Patient Safety is defined as “the absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to...
Reducing Preventable Errors Requires a Sustained Shift in Processes and Culture
Preventable medical errors are a serious issue in healthcare and are estimated to be the third leading cause of death in the US, behind cancer and...
Driving Efficiency at All Levels: Organization, User, Provider
Everyone knows time is money, and healthcare consumes too much money. Therefore, it stands to reason that a major objective for hospitals and...
Reverse Engineering an Optimal Performance Improvement Process
In technology circles, reverse engineering is the process of starting with a given end state, such as a product, device, conceived process or...
Bouncing Back from a Hospital Safety Penalty
In December of last year, the federal government penalized 751 hospitals for having high numbers of patient injuries, retroactively reducing their...
Quality Improvement Performance Indicators: Prioritizing Your Data
In a recent blog post, the Center for Improvement in Healthcare Quality shed some light on an area of concern for many hospitals: the prioritization...
Re-Thinking: Four Ways to Advance Healthcare Quality and Safety
For decades, I practiced and taught others a model of developing new software products in which the creator begins with at least two innovation...






