Tag: Blame
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...
Guest Post: What It Means
Mark's Note: Here's part 4 of a series by our guest blogger, Andy Wagner. Start reading with Part 1 here.
"What lies behind us...
Guest Post: Lean Lessons from the Non Profit World
Mark's note: I consider myself very fortunate to have met Patrick Anderson during my journeys in the Lean world. Patrick is the executive director...
Everyday Lean (or Not): Whole Foods and an Herbal Near Miss
Saturday morning, as part of my preparation to cook for a brunch gathering (I really enjoy cooking as a hobby, for those who don't...
Exceptional Efforts in Imperfect Circumstances – Celebrated or Lamented?
Here's a thought starter for a Monday morning - I'm looking forward to hearing your perspectives. A few weeks ago, I heard a leader...
Is Ford’s Resurgence Due to a Less Blame-y Culture Under Alan...
Mark's note: It's great to welcome Andy Wagner back to the blog. Read his older posts here.
General Motors, Chrysler, and Toyota have been dominating...
Of 777s and Heart Rate Monitors
In recent years, healthcare has been learning a lot of lessons from aviation -- including checklists and "Crew Resource Management," as written about in...
How the Gold Medal Puck Was Almost Lost
As an American, and a Red Wings fan, it pains me, in a way, to write about Sidney Crosby and the Canadian team's overtime...