FREE BOOK CONTEST UPDATE
For the rest of May, we are accepting submissions of Everyday Lean, examples from our daily lives of how lean can make stuff easier, simpler and more effective. Here is the original post and contest details. Here are two of…
Search Results for proofing
MD’s "Passive Aggressive" with Standard Practices
USATODAY.com – ‘Wrong site’ surgeries on the rise It’s supposed to be a standard practice, since 2004, for preventing “wrong site surgeries” — placing a big “X” on the surgical site, to prevent the surgical team from operating on the…
Doctor Suspended For THIRD Wrong Surgery
theledger.com Talk about not learning from your mistakes. There are so many simple ways of error proofing surgery, including having procedures in place to confirm the right patient is on the table and that the right surgery is about to…
Everyday Poka Yoke
Everyday Examples of Mistake-Proofing I’ve linked to this web page before, but I love it and I’ll link to it again, on the topic of error proofing. Please check out my main blog page at www.leanblog.org The RSS feed content…
What Are We Searching For?
No, this isn’t a 5S discussion. Every once in a while, I peek at the blog servers stats to see what people search for (on Google, for example) before getting here to the blog. This is just a sample that…
Why doesn’t this marker cap fit?
Bad Designs – Why doesn’t this marker cap fit? This is a fascinating website, full of examples of things that are designed poorly. Many of them are designed poorly because they don’t include error proofing as a core principle, such…
USPS Christmas Card Damage: A Lean Lesson on Defects and Root Causes
Happy Holidays, everyone. One of my Christmas cards that I sent out was returned by the Post Office, the envelope and card had pretty much been ripped in half. The back of the envelope reads, partly, It certainly does! Even…
Lean Healthcare: Protecting Yourself in the Hospital
USATODAY.com – Your health You have to scroll down to see this on USA Today’s site, so here’s the whole article with my commentary. The idea of taking a water gun into your hospital room with you seems funny, if…
Operating on the wrong body part
Serious errors by doctor, nurse reported at St. Mary’s Medical Center This kind of article is published far too often, but this statistic is alarming: “Doctors operating on the wrong body part have been a rare but persistent problem. In…
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…
Workers Trigger Outage By Connecting Wrong Wires
NBC 4 – News – DWP: Workers Trigger Outage By Connecting Wrong Wires A few thoughts come to mind reading about this. First off, if a single employee error can cause such wide blackouts, is that more of a systemic…
Surgeons Remove Wrong Kidney
7Online.com: Investigation on After Surgical Error A scary example of the type of medical mistake that happens far too often. I hope that “augmenting their procedures” includes standard work and poka-yoke (error proofing) steps. Sad, sad case. Please check out…