Tag: Mistake-Proofing
Why Did Some Patients Get Injected With 5X the Pfizer Covid...
Before I get into this post, I want to also point you to another post that I wrote for the Value Capture blog:
Salem Health...
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 seen about the vaccine and its...
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 demolished in the...
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,...
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 here on Thursday night...
I Can’t Believe You Can’t “Undo” This Thing in Microsoft Excel
Lean focuses on making it easy for people to do the right thing. We also work hard to "error proof" processes and our work...
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 KaiNexus. You can join us...
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 executives and physician leaders...
So, I Finally Left an iPad Behind in an Airplane Seatback...
The "Miracle on the Hudson" was 10 years ago today. Read my blog post about hearing Sully speak at an event last year.
I got...
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 reminds me of something that I've blogged about in the past.
Sometimes, it seems people are doomed to keep repeating the same preventable errors instead of learning from others, improving systems, and mistake proofing things in life. In this post, we look back at repeated errors in pathology, building demolition, and emergency alert systems...
The Academy Awards Add an Inspector, Practice “Andon Cord Pulls,” Avoid...
Tomorrow, my post will be about headlines that scream about ratings for The Oscars being "down from last year" or "the lowest in X years." As I've blogged about before, I'm always skeptical of such simplistic comparisons that might mask the real underlying trend.
But first, could the Academy avoid last year's embarrassing mixup?
