Tag: Quality

If a Surgeon or Hospital Puts Quantity over Quality, Why Call it a “Factory?”

If a Surgeon or Hospital Puts Quantity over Quality, Why Call it a “Factory?”

I get worked up about labeling a troubled surgical department as "a factory," but there are far more important issues of patient safety and hospital culture to be discussed related to a Seattle Times investigative piece.

By February 23, 2017 8 Comments Read More →
#TBT: What CFO Magazine Wrote About #Lean in 2009

#TBT: What CFO Magazine Wrote About #Lean in 2009

I first blogged about this article back in 2009 and it’s still online:

Keen to Be Lean

The sub headline talks about hospitals being “desperate to cut costs.” Has that changed?

By December 15, 2016 2 Comments Read More →
How Can a Story Like This Occur in Any E.D., Yet Alone a Hospital With a Lean Program?

How Can a Story Like This Occur in Any E.D., Yet Alone a Hospital With a Lean Program?

This story was sent to me by somebody I know with a Lean manufacturing career. It’s shocking, but it could happen anywhere, I suppose. I’m not going to name names… the author of this has allowed me to share it, without mentioning him or the health system.

By November 14, 2016 14 Comments Read More →
Patriots’ Coach Bill Belichick : Surface Tablets :: Some Doctors : EMR Systems

Patriots’ Coach Bill Belichick : Surface Tablets :: Some Doctors : EMR Systems

I saw this article the other day on Deadspin, one of my favorite non-Lean blogs/sites.

Bill Belichick, head coach of the New England Patriots, got really frustrated with an NFL-provided Microsoft Surface tablet. As with many technology issues, it wasn’t the first time he experienced a problem.

By October 20, 2016 3 Comments Read More →
Following Up on the DMC Problems

Following Up on the DMC Problems

This article caught my eye recently:

DMC dirty instruments escaped '15 probe, records show

(via The Detroit News)

By October 4, 2016 0 Comments Read More →
A Prof Writes About “Proof that Operational Excellence Works in Healthcare!”

A Prof Writes About “Proof that Operational Excellence Works in Healthcare!”

This article caught my eye recently:

Skeptics - We have Proof that Operational Excellence Work in Healthcare!

(via The Ohio State University)

By October 3, 2016 0 Comments Read More →
Does the Size of a Hospital Matter for Quality of Surgery?

Does the Size of a Hospital Matter for Quality of Surgery?

This article caught my eye recently:

Doctors usually think bigger hospitals offer better surgery. Turns out, we’re wrong.

(via Vox)

By September 29, 2016 3 Comments Read More →
Key Tweets from @MarkGraban – Week of August 15, 2016: Whiskey, Deming, Brazil & Kaizen

Key Tweets from @MarkGraban – Week of August 15, 2016: Whiskey, Deming, Brazil & Kaizen

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here.

By August 19, 2016 0 Comments Read More →
My Lean Healthcare Trip to China: Transitioning From Beijing to Shanghai

My Lean Healthcare Trip to China: Transitioning From Beijing to Shanghai

Continuing my series of blog posts about my July trip to China, today’s post is about the second city I visited: Shanghai. This post has some photos and descriptions of the high-speed train trip and other travel-related details. You can also read previous posts about the Lean healthcare conference that was held in Beijing on the first day.

By August 10, 2016 0 Comments Read More →
My Article for Quality Digest About #Lean Falsehoods; “QDL” Show on Friday

My Article for Quality Digest About #Lean Falsehoods; “QDL” Show on Friday

We'll probably also talk about this article that was published yesterday on QualityDigest.com: "Lean Is About Quality, Not Just Speed or Efficiency... in Factories or in Hospitals" It might ruffle some feathers, but oh well.

GM’s CEO Roger Smith Thought Toyota Had Magic, But This Was the “Secret”

GM’s CEO Roger Smith Thought Toyota Had Magic, But This Was the “Secret”

Thanks to this post by Bruce Hamilton (aka “Toast Guy” or “Old Lean Dude”), I was reminded of the old General Motors effort, spearheaded by then-CEO Roger Smith (of “Roger & Me” fame), to fully automate car factories. Their concept was the “lights-out factory” that could run without people (other than a security guard).

Stuff I’m Reading May 2016: Bad Patient Experiences, Bad Workplaces & Burnout, Lean Sigma in the VA

Stuff I’m Reading May 2016: Bad Patient Experiences, Bad Workplaces & Burnout, Lean Sigma in the VA

As is often the case, I have too many open browser tabs full of articles that I was going to potentially blog about. This slows down my Mac (thanks, Chrome!).

So, it’s time for me to clear out my backlog and a little mental overhead… to share some articles I’ve been reading with some quick notes, instead of doing full blog posts. Well, I’ll get my backlog down a little.

#FrontierFail & Frontier Lies… Why Competence is Required Before Lean

#FrontierFail & Frontier Lies… Why Competence is Required Before Lean

I think I’m done complaining about Frontier Communications on Twitter. It’s been a very frustrating week, as I’m on day 6 of a complete internet outage. You can read my long rant about it here on LinkedIn:

From a Patient Safety Tragedy to Lean & Baldrige Success in a Small Texas Hospital

From a Patient Safety Tragedy to Lean & Baldrige Success in a Small Texas Hospital

As Patient Safety Awareness Week continues, thanks to all of you who shared this PBS News Hour story with me via email or Twitter. If you ever see something you think might be of interest, please let me know.

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Podcast #245 – Dr. Tom Evans, Improving Healthcare Quality in Iowa

Today is the first of two episodes that I’ll post here during Patient Safety Awareness Week. I agree with the National Patient Safety Foundation that every day should be patient safety day.

I’m sure my guest for episode #245 would agree with that. He is Tom Evans, MD, FAAFP, the President and CEO of the Iowa Healthcare Collaborative. I’ve know Dr. Evans for many years, but was prompted to do the podcast by this editorial he wrote in the Des Moines Register: “Iowa hospitals succeed at keeping patients safe.”

Doctors Get Upset With Being Pushed, Bad Leadership, Clumsy Incentives; Try to Unionize

Doctors Get Upset With Being Pushed, Bad Leadership, Clumsy Incentives; Try to Unionize

A few weeks back, a number of you sent me this article from the New York Times:

Doctors Unionize to Resist the Medical Machine

The article describes a physician who is trying to take the amount of time – the right amount of time – that he thinks is required to get a proper diagnosis for the patient. Does taking longer, reducing his short-term productivity, end up improving care and reducing costs over the long term? That’s hard to know for sure, but it makes sense.

By February 15, 2016 14 Comments Read More →
Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

It's very frustrating when I hear people in healthcare complain that their hospital or health system has equated Lean with cost savings -- only focusing on cost reduction or primarily focusing on it...

By January 12, 2016 29 Comments Read More →
Podcast #238 – Kevin Cahill, on his Grandfather, W. Edwards Deming

Podcast #238 – Kevin Cahill, on his Grandfather, W. Edwards Deming

Episode #238 is a conversation with somebody I’ve wanted to talk with for a long time, Kevin Cahill. He is the executive director of the W. Edwards Deming Institute. He’s also a grandson of Dr. Deming! ...

By January 11, 2016 2 Comments Read More →