Tag: Patient Safety

Friday Night at the ER: Fun Learning Through a Tabletop Simulation

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Actually being a patient in the emergency department is a learning experience, to say the least. I've done that twice in the past twelve months (two cases of really bad stomach flu with high fever). I don't recommend this if you can avoid it. What I do recommend is an interactive learning experience called "Friday Night at the ER." More about that in today's post...

Podcast #317 – Patricia Morrill, “The Perils of Uncoordinated Care”

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My guest for Episode #317 of the podcast is Patricia Morrill, a speaker, trainer, consultant, researcher, and author of the book The Perils of Un-Coordinated Healthcare: A Strategic Approach toward Eliminating Preventable Harm. With 30 years of experience in the healthcare industry, she has focused on blending operational efficiencies with healing environments. Patricia has successfully integrated Lean and Project Management methodologies with organizational strategic goals to build roadmaps for execution. Check out her website and her blog. In today's episode, we discuss her personal story about her mother's death that came as the result of a preventable medical error. What can be done to prevent medical errors, harm, and death?

A Lean Healthcare Job Interview Process: Thoughts and Reflections

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Mark's Note: I asked my firiend Sam Selay to write a blog post on this topic after some private discussions that we had. He agreed and shared this post. I've talked to many others who have run into similar roadblocks and frustrations when trying, with the best of intentions, to bring their Lean skills and experience into healthcare. Sam was one of the contributing authors to the anthology "Practicing Lean," which is now available through Apple iBooks, in addition to Amazon (Kindle and paperback), and Leanpub (eBook and audiobook). Here is his post: In June, I was informed by my employer that the company had decided to go in a new direction. They said they would now build lean into their processes and enable process owners to be responsible for all continuous improvement functions. To date, I don’t know many organizations that have been able to successfully embed lean into everyone’s work and sustain it.

Podcast #310 – Steve Shortell, The Impact of #Lean on Healthcare...

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Joining me again for Episode 310 is Stephen M. Shortell Ph.D., MPH, MBA. He is Blue Cross of California Distinguished Professorship, HPM and is a Professor of Organizational Behavior at the University of California, Berkeley School of Public Health.  He was previously a guest on Episode 267 talking about the establishment of the Center for Lean Engagement and Research (CLEAR) at the University of California, Berkeley, where he is the director.  In this episode, we talk about some initial research that they released in a paper that was published in The Joint Commision Journal on Quality and Patient Safety: "Use of Lean and Related Transformational Performance Improvement Systems in Hospitals in the United States: Results From a National Survey"

Lean Healthcare Featured in “The Economist”

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It's great to see Lean healthcare featured in one of the world's leading news and business publications. The Economist recently published this article: "Hospitals are learning from industry how to cut medical errors"

Understanding Variation: A BBC Simulation of Hospital Surgical Deaths

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I'll be teaching my "Better Metrics" workshop (aka "Measures of Success," ala my book) twice in June: Cambridge Investments - Open for Public Registration (Fairfield, Iowa) -- June 5 Lean Healthcare Transformation Summit (Chicago) -- June 13 After facilitating the Red Bead Experiment in the workshop, one other way I've found to simulate variation is an online simulation that's available, of all places, on the BBC website: "Can chance make you a killer?"

Quality Improvement Through Obfuscation?

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Healthcare is full of terms that obfuscate things. Ironically, use of the word "obfuscate" can be an example of obfuscation. Instead of saying, "Healthcare leaders often obfuscate a situation," we can say, "The language used in healthcare often makes things sound better or more complicated than they really are."

Notes from Hearing Captain “Sully” Sullenberger Speak: Humility, Leadership, and Safety

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After I kicked off the Lean Six Sigma World Conference this week, I had the fantastic opportunity to hear the now-legendary Captain Chesley "Sully" Sullenberger...

[Cartoon] The Elephant in the (Board) Room

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Today's post is my eighth cartoon collaboration with a skilled artist and medical assistant, Carrie Schurman (see past cartoons).  You can find her on Twitter as @carrieschurman.

Giving Tuesday: The Louise H. Batz Patient Safety Foundation

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Today is a day known as "Giving Tuesday," to follow up the commercially-driven "Black Friday" and "Cyber Monday" days. It's a great day to give to any cause or organization that's meaningful to you. One organization that I choose to give to throughout the year is the Louise H. Batz Patient Safety Foundation. The Batz Foundation produces practical and helpful guidebooks and apps to help protect patients during their hospital stay or other healthcare encounters.

What Do We Learn From Charting a Reduction in CLABSI Rates...

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I'm in San Francisco for Lean Startup Week. Please say hi if you're here! Follow hashtag #LeanStartupWeek for details the rest of the week....

“Our Hospitals Are Killing Us” – From a 1966 Magazine

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Three or four months ago, in the midst of a discussion on LinkedIn about patient safety, somebody made reference to a 1966 cover story...