Tag: Blame
Some Questions About Managers
Earlier this week, I asked some questions that managers and leaders should ask, prompted by an email I received through the blog.I've been thinking...
This Story Gets It Right On Healthcare Errors
'It's never just one thing' that leads to serious error - Los Angeles TimesThis is a stunning headline, it's pretty amazing (in a good...
Quaid Case Update: Whose Responsibility is Standardized Work?
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...
Adverse Drug Events and Harm in Hospitals – Follow Up on...
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...
Updated: How Often Must the Same Mistake Be Repeated?
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...
"Heightened Vigilance" is Not Enough
The Sun Chronicle Online - OpinionA medical error was in the news this week, a teacher was mistakenly given an insulin shot instead of...
Bad Systems in the News: Not the Worst "Oops" Possible with...
The Lean Thinker ยป What Nukes?I had been mulling over trying to do a post on this story since the original story broke...
Kids Learning About Lean
SaukValley.com - Serving Dixon, Sterling & Rock Falls:Here's a news story about career day at a High School and someone talking about Lean (I...
This Will Happen Again, Unless…
Medical mix-up, unnecessary mastectomy - Health - MSNBC.com
This will happen again, unless the process is fixed. Lean can help. Please read on...
I...
"An Organizational Accident"
'Chicago Way' is no way to run mass-transit system It's something I've written about before, about how the media and the public tend to...
A History of Blame
Blame -- Article by Mary Poppendieck
Here's a nice article by Mary Poppendieck, who is known for her work with Lean software development (including the...
Profile of ThedaCare’s CEO
John Toussaint, M.D. - ProfileFrom the University of Iowa alumni site, here's a nice Q&A with one of the leading advocates for Lean in...