Tag: Mistake-Proofing

Yet Again – A Patient Harmed as Hospital Lab Mixes Up...

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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?

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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

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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...

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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?

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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

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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

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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

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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

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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

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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

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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

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Like many, I closely followed the recent pirate seizure of the Maersk ship with the American crew and was happy when the captain was...