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.
TL;DR: Wrong-site surgery rarely happens because of one person–it happens when small errors, near misses, and unsafe cultures are ignored instead of learned from. This article caught my eye today, and it’s a change of pace to think about and…
Scroll down for how to subscribe, transcript, and more Joining us for Episode #468 of the Lean Blog Interviews Podcast is Jody Crane, M.D. He’s the Chief Medical Officer for TeamHealth, and he was previously a guest for Episode 120.…
Listen: What do you do when you are chosen as Jim Murray’s US Micro Whiskey of the Year? You pop in to join Mark and Jamie on Lean Whiskey to talk about it. At least that’s what our friend David…
I’m happy to have hosted and moderated a panel discussion format webinar that was sponsored by Value Capture. It’s titled: Why Does the U.S. Need a National Patient Safety Board? Click the link above to register. The panelists are two…
Today, I’d like to share an interview that I did for the podcast series called “Habitual Excellence,” which is presented by Value Capture. I had the great opportunity to interview Louis A. Shaprio – Lou is the president and CEO…
You’re invited to view the recording of webinar that I co-presented on Tuesday, October 18th, with Ken Segel, the CEO and co-founder of the healthcare advisory firm Value Capture. Seizing the Healthcare Safety Opportunity: Using the “Playbook” of Paul O’Neill…
I was prompted today to think about an excerpt from my book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement: “In many hospital settings, staffing levels are set by benchmarking data, rules of thumb, habit, or financial constraints. Ideally,…
Thanks as always to Ryan McCormack for this… there’s always so much good reading, listening, and viewing shared here by him! News, blogs, articles, resources, and links about creating value, continuous improvement, innovation, and leadership. Healthcare – Creating Value for…
Today, I’d like to share a recent blog post and a few podcasts from the Value Capture website. First off is a blog post by Ken Segel (Value Capture’s CEO) about an HBR article that he wrote with Dr. John…
Thanks as always to Ryan McCormack for this… there’s always so much good reading, listening, and viewing shared here by him! News, blogs, articles, resources, and links about creating value, continuous improvement, innovation, and leadership. Healthcare – Creating Value for…
TL;DR: A personal story of loss highlights why patient safety depends on systems that prevent harm and cultures where patients, families, and staff feel safe speaking up. Behind every safety metric is a human life. 13 Years Ago This Week,…
Thanks as always to Ryan McCormack for this… there’s always so much good reading, listening, and viewing shared here by him! News, blogs, articles, resources, and links about creating value, continuous improvement, innovation, and leadership. Healthcare – Creating Value for…
