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…
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:
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…
There’s so much in the news about “checklists” in the medical context… and I’m convinced that it’s basically the Lean “standardized work” approach in a different name. Checklists help prevent people from making mistakes of omission — forgetting a step…
Thinking back to a letter-to-the-editor that I mentioned last week, this is such a critical point, I wanted to think and write about it again, especially since it was in the comments and not everyone sees that. It’s not the…
WHO Proposes Checklist to Reduce Surgery Errors : NPR A surgical revolution: checklist that could prevent thousands of deaths Thanks to long-time readers Chet and Andrew for pointing out these similar stories, one from NPR in the U.S. and one…
Peter Pronovost – The 2008 TIME 100 – TIME It’s so nice to see someone like Dr. Peter Pronovost on the “most influential” list, even though he’s out of place among the Miley Cyruses of the world (also on the…
Wachter’s World : The Checklist Saga: Victory! This is great news for patients and is probably great news for those of you who have been following the “checklists” saga. The federal government has reversed its earlier decision to shutdown the…