Tag: Patient Safety

Dr. Deming on Why Improvement Stalls Out, Today’s Hospital Patient Safety Parallels

Dr. Deming on Why Improvement Stalls Out, Today’s Hospital Patient Safety Parallels

Can leaders get some improvement just by asking for it? Does improvement stall out if we don't have a method for doing so? What can "process behavior" charts show us in our work today?

Contest: Win a Set of #Lean & #PatientSafety Books Plus Some StoreSMART Supplies

Contest: Win a Set of #Lean & #PatientSafety Books Plus Some StoreSMART Supplies

StoreSMART, a Rochester, New York-based manufacturer and retailer, has been an advertiser on this blog for over six months now. I also very much appreciate that they are trying to learn how to better serve those who are practicing Lean...

By January 12, 2017 1 Comments Read More →
#TBT: What CFO Magazine Wrote About #Lean in 2009

#TBT: What CFO Magazine Wrote About #Lean in 2009

I first blogged about this article back in 2009 and it’s still online:

Keen to Be Lean

The sub headline talks about hospitals being “desperate to cut costs.” Has that changed?

By December 15, 2016 2 Comments Read More →
Visiting the Gemba & Seeing a Growing Culture of Continuous Improvement at Mary Greeley Medical Center

Visiting the Gemba & Seeing a Growing Culture of Continuous Improvement at Mary Greeley Medical Center

Recently, I wrote about an on-site event that I helped the Iowa Lean Consortium and Mary Greeley Medical Center (MGMC) organize… here is my first post about the morning of that event, if you missed it:

By November 11, 2016 3 Comments Read More →
Improving Patient Safety in North Texas

Improving Patient Safety in North Texas

I recently saw this article, as published in a printed magazine that arrived in the mail via the UNT Health Science Center.

The bold headline in the magazine was:

FIRST, DO NO HARM

I appreciate it when a healthcare organization can acknowledge the patient safety crisis in their own publication… and it’s even better when they can take action to reduce preventable harm and death.

By November 9, 2016 0 Comments Read More →
Following Up on the DMC Problems

Following Up on the DMC Problems

This article caught my eye recently:

DMC dirty instruments escaped '15 probe, records show

(via The Detroit News)

By October 4, 2016 0 Comments Read More →
Hospitals Can Be Like Hotels, But Safety is a Far More Important Issue

Hospitals Can Be Like Hotels, But Safety is a Far More Important Issue

This article caught my eye recently:

Skip the Fancy Towels, and Hire More Nurses

(via the NY Times)

By September 30, 2016 1 Comments Read More →
#TBT: Talking to a Friend of Captain “Sully” About Patient Safety

#TBT: Talking to a Friend of Captain “Sully” About Patient Safety

OK, it’s Tuesday… “Throwback Tuesday.” I’ll make that a thing.

Somebody I really appreciated getting to know, before her retirement from healthcare improvement work, was Naida Grunden. She wrote or co-authored two fantastic Lean healthcare books:

By September 13, 2016 0 Comments Read More →
Exposé About Detroit Medical Center, Dirty Surgical Instruments, Dysfunction, and… Lean?

Exposé About Detroit Medical Center, Dirty Surgical Instruments, Dysfunction, and… Lean?

A number of you emailed me about this report in the Detroit News. I grew up in Detroit and my first job was as a carrier for the News. Loved ones have received care from the Detroit Medical Center system… not that you’d want to read about problems like this at any hospital:

Bad Systems & Training, Weak Problem Solving, and Poor Supervision Cause Cancelation of NFL Pre-Season Game?

Bad Systems & Training, Weak Problem Solving, and Poor Supervision Cause Cancelation of NFL Pre-Season Game?

The cancelation of a meaningless NFL exhibition pre-season game is probably one of the least important problems in the world. But, it happened recently and the “comedy errors” is interesting to think about.

By August 23, 2016 0 Comments Read More →
My Lean Healthcare Trip to China: Transitioning From Beijing to Shanghai

My Lean Healthcare Trip to China: Transitioning From Beijing to Shanghai

Continuing my series of blog posts about my July trip to China, today’s post is about the second city I visited: Shanghai. This post has some photos and descriptions of the high-speed train trip and other travel-related details. You can also read previous posts about the Lean healthcare conference that was held in Beijing on the first day.

By August 10, 2016 0 Comments Read More →
What’s Up at Virginia Mason Medical Center? Top Rankings & Joint Commission Problems

What’s Up at Virginia Mason Medical Center? Top Rankings & Joint Commission Problems

I want to preface this post by saying it’s mostly about questions, not answers. I’ve had many readers and acquaintances ask me about what’s been going on at Virginia Mason Medical Center in Seattle.

#TBT: Posts from Julys Past

#TBT: Posts from Julys Past

I’m going to be away from the blog (and Twitter) through July 13, but here are some blog posts from Julys of years past.

2015: See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

Sorta Live Blogging Fox News “Beware! Danger at the Doctor” (Part 1)

Sorta Live Blogging Fox News “Beware! Danger at the Doctor” (Part 1)

However, administrators will not disclose the actual number of safety events that occur at the hospital. According to Apkon, going public with error rates could backfire by making various departments look bad. Even if the hospital could provide context for the error rates, public reporting could deter employees from reporting mistakes. “It’s a tough balance,” he said.Recently, Chris Jerry, a friend in the patient safety movement told me that he was going to be interviewed on a Fox News Channel program about medical errors. You can read or listen (here and here) to my podcasts with him, where he talks about the sad case of his daughter’s death, his reaction, and the Emily Jerry Foundation.

The Blame and Shame(ful) Culture of Healthcare

The Blame and Shame(ful) Culture of Healthcare

Mark’s Note: This is another guest post by Drew Locher (check out past posts and my podcast with him). There’s been a lot in the news about “medical error” arguably being the 3rd leading cause of death in the United States. But what about the errors that don’t cause death, but cause harm and/or annoyance? Drew writes about one such case today and it hits close to home for him…

Seven Years Ago and a Week: A Patient Safety Story

Seven Years Ago and a Week: A Patient Safety Story

Mark’s note: Today’s post is written by Laura Townsend, the founder of the Louise H. Batz Patient Safety Foundation. I learned about the foundation when I moved to San Antonio four years ago and am honored to serve on their board. Laura and her family, like others in the patient safety movement, have found the strength and faith required to turn a preventable tragedy, the death of her mother Louise Batz, into something that helps others and their loved ones avoid a similar fate.

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Key Tweets from @MarkGraban – Week of April 18, 2016: Frontier #FAIL, Plank Meetings, A Lean Learner on NPR

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here.

Key Tweets from @MarkGraban – Week of March 28, 2016: Moving, Sticky Notes, Berwick

Key Tweets from @MarkGraban – Week of March 28, 2016: Moving, Sticky Notes, Berwick

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here.