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.
I’m going to use this blog post / page to collect published statistics about the impact the Lean management philosophy has had on healthcare quality and patient safety. I will update this over time and this page can be accessed…
There was an interesting blog post at the New York Times: “The Doctor Is In (but Shouldn’t Be).” The piece talks about the healthcare cultural aspects that would drive or pressure a doctor to come to the hospital or the…
Hospital acquired infections continue to be a big problem, one that’s often unsolved except for instances like Dr. Rick Shannon’s work at West Penn-Allegheny and UPenn and the “checklists” approach used at a number of hospitals around the world. One…
Here’s a great essay from Tom Peters, a chapter from his book The Little Big Things: 163 Ways to Pursue EXCELLENCE. The email that was forwarded to me with this content said, “Sharing is permitted,” so if you like this…
Recently, I posted a video of a “daily huddle” meeting at Everett Clinic (not exactly the type of huddle pictured at left). Yesterday, in honor of the Labor Day holiday, I had a post about employee safety and how that…
A number of readers emailed me a link to this New York Times article: “U.S. Inaction Lets Look-Alike Tubes Kill Patients.” The headline emphasizes the lack of governmental oversight, but I’d rather talk about the poor system design that allows…
Many of you may know of Paul O’Neill for the dramatic employee safety improvements at aluminum maker Alcoa and you may know of him from his work in promoting healthcare improvement (he is the “bureaucrat” in “The Nun & the…
Today, I’m linking to a fantastic interview and discussion between two luminaries in the patient safety world – Dr. Robert Wachter (read his blog) and Dr. Richard Shannon (who is featured, among other places, in the “Good News: How Hospitals…
First off, there’s nothing about “Lean” per se in this linked article from Quality Digest: “New York Pediatric ICU Ward Off Central-Line Infections for Entire Year“. That said, there are elements that are very similar to both Lean and the…
Lean thinkers and TPS advocates sometimes get a bad rap as being Luddites. That’s not true, I’d say it’s more that Lean thinkers have a healthy skepticism toward technology being a “silver bullet.” You typically need good process in addition…
If you’re a regular reader of my Lean Blog, you might know more about preventing Hospital Acquired Infections than many healthcare CEOs do, says a report in the Washington Post: “Hospital infection deaths caused by ignorance and neglect, survey finds.”…
The general public still, generally speaking, doesn’t realize how much preventable harm and death occurs in healthcare each year. Efforts like the Dennis Quaid “Target Zero” TV program are trying to educate the public about how common medical harm is…
