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.

Quaid Case Update: Whose Responsibility is Standardized Work?

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If you're a regular reader, you might recall the Cedar-Sinai medical error that harmed Dennis Quad's twins (and others). Quaid and his wife are now...

Follow Ups to BIDMC

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If you've been following any of the posts about healthcare, here are a few interesting follow ups.Following up on this post about Boston's Beth...

The Need for Clean Hospitals

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Our Unsanitary Hospitals - WSJ.comThat's "Clean", not a typo of "Lean." Good column in the WSJ today by Betsy McCaughey, head of the...

My At-Home Medical Mistake: Taking the Wrong Version of Day /...

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I'm a bit mad at myself for inflicting some preventable human error on myself last night. It's OK, I didn't harm myself, but let...

Putting the Burden on Patients?

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I saw this ad (click on the photo for a larger, readable view) in the Wall Street Journal Monday. It's an ad run...

Relying on Memory Leads to Errors

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Patient Safety Blog - Telling Our StoriesHere is an unfortunate story about a surgeon operating on the wrong side of an 86 year-old man,...

We Must Follow Standardized Work, Right?

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The Informed Patient - WSJ.comHere's an article ($$) about hospitals working to prevent bedsores or "pressure ulcers" as they are called. I didn't...

I got a blurb on the Marketplace website

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APM Marketplace (Business/Economy radio)As you've read here, I'm trying to help get the word out that we should be not just focusing on access...

The Growing Patient Safety Movement

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The Informed Patient - WSJ.comThis article from the WSJ talks about a trend where patients (or, more often, family members of patients) who were...

Traditional Improvement Methods Compromising Hospital Safety?

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Study: Hospital Goals Sometimes Compromise SafetyWith Lean, we have realized that improving quality does not run counter to decreasing costs. They go together....

Just as Bad in Canada

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globeandmail.com: Private sector health care: Think quality, regulationI don't think healthcare and quality is a "Private vs. Public" debate. As we'll inevitably have...

100% is the Only Goal for Hospital Hand Hygiene

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Ledger-Enquirer | 03/27/2007 | Campaign's goal is to reduce infections To those who might have thought I overstated the situation with hand washing in hospitals,...
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