A Glimpse into a “3P” Lean Space Design Process
Paul Levy has shared some photos and a video, from Boston's Beth Israel Deaconness Medical Center, that gives a…
Browsing Tag
Pharmacy
Liveblogging the Quaid Patient Safety Documentary
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
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
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…
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
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
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
Kevin Meyer, over at Evolving Excellence, recently wrote a good piece on "endorsing" a U.S. presidential candidate.…
A Pharmacy Transformation and Lean Concepts
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?
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
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?
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
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
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??
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
Kevin, M.D. - Medical Weblog: A woman dies after receiving 8 grams of DilantinI read about this on the blog linked…
"Lookalike" Drug Packaging
Drug makers must think about different packaging | IndyStar.comHere's a picture of the two drugs that were mixed up…
Lack of Error Proofing Kills 3 Babies
This is an incredibly sad, and completely preventable, situation. Three babies are dead, and three more injured,…