the World Health Organization is calling for urgent action to reduce patient harm in healthcare. On this theme, Manitoba discloses…
Healthcare – Creating Value for Patients Canadian healthcare policy limits true innovation by clinging to outdated thinking developed in times of much slower change and technological sophistication. If we want patients to benefit from technological innovation, Canada must relax or reinvent…
Healthcare – Creating Value for Patients The last place I want to receive care is the hospital. There are innumerable advantages to being treated in home for the patient, family, and healthcare system. Treating acute care patients in the home…