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.
My guest for episode #220 is somebody I’ve wanted to interview for a long time, Dr. Robert Wachter, one of the leading voices in the modern patient safety movement. He’s most recently author of a brand-new book The Digital Doctor:…
My guest for episode #218 is Karen Kiel-Rosser, Vice President/Quality Improvement Officer at Mary Greeley Medical Center in Iowa. You might remember Karen from a recent post where she told a great story about putting patient safety first. We’re talking today…
This week is the annual Patient Safety Awareness Week, presented by the National Patient Safety Foundation, a non-profit that I like and support. As Lean thinkers, I hope we’d recognize that the amount of patient harm and death that’s caused…
Some of you might know that I’m on the board of a Texas-based non profit, the Louise H. Batz Patient Safety Foundation. It’s an important organization that helps patients, family members, and hospitals work together in the name of better…
Today’s post is hosted over at LinkedIn, as part of my participation in the LinkedIn Influencers series. The post is titled: “The One Thing Google Should Show When You Search for a Hospital.” It’s not about Lean per se, but…
In yesterday’s blog post (“Safety is always our top priority” – From lip service to daily practice?“), I challenged hospital leaders to back up the “happy talk” with real action and stories about putting safety first. It’s easier said than…
It’s really easy to make statements like “patient safety is our top priority.” That same statement can be applied to hospital staff, as well. Or, it should. But the “happy talk” (as Pascal Dennis calls it) isn’t always followed up…
Listen Today’s guest is my friend John Ervin and we were able to sit down together here in San Antonio to record this episode. John has about 20 years of healthcare leadership experience, including in military medicine and the civilian sector.…
It’s easy to point fingers at others who don’t do what they know they’re supposed to do. Why don’t those nurses and doctors properly clean their hands when they enter and leave every patient room? Why do some surgeons still…
For today’s “Throwback Thursday,” I recently re-watched parts of a DVD I helped produce a few years back for the ThedaCare Center for Healthcare Value — Thinking Lean at ThedaCare DVD: Strategy Deployment, Alignment & Leadership. In the video, ThedaCare’s CEO, Dr.…
Healthcare has become very politicized in the U.S. (and in Canada and other countries). I think the patient safety crisis (and trying to solve it) is something that should be a non-partisan issue. Neither party wants patients to die from…
Today and tomorrow, I’m attending the “Patient Safety, Science & Technology Summit” in Irvine, California, as part of my role as a board member for the Louise H. Batz Patient Safety Foundation. I’m taking notes via Twitter and I will post some below.…
