You might be familiar with the case where the actor Dennis Quaid’s twins were harmed by an overdose at the famed Cedar-Sinai Hospital in Los Angeles. I blogged about it originally in late 2007 as the post “How Often Must…
So I’m finally watching the DVR-ed episode from March 10, 2009, that gave widespread exposure to the issue of medical mistakes. Oprah began the show by citing the statistic that errors cause more deaths than “breast cancer, AIDS, and car…
Dennis Quaid Takes Oprah To Hospital That OD’d His Babies This might be the first time I’m DVR-ing the Oprah show. Tomorrow, actor Dennis Quaid will talk about the medical errors that nearly killed his twin babies. For the first…
Dennis Quaid Recounts Twins’ Drug Ordeal, Actor Tells 60 Minutes’ Steve Kroft Medical Errors Kill Thousands – CBS News Did you see the actor Dennis Quaid on 60 Minutes last week? He talked about the sad case where his twin…
I’m blogging notes and thoughts as I watch the Discovery Channel documentary by actor Dennis Quaid and others — “Chasing Zero: Winning the War on Healthcare Harm” that first aired April 24 at 8 am EDT. With laptop and…
If you’re a regular reader, you might recall the Cedar-Sinai medical error that harmed Dennis Quad’s twins (and others). Quaid and his wife are now suing the maker of the drug, Baxter, claiming the company is negligent for not designing…
Here are some follow-up articles, quotes, and data following up on the news from the other day that Dennis Quaid’s twins were impacted by a medication error at L.A.’s Cedar-Sinai hospital. SEE MORE POSTS ABOUT THIS CASE This article points…
A man named Donald Gough died in a Cardiff hospital in November 2022, four weeks after an insulin error during surgery. He was 77, a retired NHS radiographer who had spent more than 50 years working in the same health…
TL;DR: Medication and vaccine errors don’t happen because people are careless–they happen when systems make mistakes possible. This post looks at COVID vaccination examples to show why mistake-proofing, good process design, and psychological safety are essential to preventing harm in…
Eight years ago today, I published a piece originally on LinkedIn as part of their “Influencers” series: Rather than Blaming Employees, Managers Must Take Responsibility for Problems – in a Taco Joint, a Hospital, or a Factory Here is the…
Alternative headline: “Poorly Designed Card Trips Up Beatty and Dunaway at The Oscars.” Or “A Bad Process Beats Warren Beatty Every Time.” What are the Lean lessons from this mistake?
Listen Today’s guest is my friend John Ervin and we were able to sit down together here in San Antonio to record this episode. John has about 20 years of healthcare leadership experience, including in military medicine and the civilian sector.…