L.I. Hospital Scrutinized After Deaths of Patients – New York Times It wasn’t the same laboratory this time, but it’s more than likely a similar root cause. I wrote before about pathology specimen labeling errors, how they’re preventable human error.…
PEPCON disaster – Wikipedia, the free encyclopedia In some Saturday afternoon background TV watching, my ears perked up when I heard about this story on the History Channel, from 1988. A factory, in Nevada (just outside of Las Vegas) had…
Dennis Quaid’s newborns reportedly harmed by medical mix-up – Los Angeles Times (Updated 4:57 PM, again at 9:51 PM, see bottom of post) If this story sounds familiar, it’s because it is the exact same error as one that killed…
LeanBlog Podcast #32 once again features our friend and frequent guest, Norman Bodek, noted lean author, consultant, and President of PCS Press. In this episode, Norman talks about his recent study trip to Japan and what he saw there. If…
The Lean Thinker » What Nukes? I had been mulling over trying to do a post on this story since the original story broke in August that some nuclear-armed cruise missiles were “accidentally” or “mistakenly” moved from one base in…
In the October 29, 2007 issue of FORTUNE, there is their weekly “How I Work” segment that profiles and/or glorifies an executive. This time it is Bobby Kotick, CEO of videogame maker Activision. They’ve evolved from Atari 2600 “tapes,” to…
Huge Price Paid for Stupid, Careless Medical Error | Tortdeform Lots of discussion of the sad case of the mixed up laboratory specimens and Darrie Eason having the unnecessary double mastectomy. One comment (from a reader of the blog I…
‘I don’t want this to happen to anyone else’ This will happen again, unless the process is fixed. Lean can help. Please read on… I heard about this story this morning, this horrible tragedy where a 35-year old woman, Darrie…
The Informed Patient – WSJ.com Here’s an article ($$) about hospitals working to prevent bedsores or “pressure ulcers” as they are called. I didn’t get around to blogging about this more fully, but it was in the news recently that…
Thursday: Newer pools minimize risk of drain accidents, officials say You might have seen this heartbreaking story on the news, the 6 year-old girl who suffered gruesome injuries from a swimming pool drain. These tragedies are somewhat common, when viewed…
I’ve been asked a few times by blog readers about the movie “Sicko” since I work in the healthcare world. It opens tomorrow in the U.S. I haven’t paid for a Michael Moore movie since “Roger and Me,” a movie…
In Bid for Better Care, Surgery With a Warranty – New York Times This outstanding NY Times article isn’t about “Lean” per se (they don’t call it out by name), but you can definitely see elements of Lean Thinking abound.…
