Tag: Blame
Systems in Place to Prevent These Medication Errors? Seems Not…
A few weeks ago, I saw a horrific story about a retail pharmacy error in the article "Pharmacy Mistakenly Gives Pregnant Woman Abortion Pill."...
Podcast #113 – Aubrey Daniels, PhD, “Safe by Accident?”
Episode #113 is a discussion with Aubrey Daniels, PhD, the founder and chairman of his firm Aubrey Daniels International. Today, we are talking about...
10 Key Lean Mindsets for Healthcare
I really enjoyed having the chance to be in Cincinnati yesterday to participate in a Lean Healthcare workshop put on by TechSolve, a non-profit...
Podcast #111, Jeffrey Liker on Toyota’s Challenges and His New Books
Episode #111 brings us some time with Professor Jeffrey Liker from the University of Michigan, the well-known author of many books in the The...
Do Good Coaches Brush Off Feedback from the Team as Whining?
I got a question via Twitter yesterday from somebody who asked how to help production operators make the case to supervisors that their kaizen...
Reader Question: When the Stated Values Don’t Match Daily Reality
I received a question from a reader, a retiree from a manufacturing company who is now a volunteer for a healthcare organization. We have...
Hoarders and Stashers? Ask Why…
Short post today, but a simple message, I think. One of the best lessons I've learned about Lean management is about the need to...
Let’s Sign Documents Promising Not to Make Errors?
You might remember me blogging about the Indianapolis incident where three babies died after being mistakenly given an adult dose of heparin back in...
Avoiding the Risks of Using Glib Quotes in Patient Safety Discussions
Yesterday, I tweeted a quote about patient safety that I've seen posted on the wall or bulletin board in many hospitals:
"To err is human,...
3 Reasons the General Public Doesn’t Think Healthcare Can Improve
Lean thinkers see the waste in healthcare when they are at the hospital "gemba". I think this is true whether you are a Lean...
Reader Question: Rapid Response Teams (Oops, We Don’t Have the Items)
I received an email from a reader that I'm sharing and commenting on with permission.
"Dear Mark: I am a lean coordinator for a manufacturing...
A First-Person Lean Leadership Story from John Toussaint, MD
I've had the pleasure to work with Dr. John Toussaint, CEO of the ThedaCare Center for Healthcare Value, over the past year. John's...