Hospitals See Benefits of Lean and Six Sigma Regular readers know I often write about what I termed “L.A.M.E.” — Lean as Misguidedly Executed. The ASQ (American Society for Quality) survey that I linked to at the top probably just…
TL;DR: “Toyota’s ‘stop the line’ concept is being adapted for healthcare — empowering any staff member to pause a procedure when something seems wrong, before it becomes a harm event. A surgical tech suspects the wrong patient has been brought…
Heparin errors and patient harm have been in the news quite a bit the last few years. So what are hospital regulators doing about it? Let’s look at the time line here: 2006: Heparin error kills 3 babies in Indianapolis…
WHO Proposes Checklist to Reduce Surgery Errors : NPR A surgical revolution: checklist that could prevent thousands of deaths Thanks to long-time readers Chet and Andrew for pointing out these similar stories, one from NPR in the U.S. and one…
Star-Telegram.com: | 04/28/2008 | Trapped in a waiting game at JPS Update: For those who didn’t catch the update to Monday’s post, it was announced that the CEO will be leaving, with somewhat of a sliver parachute, I guess. The…
Update 5/1/08: The CEO is being forced out, “retiring” in September Star-Telegram.com: | 04/27/2008 | JPS patients get shortchanged as cash surpluses keep growing Secondary article summarizing some of the problems I linked to this on Monday and I’m revisiting…
L.I. Hospital Scrutinized After Deaths of Patients – New York Times It wasn’t the same laboratory this time, but it’s more than likely a similar root cause. I wrote before about pathology specimen labeling errors, how they’re preventable human error.…
Patient Safety Blog – Telling Our Stories Here is an unfortunate story about a surgeon operating on the wrong side of an 86 year-old man, who died sooner after. There’s no clear cause-and-effect between that error and death: The surgeon…