Insights about improvement, innovation, and leadership… Dear Readers, Covid-19 has disrupted the world. We have been thrust into a situation where we are required to rapidly adapt and innovate, and the stakes have never been higher. Lean principles of continuous improvement…
Healthcare – Creating Value for Patients Running controlled experiments for evaluating interventions in healthcare is usually infeasible – the presentation of patients can be random and most factors are impossible to control. However, experimenters can benefit from the quasi-random assignment…
Healthcare – Creating Value for Patients Developing a culture of patient safety requires the ability to raise risks without fear of reprisal. This post from leanblog.org about a nurse who failed to report a critical incident for fear of being immediately…
Healthcare – Creating Value for Patients “We have a good people in a bad system”. Here’s an excellent interview with Dr. Marty Makary, author of “The Price We Pay”, on how to address the challenges of the US Healthcare system. Who knows…
Healthcare – Creating Value for Patients It’s been more than 10 years since Atul Gawande wrote The Checklist Manifesto, showing the world that a simple 2-minute checklist prior to surgery resulted in fewer deaths. Adoption is “pretty spotty”, and in…
Here are the most clicked articles of the last half of 2019 mixtapes: Many of you were interested in links with interesting questions about operational excellence: How Can There Be Standards in a Service Job When No Two Instances Are The…
Healthcare – Creating Value for Patients “Imagine walking into a restaurant and being seated. Sometime after your meal, you receive the check and find an additional charge that was not indicated on the menu or previously mentioned by your waiter.…
Healthcare – Creating Value for Patients If you set a target without providing a clear path on how you want it achieved, and then punish staff when they fail to achieve it, then staff will achieve the target – by any means necessary and…
Healthcare – Creating Value for Patients Transformation and quality improvement is rarely sustained without changing management behaviours and management systems. John Toussaint writes about the challenges of adopting lean management systems in the NHS in “Is quality a strategy or an operation?”.…
Healthcare – Creating Value for Patients Globally, at least 5 patients die every minute due to unsafe care. For Patient Safety Week, the World Health Organization is calling for urgent action to reduce patient harm in healthcare. On this theme, Manitoba discloses…
Healthcare – Creating Value for Patients Canadian healthcare policy limits true innovation by clinging to outdated thinking developed in times of much slower change and technological sophistication. If we want patients to benefit from technological innovation, Canada must relax or reinvent…
Healthcare – Creating Value for Patients The last place I want to receive care is the hospital. There are innumerable advantages to being treated in home for the patient, family, and healthcare system. Treating acute care patients in the home…
