On August 14, four patients went to Ascension Saint Thomas Hospital Midtown in Nashville for joint replacement surgery. All four were harmed during the procedure. The hospital has not said how. One family says the drug was potassium chloride instead…
TL;DR: Medical mistakes are usually system failures–not individual failures. By asking “why did this happen?” instead of “who caused it?”, healthcare organizations can strengthen psychological safety, fix broken processes, and prevent harm before it happens again. Why Medical Mistakes Are…
Listen: In Episode 47 of the Lean Whiskey podcast, Jamie Flinchbaugh and Mark Graban attempt another experiment with our format, covering a range of quick-hit topics in the news rather than a single deep dive. As always, we welcome feedback.…
TL;DR: Healthcare excellence depends on psychological safety and strong problem-solving. When clinicians and staff feel safe to speak up about mistakes and risks, organizations learn faster, improve patient safety, and deliver better outcomes. Thanks to my friends at Catalysis for…
IVF baby given to wrong woman – as couple’s last embryo was aborted | Mail Online This was front-page news in one of the UK papers that I read coming back from The Netherlands on Sunday. Coincidentally, I briefly saw…
