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Preventable Harm

13 June, 2016 by James Lawther 3 Comments

A definition: The unintended physical injury resulting from or contributed to by medical care (including the absence of indicated medical treatment), that requires additional monitoring, treatment or hospitalisation, or that results in death. A simpler definition: A medical accident. A few statistics: The medical industry 2014: The estimated number of premature deaths in US hospitals […]

Filed Under: Blog, Employee Engagement Tagged With: aviation, blame, error proofing, management style, medicine

What Are You Missing?

3 April, 2016 by James Lawther 3 Comments

Waiting Room

I have to manage your expectations It is a horrible phrase. I hate it when somebody says to me. It means that I am not going to get what I want when I want it. I am being softened up. There is going to be a delay. Suddenly I am thrown into the cost or […]

Filed Under: Blog, Operations Analysis Tagged With: assumptions, innovation, medicine, queue, TED talks, waiting

The Handoff

26 March, 2016 by James Lawther 4 Comments

Hand off

I am not a Luddite Technology is a good thing.  As it evolves we find new solutions to problems: We invent new applications We write new algorithms We build new tools We develop new drugs Technology pushes us forward. Technology needs specialist knowledge All that new technology is difficult to get your mind around. People need […]

Filed Under: Blog, Process Improvement Tagged With: complexity, information technology, medicine, systems thinking

Open Cultures: Do They Create Mistakes?

5 March, 2016 by James Lawther 4 Comments

Making mistakes

Open cultures A couple of weeks ago I wrote about the sound of silence.  I claimed that in the best run workplaces bosses are open to discussions about problems.  They have a “no blame culture“. Fact or theory? Is there any data to support my claim? Or was I just running my mouth off? — Heaven […]

Filed Under: Blog, Employee Engagement Tagged With: culture, management style, medicine

Do You Know a Good Doctor?

27 November, 2014 by James Lawther 11 Comments

surgeon

Does publishing performance data make people perform better? The National Health Service in the UK has developed a cunning ruse to improve patient care. They have started to publish data about consultant’s mortality rates.  Before you go and see a specialist you can go online and see if he is competent or not.  If you don’t like what […]

Filed Under: Blog, Operations Analysis Tagged With: blame, employee performance measures, medicine, performance management, W. Edwards Deming

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