Why Did Some Patients Get Injected With 5X the Pfizer Covid Vaccine Dose?
Before I get into this post, I want to also point you to another post that I wrote for the Value Capture blog:
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Browsing Tag
Error Proofing
Blaming “Human Error” Isn’t an Excuse for Wasting 500 Doses of…
During this "let's try to get people vaccinated" phase of the Covid-19 pandemic, almost every article that I've…
A Throwback to Another #ThrowbackThursday: Yet Again, the Wrong House Was…
I can't believe that I'm once again writing about this. But, I saw in the news that ANOTHER house was mistakenly…
The More I Travel, the More Kaizen Opportunities I Create
Many of you have asked if I'm at the AME Conference this week in Chicago. I am not, as I had a previous invitation…
A Brief Summary of My First Trip to Brazil: Beef, Emojis, Buses, Lean, and More
I got back Sunday morning from my first trip to Brazil. I had a great time last week as a guest of a company…
A Lack of Standardized Calendars Contributes to my Scheduling Mistake
My wife recently had some work meetings in Louisville, Kentucky and she had a great idea... "Why don't you fly…
I Can’t Believe You Can’t “Undo” This Thing in Microsoft…
Lean focuses on making it easy for people to do the right thing. We also work hard to "error proof" processes and…
How Checklists and the “Andon Cord” Concept Can Help With Webinars
For years, Dr. Greg Jacobson and I have used checklists when prepping for and running our various webinars via…
So Who Else Forgot to Pack Socks?
Last week, I had the chance to teach and facilitate a Lean education session for a group of health system…
So, I Finally Left an iPad Behind in an Airplane Seatback Pocket
The "Miracle on the Hudson" was 10 years ago today. Read my blog post about hearing Sully speak at an event last…
Throwback Thursday: This is Not a Drill — It Happened Again
I really don't enjoy the type of "Throwback Thursday" posts that are triggered by something in the news that…
The Academy Awards Add an Inspector, Practice “Andon Cord Pulls,”…
Tomorrow, my post will be about headlines that scream about ratings for The Oscars being "down from last year" or…
The Response to the Hawaii False Alarm Can’t End With Firing Someone
Saturday, you might have seen the news about a "false alarm" push alert that was sent to many iPhones and other…
Signs, Error Proofing, and Explaining Why in the Gym
Are warning signs or instruction signs effective when they just tell people what to do? Should we use error…
Flashback Friday: Demolition Errors, Mistake Proofing, and Healthcare
In recent years, I've written two blog posts about the sad scenarios where the wrong building was demolished by a…
Why I Was Happy My Website Host Mistake Proofed Against Me Deleting the Wrong Site
Mistake proofing is a core Lean / TPS concept that makes it harder for people to do the wrong thing. Ideally, we…
The Oscars, An Embarrassing Preventable Error, #Lean, and Process Improvement
Alternative headline: “Poorly Designed Card Trips Up Beatty and Dunaway at The Oscars.” Or “A Bad Process Beats…
This Coffee Maker Wasn’t Error Proofed, So I Got a Lousy Cup of Coffee
When I was on vacation, my wife and I rented an apartment in Beaune, France instead of getting a hotel room. At…