Tag: Patient Safety

Patient Safety: Learning, Leadership, and Safer Healthcare Systems

Patient safety doesn’t improve through punishment, vigilance posters, or telling people to “be more careful.” It improves when leaders design safer systems, support speaking up, and focus on learning instead of blame. This archive brings together blog posts, podcasts, and reflections on patient safety through a Lean lens—exploring medical errors, near misses, psychological safety, leadership behaviors, and how healthcare organizations can reduce harm by fixing systems rather than blaming individuals.

A Bar Chart Said 24% Reduction — A Process Behavior Chart...

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Most hospital quality dashboards are designed to answer one question: Are we OK? Green means yes. Red means no. The trouble is, once the...

Staff Had Concerns: What a Surgeon’s Manslaughter Charge Tells Us About...

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A Florida surgeon, Thomas Shaknovsky, was indicted on a second-degree manslaughter charge on April 13. The charge followed the death of William Bryan, a...

Hospitals Still Miss Half of Patient Harm Events — And the...

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A new report from the HHS Office of Inspector General (OIG), released in July 2025, found that hospitals failed to capture 49 percent of...

Healthcare Cost Pressures Are Real — But the Cost of Patient...

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TL;DR: Healthcare cost pressures are real, but the cost of patient harm in healthcare is far higher. Preventable events like wrong-site surgery drive massive...

Why “You’re Being Safe” Should Be the Norm in Every Operating...

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"I wish moments like this didn't seem so noteworthy. I wish focusing on safety and thanking people for speaking up was the norm in...

Ryan McCormack’s Operational Excellence Mixtape: July 11, 2025

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This edition of Ryan McCormack's Operational Excellence Mixtape reflects on the systems, leadership, and mindsets required for lasting improvement. From honoring Dr. Lucian Leape's...

Medical Mistakes and Patient Safety: Asking “Why?” Instead of “Who?”

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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...

Driving a Culture of Patient Safety: Lessons for Healthcare and Beyond

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Recently, I had the pleasure of moderating a webinar titled "Driving a Culture of Transforming Patient Safety with KaiNexus" featuring leaders from Our Lady...

Preview: Driving a Culture of Accountability – Transforming Patient Safety with...

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One of the most powerful elements of continuous improvement is the ability to learn from each other across organizations--even across industries. That's one of...

Innovating Patient Safety: Mike Eisenberg Discusses Healthcare Technology and Trust

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Scroll down for how to subscribe, transcript, and more My guest for Episode #523 of the Lean Blog Interviews Podcast is Mike Eisenberg. He's been...

Nominate a Weezie’s Angel Healthcare Hero for Patient Safety and Outstanding...

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In 2014, The Louise Batz Patient Safety Foundation developed the Weezie's Angel Healthcare Hero Award in honor of Louise Batz, who was lovingly called...

Preventing Surgical Errors: Effective Strategies Over Warning Signs in Operating Rooms

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This is a Chat GPT / Dall-E generated image: It's silly, right? I've never seen a sign like this in an operating room. And I'm...
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