tag:blogger.com,1999:blog-32053362.post7523848836633912484..comments2024-03-29T05:39:11.334-04:00Comments on Not Running a Hospital: Kaizen Corner -- standardized workPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-89238717164198229462009-10-08T11:41:14.279-04:002009-10-08T11:41:14.279-04:00Anon 8:12,
I'm sorry, but our classes are qui...Anon 8:12,<br /><br />I'm sorry, but our classes are quite full. You might contact the Greater Boston Manufacturing partnership for other ideas.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-7137485137871615702009-10-08T08:12:12.154-04:002009-10-08T08:12:12.154-04:00Hi Mr. Levy, I'm a medical student from outsid...Hi Mr. Levy, I'm a medical student from outside of Boston and am interested in learning more about how to apply Lean Manufacturing to health care systems. <br /><br />Is there a way for interested medical personnel from other institutions to take these classes at BIDMC? Who might we contact to set this up? I assumed from Dr. Zeidel's description in the inaugural edition that these courses have been adapted to the health care settings. I'm guessing there are classes elsewhere on just Lean Manufacturing, but if BIDMC has already thought about how to apply it to the hospital setting, it would be great to learn from you and not re-invent the wheel. <br /><br />On another note, I'm sure your blog fans will be delighted if these classes are taped and posted online for us to watch.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-87906215164204967212009-10-08T03:29:01.453-04:002009-10-08T03:29:01.453-04:00Anon 10:50,
Check this blog below for examples of...Anon 10:50,<br /><br />Check this blog below for examples of Lean process improvements in a number of clinical settings. Just search "Lean" and you will see a whole bunch.<br /><br />Nonlocal,<br /><br />Exactly. We all know that 90% of stuff could be standardized, and that doing so is the only way of eliminating harm to patients. Getting there, though, is a slog and takes a huge commitment.<br /><br />Engineer,<br /><br />Correct. We are currently reviewing lots of policies and procedures and finding them too dense, off target, and the like. Obviously, this was not intentional, but it is the product of overly bureaucratic approaches to work and learning -- also, sometimes it is the approach that regulators expect you to adopt. As you suggest, it happens virtually everywhere, and it takes time and effort to unlearn such things.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-85021253832862275132009-10-07T12:35:45.628-04:002009-10-07T12:35:45.628-04:00I expect that it is standardization of clinical ca...I expect that it is standardization of clinical care which will be the most significant challenge, and yet the most significant imperative, facing the entire organization - and actually, the entire health care system.<br /><br />nonlocalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-17285018222972629582009-10-07T12:21:49.782-04:002009-10-07T12:21:49.782-04:00"Unfortunately, in much of what we do, any tw..."Unfortunately, in much of what we do, any two people trained to do the same task likely perform it in completely idiosyncratic manners. Interestingly, we have policies and procedures manuals that fill shelves of storage, but these do not specify how the work is done."<br /><br />Maybe you should get rid of the Policy and Procedure Manuals. The company that I retired from had hundreds of sets of manuals scattered around the plant and it was impossible to keep them all current. The solution was to put all manuals on line. If someone printed a copy it was dated and watermarked to indicate that it was only a copy of the official procedure that was on line.<br /><br />I suspect that a procedure could be found with a search more quickly than from a shelf.<br /><br />Procedures could be supplied with links to training material and contact information for appropriate resource persons. A training and qualification record could be kept on line, with some on-line refresher and testing. <br /><br />The system could be linked to medical records and anyone using or reporting on use of a procedure could be checked to see if their training is current. <br /><br />As they say at the end of a list of patent claims, "Other uses this invention will be apparent to those skilled in the art".Engineer on Medicarenoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-67229196062433669252009-10-07T10:50:25.135-04:002009-10-07T10:50:25.135-04:00What a great idea in the healthcare setting! From...What a great idea in the healthcare setting! From my experience at my local hospital, every nurse has their own way of doing things with varying results.<br /><br />To what extend has the work of nurses been standardized? Can you provide some examples?Anonymousnoreply@blogger.com