On Thursday, I wrote about the death of Donald Gough at the University Hospital of Wales in Cardiff. He received insulin during liver surgery even though he was not diabetic and had no clinical reason to be given it. That…
Listen: In Episode 43 of the “Lean Whiskey” podcast, Jamie Flinchbaugh and Mark Graban begin by talking about each of our interviews regarding the new book by Steve Spear and Gene Kim, Wiring the Winning Organization. Mark interviewed Steve and…
TL;DR: In healthcare, a “culture of safety” is not a slogan or a delegated program. It is created through consistent leadership behaviors that reward speaking up, focus on learning instead of blame, and make psychological safety real in daily work.…
Update Nov 5 7:30 pm: Added an Addendum / Epilogue to the story at the end of the post Having received a Johnson & Johnson vaccine in March (at Dodger Stadium), I was happy to have the opportunity to get…
I’m very excited that one of the projects that I’ve been working on over the past few months has come to fruition. It’s an eBook, available as a free PDF or as a very inexpensive Kindle book, that collects the…
What happens when a Fortune 500 CEO brings a long-term mindset and a bold commitment to safety into healthcare? In this conversation with Paul O’Neill, former U.S. Treasury Secretary and CEO of Alcoa, we explore how leadership, transparency, and aiming…
Many of you may know of Paul O’Neill for the dramatic employee safety improvements at aluminum maker Alcoa and you may know of him from his work in promoting healthcare improvement (he is the “bureaucrat” in “The Nun & the…
