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Just as Bad in Canada

globeandmail.com: Private sector health care: Think quality, regulation I don’t think healthcare and quality is a “Private vs. Public” debate. As we’ll inevitably have debate during the 2008 U.S. Presidential election, I think it’s important to keep quality in mind…

Certification and Quality

Modern Healthcare Online (article available to subscribers only, March 12, 2007 Issue) I think it’s been true in the manufacturing world that quality certifications, such as ISO-9001, aren’t necessarily predictors of world-class quality. I’ve seen it be far too easy…

"Be Careful" is Not Enough

I was boarding an American Airlines Super 80 at DFW yesterday, I noticed a warning sign on the controls of the jet bridge. As I’ve said before, “warning signs are not error proofing.” That certainly applies here. There was a…

Lean Blog Challenge Contest Winner

Here’s the winner of the Lean Blog Challenge Contest. Congratulations to Rich, the winner of an MP3 player pre-loaded with the first 13 episodes of the Podcast. Have advice for Rich? Feel free to post your comments here. Check back…

Some Poor Problem Solving

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More travel adventures… I woke up this morning and got into the shower. I was surprised that the soap and shampoo that I used Monday morning was gone (that’s waste, throwing out half used toiletries). I stepped out of the…

Lack of CT Scan Error Proofing Leads to Death

WOAI: San Antonio News – Woman Dies after Medical Mistake at CTRC An 81 year-old woman died tragically after she was injected with 100cc of air instead of contrast die before a CT scan. The documents also state, “Found to…

How Handoffs Can Kill

Hospitals combat errors at the ‘hand-off’ I’ve blogged before about how handoffs in a process create opportunities for errors. I wrote about a trivial situation where I got the wrong muffin and Seth Godin wrote about getting the right breakfast…

Does Toyota Follow Deming’s 14 Points?

When I worked at the GM Powertrain Livonia Engine Plant in the mid-1990s, the hallway display cases held posters celebrating something called “The Livonia Philosophy.” It read, in part, like this: “through trust, communication, and respect for the individual, we…

Poor hospital processes may have killed man

MercuryNews.com | 11/02/2005 | Medical mistake may have killed man It is really sad when errors like this occur, it happens far too often in our hospitals. The newspaper headline used the non-blaming “medical mistake”, while I would prefer to…