Tag: Blame

Some Questions About Managers

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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

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'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?

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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...

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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?

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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

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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...

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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

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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…

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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"

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'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

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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

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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...