AI tools are showing up everywhere in healthcare — for clinical decision support, operational analytics, and now for learning and coaching around improvement methodologies. If you’re a healthcare leader exploring AI, you’ve probably already been pitched a few. Most evaluation…
We all say mistakes are a part of learning. Or at least many of us do, as individuals. But how many organizations actually act that way? Too often, people are punished for systemic errors. So, problems get hidden. When problems…
tl;dr: Checklists don’t prevent mistakes unless people actually use them, and they work best in cultures where it’s safe to speak up. A missed step in a webinar setup shows how Andon-style intervention–someone noticing a problem and saying something–can quickly…
I bet the company that services my pool was surprised that I had a checklist-related process improvement suggestion for them after a mistake was made instead of being angry and wanting somebody punished or talked to...
Here’s a video interview with Dr. Peter Pronovost, author of the book Safe Patients, Smart Hospitals: How One Doctor’s Checklist Can Help Us Change Health Care from the Inside Out, via AARP. It’s a brief synopsis of the patient safety…
It’s my second post about the TV show Grey’s Anatomy, the first being “McDreamy” Fights the Blame Game on “Grey’s Anatomy.” Each post makes it less believable that I don’t watch the show religiously. Thanks go to my wife for…
Here’s a great story from my home state where I grew up, Michigan: “Hospital checklist helps pneumonia rates tumble by 70%.” From the article: Ventilator-associated pneumonia rates plummeted 70% at Michigan hospitals when physicians and other medical staff members improved…
Regular followers of my blog know that I’ve been creating audio podcasts since 2006. Later today (at 3 PM), I am publishing #86 in the series, an interview with David Sundahl, PhD of Rule 4 Consulting. I’ve made mistakes every…
Here is a nice 5-minute introduction to the topic without too much mockery from Jon Stewart! Stewart even makes a Star Wars reference – an example of people with high responsibility following checklists to avoid mistakes:
I just finished Dr. Atul Gawande’s latest book, The Checklist Manifesto: How to Get Things Right. I believe that this book is the single most important book of the year for ANY Lean leader, not just people working in healthcare.…
Thanks to my friend Amber for telling me about Dr. Atul Gawande’s interview on NPR’s Morning Edition yesterday. Regular readers of the blog will know I’m a huge fan of Gawande’s previous books Complications: A Surgeon’s Notes on an Imperfect…
Hulu – ER: Old Times – Watch the full episode now. Thanks to Bryan to bringing this episode of ER to my attention. I don’t normally watch it, but my wife always DVRs it, so I was able to watch…
