What Didn’t Happen After This Preventable (and Potentially-Fatal) Medication… Mark Graban Feb 20, 2020 4 Blog Here is a story that was sent to me by a blog reader, who needs to remain anonymous. I know the blog reader fairly!-->…
The Path to Patient Safety in Japan (or Elsewhere): Reporting Problems, Solving… Mark Graban Jan 21, 2020 1 Blog As I blogged about this morning, don't forget that you can get a FREE Kindle copy of Practicing Lean today!-->!-->!-->…
What This Hospital President Said About Lean, Respecting Staff, and Just Culture Mark Graban Sep 5, 2019 1 Blog This article made me smile the other day -- especially the comments about Lean, front-line staff, and systems: !-->!-->!-->…
Are Hospitals Not Getting Any Closer to Having “Just Cultures?” Mark Graban May 22, 2018 5 Blog For a long time, I've been an advocate for the parallels between Lean and an approach called "Just Culture." See…
Did Bad Systems & Training, Weak Problem Solving, and Poor Supervision Cause… Mark Graban Aug 23, 2016 0 Blog The cancelation of a meaningless NFL exhibition pre-season game is probably one of the least important problems in!-->…
Podcast #246 – Steve Montague, #Lean, Checklists & #PatientSafety Mark Graban Mar 17, 2016 2 Blog Episode #246 is my second episode in recognition of Patient Safety Awareness Week. My guest is Steve!-->!-->!-->!-->!-->…
Maybe We Should Call it “The Many Whys” Instead of “The Five… Mark Graban Nov 18, 2015 9 Audio There’s no magic about the number five. I’ve seen some people write that five is somehow a “magic number.” No,…
What I’m Reading: Diner Muda, No Blame at Etsy, Toyota Treats Cancer Faster,… Mark Graban Aug 4, 2014 0 Blog In case you missed it, see Saturday's post: "Why Toyota is Eliminating the Andon Cord from its Factories." As I…
Blame: Human Error Occurs Even IF We’re Being Careful Mark Graban May 11, 2014 18 Blog I'm not sure why "error" was put in quotes since this seems like an actual error, not a quote-unquote error: Staff…