Tag: Mistake-Proofing
Yet Again – A Patient Harmed as Hospital Lab Mixes Up...
Freeport woman sues hospital after biopsy mix-up
This is really discouraging to see yet another serious specimen labeling mishap in a pathology department that's led...
What's the Point of Standard if it's Not Followed?
I am at the Ontario Hospital Association 'HealthAchieve' meeting (giving a talk on Lean Healthcare later on). I saw Dr. Sanjay Gupta present this...
Exec from Seattle Children’s on Lean Healthcare in the Washington Post
Patrick Hagan: Waste Not, Want Not: The Key to Reducing Costs - washingtonpost.comHere is an outstanding piece from the President & Chief Operating Officer...
I Guess These Couples Should Worry – We Need Lean, not...
Embryo mix-up worries couples | detnews.com | The Detroit News
I've seen a lot of news stories about couples who suffer through errors caused by...
A "Step Backward" in Patient Safety?
Joint Commission Changes Requirement for Patient ID during Blood Draws | Dark DailyThanks to my friend Robert Michel and the Dark Daily for bringing...
Defects in Air Travel — At Least I Got There Safely
Ah, what a day yesterday. You'd think getting from Boston to Philadelphia would be easy. I'm here, teaching my "Key Concepts of Lean in...
Caution! Warning Signs in the UK
I was fortunate to be in England for five days last week. I saw the "gemba" at five hospitals in three days and attended...
Pathology Mistakes (Again) on Oprah and in the News
After watching and blogging about the first half of Oprah's medical errors show that featured the story of Dennis Quaid's kids, I finally got...
LeanBlog Video Podcast #2 – Kevin Frieswick, Error Proofing Handwashing
I'm still experimenting with video podcasting, after my first attempt with Jamie Finchbaugh. LeanBlog Video Podcast #2 is content you may have seen and...
LeanBlog Podcast #65 – Kevin Frieswick on Error Proofing Hospital Handwashing
LeanBlog Podcast #65 is a discussion with Kevin Frieswick, a Lean Process Manager, with MetroWest Medical Center in Framingham, MA. I found Kevin earlier...
Washington "Natinals" Error
D.C. Sports Bog - Nationals Uniform FailOK, Monday = sports day on the Lean Blog, apparently. I'll get it out of my system today...
Error Proofing Against Pirates
Like many, I closely followed the recent pirate seizure of the Maersk ship with the American crew and was happy when the captain was...