Six Sigma, Lean Six Sigma & Process Improvement

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	Radiation Overdoses Highlight Process Flaws A disturbing case of process failure is being reported out of Los Angeles, with word that CT scans with eight times the normal dose of radiation were given to 206 stroke patients at Cedars-Sinai Hospital over an 18-month period. As reported in the Los Angeles Times, the overdoses should never have occurred
Author: Ralph Bernstein Tags: checklist \| radiation overdose \| standard work 10/21/2009 1:06:00 PM EDT

	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 in Boston said the number of ICU patients contracting bloodstream infections had dropped by at least half in the past several
Author: Mark Graban Tags: Healthcare \| Gaming the Numbers \| Checklists 11/24/2009 12:00:00 AM EST

	Dr. Gawande & Checklists Featured on NPR 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 know I’m a huge fan of Gawande’s previous books Complications: A Surgeon’s Notes on an Imperfect Science and Better: A
Author: Mark Graban Tags: boeing \| Checklists \| Doctor 01/06/2010 9:00:00 AM EST

	Did this WSJ reviewer even read “The Checklist Manifesto?” I just finished Dr. Atul Gawande’s latest book, The Checklist Manifesto: How to Get Things Right. I believe that this book is the single most important book of the year for ANY Lean leader, not just people working in healthcare. I’ll share more of my thoughts on the book in another post, but I wanted [...]
Author: Mark Graban Tags: Books \| Checklists \| Doctor 02/02/2010 9:00:00 AM EST

	Dr. Atul Gawande and Checklists on “The Daily Show” Here is a nice 5-minute introduction to the topic without too much mockery from Jon Stewart! Stewart even makes a Star Wars reference – an example of people with high responsibility following checklists to avoid mistakes: “Even Han and Chewie go through a checklist… and they’re
Author: Mark Graban Tags: Checklists \| Gawande \| Healthcare 02/08/2010 6:00:00 PM EST

	A New App to Download, Events to Attend, and a Book to Read Today’s post is a few Friday odds and ends about a new thing I’ve been involved, events I’m attending, and a new book I’m anxious to read (after I’m done reading a favorite old one). LEI iPhone App We’re jokingly calling this the LEiPhone app for short (and we’ll
Author: Mark Graban Tags: Books \| Checklists \| Error Proofing 02/19/2010 10:00:00 PM EST

	My Thoughts on Standardized Work I’ve written about many of these ideas and themes before in various blog posts, but I wanted to consolidate my thoughts on the Lean concept of “standardized work” in a single place. This is partly for my own personal reference (and future linking), but also can prompt some discussion
Author: Mark Graban Tags: Checklists \| Healthcare \| Meier 02/22/2010 9:00:00 AM EST

	How Checklists Help Me With My Podcasts Regular followers of my blog know that I’ve been creating audio podcasts since 2006. Later today (at 3 PM), I am publishing #86 in the series, an interview with David Sundahl, PhD of Rule 4 Consulting. I’ve made mistakes every few podcasts, including: Linking to the wrong file name on the post
Author: Mark Graban Tags: Checklists 03/22/2010 8:00:00 AM EDT

	Of 777s and Heart Rate Monitors In recent years, healthcare has been learning a lot of lessons from aviation — including checklists and “Crew Resource Management,” as written about in the excellent books The Checklist Manifesto and Why Hospitals Should Fly. Aviation has gotten much safer over the past few decades, due
Author: Mark Graban Tags: Aviation \| Blame \| boeing 03/23/2010 8:00:00 AM EDT

	Guest Post: Captain Sully Talks about Lean and Healthcare Safety Mark’s note: I am thrilled to be able to bring you this guest post from my friend and fellow lean healthcare author, Naida Grunden. Her post (and Sully’s words) are far more important than anything I could write today. More about Naida at the end of the post. At the 10th Annual HIMSS conference
Author: Naida Grunden Tags: Aviation \| Checklists \| Grunden 03/25/2010 8:00:00 AM EDT

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