Systems in Place to Prevent These Medication Errors? Seems Not… Mark Graban Feb 28, 2011 5 Blog A few weeks ago, I saw a horrific story about a retail pharmacy error in the article "Pharmacy Mistakenly Gives…
Report: CPOE Technology is Not a Silver Bullet (No Surprise?) Mark Graban Jul 20, 2010 6 Blog Lean thinkers and TPS advocates sometimes get a bad rap as being Luddites. That's not true, I'd say it's more that…
A Glimpse into a “3P” Lean Space Design Process Mark Graban May 17, 2010 12 Blog Paul Levy has shared some photos and a video, from Boston's Beth Israel Deaconness Medical Center, that gives a…
Liveblogging the Quaid Patient Safety Documentary Mark Graban Apr 24, 2010 8 Blog I'm blogging notes and thoughts as I watch the Discovery Channel documentary by actor Dennis Quaid and others -- …
Reducing Medication Waste for VA Patients Mark Graban Dec 22, 2009 6 Blog Obama Awards Budget-Minded Federal Employee I saw this in the news yesterday about a federal employee from the…
Use 5 Sequential "Whys," not 5 Random Ones Mark Graban Sep 18, 2009 8 Blog I had an opportunity to coach somebody, remotely, the other day on the Lean problem solving process called the 5…
Q&A #3 – Michael Balle, "The Lean Manager" – Medication… Mark Graban Sep 7, 2009 2 Blog I recently invited questions for Michael Balle, the author of the Shingo Prize winning book The Gold Mine: A…
Dennis Quaid and Medical Mistakes Episode on Oprah Mark Graban May 1, 2009 9 Blog So I'm finally watching the DVR-ed episode from March 10, 2009 that gave widespread exposure to the issue of!-->…
Jeff Bezos at the Amazon Gemba Mark Graban Mar 29, 2009 1 Blog Curious at Amazon, but Not Idle - Bits Blog - NYTimes.com This piece about Amazon's CEO Jeff Bezos made me think…
Birthday Ramblings on Errors and Work Design Mark Graban Oct 24, 2008 3 Blog Kevin Meyer, over at Evolving Excellence, recently wrote a good piece on "endorsing" a U.S. presidential candidate.…
A Pharmacy Transformation and Lean Concepts Mark Graban Aug 16, 2008 2 Blog Pharmacy transformed at Women and Children's Hospital Here is a story about a Buffalo hospital that designed a…
A Pharmacy’s Long Turnaround Time? Mark Graban May 6, 2008 1 Blog Star-Telegram.com: | 05/06/2008 | LETTERSOK, so we're piling on JPS Hospital at this point.. but this letter to the…
Follow Ups to BIDMC Mark Graban Dec 1, 2007 0 Blog If you've been following any of the posts about healthcare, here are a few interesting follow ups.Following up on…
Updated: How Often Must the Same Mistake Be Repeated? Mark Graban Nov 21, 2007 16 Blog Dennis Quaid's newborns reportedly harmed by medical mix-up - Los Angeles Times (Updated 4:57 PM, again at 9:51…
Waste in Philly Pharmacies Mark Graban Sep 28, 2007 0 Blog Phila. health agency in disarray | Philadelphia Inquirer | 09/26/2007I saw this in the news as I was leaving Philly…
Say "No" to Bad Drug Stores Mark Graban Apr 1, 2007 15 Blog The Blotter: ABC Report on Pharmacy ErrorsI first stumbled across this 20/20 report when I saw a preview on the ABC…
More Education or a Better Process?? Mark Graban Feb 3, 2007 0 Fatal Dose: Ohio Girl is Killed By Medical MistakeHere is a sad story of a girl's death due to a hospital pharmacy…
A Hospital Death in Florida Mark Graban Jan 24, 2007 5 Kevin, M.D. - Medical Weblog: A woman dies after receiving 8 grams of DilantinI read about this on the blog linked…