Tag: Patient Safety

Patient Safety: Learning, Leadership, and Safer Healthcare Systems

Patient safety doesn’t improve through punishment, vigilance posters, or telling people to “be more careful.” It improves when leaders design safer systems, support speaking up, and focus on learning instead of blame. This archive brings together blog posts, podcasts, and reflections on patient safety through a Lean lens—exploring medical errors, near misses, psychological safety, leadership behaviors, and how healthcare organizations can reduce harm by fixing systems rather than blaming individuals.

A Kidney Accidentally Trashed – More Questions Than Answers

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Many of you have emailed me about this horribly sad story: "Toledo hospital nurse accidentally throws away healthy donor kidney during transplant surgery." As a...

Dr. John Toussaint Says “Don’t Kill Me!”

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To end the week, here's a piece by our friend John Toussaint, MD, CEO of the ThedaCare Center for Healthcare Value, that was published...

Henry Ford Health System’s TV Ad on Patient Safety

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Hat tip to my dad who saw this commercial on TV back home in Detroit. It's an ad from the Henry Ford Health System,...

Learning from Medical Mistakes: Why Preventable Errors Keep Repeating in Healthcare

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Preventable medical mistakes remain one of the most serious challenges in healthcare, yet many hospitals still struggle with learning from medical errors and preventing...

Even with “ObamaCare” Upheld, Much Hard Work Remains to Protect Patients...

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The Supreme Court has mainly upheld the Patient Protection and Affordable Care Act, including the individual mandate and other controversial provisions. The court did...

New Book by @PaulFLevy – “Goal Play!” with Lessons for Healthcare

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Paul Levy, the former CEO of Boston's Beth Israel Deaconess Medical Center, is a long time friend of mine and this blog (read his...

Moving Beyond “Be More Careful”

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Last weekend, I watched a show on the Smithsonian Channel that was an interesting contrast to the CNN show I blogged about yesterday ("A...

A Lean Guy Watches “CNN’s 25 Shocking Medical Mistakes”

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Did anybody else see this show hosted to Elizabeth Cohen on CNN last weekend, titled "25 Shocking Medical Mistakes"? You can see a video...

Lean at the Peterborough (Ontario) Regional Medical Centre

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Ontario's Peterborough Regional Medical Centre is about 18 months into their Lean transformation. They are being featured in a series of four articles in...

Goodbye Dr. House, Hello “Respect for People”

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Dr. Robert Wachter has a great column in today's USA Today: "Column: Gregory House M.D.: RIP" and it's republished on his blog, with its...

Scared to Death: Worry about hospital errors, not pink slime

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I had an article published in a California newspaper and it will hopefully be picked up by others. The headline is "Scared to Death:...

All Saudi hospitals to report serious errors online

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I don't have any first hand experience with the country, but I have had many requests for the free first chapters of my books...
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