Tag: Patient Safety

Medical Errors: The Names Change, but the Headlines Are Sadly the...

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When I started blogging here in 2005, I was still about six months away from my transition from "lean manufacturing" to "lean healthcare." It...

Healthcare Leaders Need to Actively Manage the System

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Thanks to my friends at the Lean Enterprise Institute for hosting a new article of mine on their Lean Post blog. "The Question All Healthcare...

Talking about Lean Healthcare in Winnipeg – #SDEC13 – and Visiting...

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Thanks to the organizing sponsor Protegra and other sponsors, including my friends at LeanKit, for having me give a keynote talk about the Software...

Hospitals Prioritize Spending on Pretty Buildings over Safety?

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Here's an excellent commentary by  Ashish K. Jha, M.D., M.P.H, a professor at the Harvard School of Public Health: "In The Race For 'Fanciest...

Some Mature & Wise High School Students on Preventable Medical Errors

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Near home in San Antonio, I had a chance to volunteer last Friday, speaking for an hour to a group of high school juniors...

SF General Adopts Lean, Faces a Big Test with a “Never...

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They just started a year ago (better late than never?), but San Francisco General Hospital had its Lean efforts highlighted in the San Francisco...

Too Many Patients Harmed, Too Few Leaders Committed to Real Change?

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I recently received two emails that are worth sharing, in anonymous form here. One was from somebody I know who just quit a Lean...

How Often Does This Get Repeated? CMS and the Underpants Gnomes

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I've recently heard of a scenario in healthcare that I suspect is pretty common, or at least it's not the first time I've heard...

What I’m Reading 8/29/13: Forcing Happiness, Saving $$ By Not Using...

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As we move into the Labor Day weekend, I need to close some browser tabs that are full of things that I was maybe...

Gemba Wine: A Lean Geek Visits Wineries, Part 3

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Following up on my previous posts (here and here) on a recent visit to the Northern California Wine Country, I'm going to share a...

Video: Influencing Hand Hygiene Behaviors

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A friend shared this fun video about how to influence hand washing behavior amongst a group of 12 kids. As the introduction points out,...

ALWAYS Check Two Identifiers – In a Hospital or a Casino

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In hospitals, there's a big emphasis on healthcare professionals always checking TWO patient identifiers to help avoid getting the wrong patient. You might have...
"The Mistakes That Make Us" Receives the Shingo Award!Learn More
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