Tag: Patient Safety
NPR Highlights Dr. Gawande’s Checklist Manifesto for Improved Patient Safety
Thanks to my friend Amber for telling me about Dr. Atul Gawande's interview on NPR's Morning Edition yesterday.
Regular readers of the blog will...
Notes from My First IHI National Quality Forum (#ihi09)
Today was an exciting day at the Institute for Healthcare Improvement's 21st annual National Forum on Healthcare Quality Improvement. It's my first time here,...
Matthew May’s Encounter with Tiger & Goals of Perfection
In Pursuit of Elegance | My Own Tiger's Tale
What does Tiger Woods have to do with Lean Thinking and hospitals? Read on...
Our good friend,...
The Latest on Reducing Preventable Infections – Boston, Appleton, and DC
We had some local Boston news about hospitals reducing infection rates, including dangerous blood stream infections that result from central lines.
Several academic medical centers...
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...
LeanBlog Podcast #78 – Sorrel King, Improving Patient Safety
Episode #78 brings a very special guest, Sorrel King, to talk about systems, communication, and patient safety. Sorrel's 18-month old daughter, Josie, was the...
Reducing Interruptions – And Improving Patient Safety
by Dan Markovitz
Long-time readers of this blog (and my own) know that I focus on bringing lean techniques to individual work habits. One topic...
Wachter is Right: Patient Safety is Not the Patient’s Job
Wachter's World: Can Patients Help Ensure Their Own Safety? More Importantly, Why Should They Have To?
The whole subject of asking patients and families to...
RN Doesn’t Follow Standardized Work, Exposes Patients to Risk of Disease
Broward General nurse possibly exposed patients to risk - South Florida - MiamiHerald.com
Story and nurse discussion here
A number of you (thanks!) sent me this...
“No Blame” Doesn’t Mean “No Accountability”
Wachter's World : Physician Accountability for Violation of Safety Rules: The Time For Excuses Has Passed
I think Bob Wachter has it completely right in...
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...
It’s Simple Things that can Fix Healthcare
Sacramento-area hospitals use simple ways to cut mistakes - Sacramento BeeThis article has some great examples and an endorsement of the Lean mindset in...