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…
TL;DR: Two Japanese hospitals improved patient safety by combining Toyota-style problem-solving with psychological safety. By making it safe for staff to report problems and near misses, leaders uncovered more issues, learned faster, and reduced harm–turning safety into part of daily…
My guest for Episode #353 of the podcast is somebody whose work I’ve appreciated for a long time — Quint Studer. I was first introduced to his book Hardwiring Excellence back in 2005 and I’ve been following his work (and…
t;dr: A visit to Toyota’s North American headquarters offered more than a virtual plant tour. It revealed how Toyota blends the Toyota Production System, Lean leadership, and learning from crisis to build trust, improve communication, and continuously improve–inside and outside…
When I blogged a summary of my recent Brazil trip, I said I’d write more about my visit to a hospital… so here’s that post. Thanks again to my hosts, Gemba Group, the consulting and training firm that has been…
This past Saturday was, of course, the 50th anniversary of the first moon landing. It still puzzles me why mankind hasn’t been back on the moon in my lifetime — see an article about that. The first trip to the…
Here is an article that caught my eye recently, from HBR: “How One Health System Overcame Resistance to a Surgical Checklist“ Seeing the word “resistance” always makes me wonder if the health system in the article was blaming surgeons (or…
Healthcare – Creating Value for Patients Compelling people with evidence or demanding compliance does very little to drive adoption of new practices – handing out articles, making posters and Powerpoint presentations to ‘educate’, and conducting audits will continue to disappoint. …
My typing is a bit hampered after my finger surgery still. At least my surgery was safe and my outcomes seem to be good. Not everybody is so lucky. This week is the annual Patient Safety Awareness Week. In this…
tl;dr: Human error is inevitable–even for experienced professionals. Forgetting socks on a work trip is harmless, but similar mistakes in healthcare or organizations can cause real harm. The lesson isn’t to “be more careful,” but to design better systems that…
I was recently asked to do a recorded video presentation for a medical conference in Turkey. I spoke about the dual pillars of "The Toyota Way":
Respect for People
Continuous Improvement
The video is about 20 minutes, split about half and half on each of those interrelated topics. I'm coming to you from a hotel room, somewhat tired after a day of consulting.
(Slides PDF and transcript also included)
TL;DR: Captain “Sully” Sullenberger’s leadership lessons from Flight 1549 highlight that safety depends on humility, trust, teamwork, and learning from mistakes–not heroics or checklists alone. High-risk industries like aviation improve safety by focusing on systems, psychological safety, and fact-based decisions.…
