Carlson / Carlson, MD / May | Mistake Proofing for Lean Healthcare | Buch |

Carlson / Carlson, MD / May Mistake Proofing for Lean Healthcare

1. Auflage 2015, 111 Seiten, Kartoniert, Format (B × H): 180 mm x 259 mm, Gewicht: 249 g Reihe: Lean Tools for Healthcare Series
ISBN: 978-1-4398-3743-6

Carlson / Carlson, MD / May Mistake Proofing for Lean Healthcare

The principles of mistake proofing, long used to eliminate errors and defects across a range of industries, are now being applied in healthcare organizations around the world to help ensure patient safety, improve services, and eliminate waste.Mistake Proofing for Lean Healthcare is based on the definitive mistake-proofing philosophy and system developed by Shigeo Shingo. This reader-friendly book introduces the main concepts and benefits of mistake proofing in healthcare and highlights common reasons that errors and defects occur. It also explains how to catch errors before they become defects, using the concept of "source inspection," so you can ensure quality before a process is performed instead of afterward. When systematically used, the mistake-proofing approach explained in this book will help you:

Create safer, more reliable, and more effective healthcare services for both patients and staff
Establish a culture in which mistakes and the conditions that cause them are readily surfaced so they can be corrected
Lay the foundation for processes that flow smoothly, without disruption
Eliminate rework, waste, and the need for extra resources and supplies
Presenting real-world healthcare examples, the book shows different types of mistake-proofing devices and methods (poka-yoke) that provide feedback quickly and automatically to prevent errors and defects.The book is part of the Lean Healthcare Series and is designed for individual or group learning. Each chapter includes reflection questions to facilitate understanding and stimulate discussion and action.


Senior level managers in healthcare facilities, department heads and managers who are involved in process improvement initiatives, management engineers, physicians and nurses involved in quality improvement initiatives, and consultants who specialize in healthcare and are involved in training programs.

Weitere Infos & Material

Getting StartedPurpose of This BookWhat This Book Is Based OnTwo Ways to Use This BookHow to Get the Most Out of Your Reading Become Familiar with This Book as a WholeBecome Familiar with Each Chapter Using a Reading Strategy Using the Margin AssistsOverview of the Contents Chapter 1: Getting Started Chapter 2: The Production Processes and Operations of Healthcare Chapter 3: Introduction to Mistake Proofing Chapter 4: Basic Elements of the Mistake-Proofing System Chapter 5: Using Poka-Yoke Systems Chapter 6: Examples of Poka-Yoke Applications Chapter 7: Reflections and ConclusionsThe Production Processes and Operations of HealthcareThe Industrial Origins of Lean HealthcareProduction, Process, and OperationPrinciples of Lean Healthcare Management Standard Work Autonomation Flow Production Plan–Do–Check–Act Socratic MethodSummaryReflectionsIntroduction to Mistake ProofingWhat Is Mistake Proofing?Why Focus on Zero Defects?How Mistake Proofing Makes Work EasierWhat Causes Defects? Communication Errors Cognitive Errors Red-Flag ConditionsControlling Conditions So Defects Do Not Happen The Traditional Quality Improvement Cycle Integrating PDCA in the Mistake-Proofing ApproachSummaryReflectionsBasic Elements of the Mistake-Proofing SystemQuality at the SourceThe Four Elements of Mistake ProofingThree Approaches to InspectionJudgment Inspections Reveal DefectsInformative Inspections Reduce Defects Statistical Quality Control Successive Checks Self-ChecksSource Inspection Keeps Errors from Becoming Defects100 Percent Inspection Catches All ErrorsA Short Feedback Loop Means Quicker Action on ProblemsPoka-Yoke Systems Catch Errors We Might Have MissedSummaryReflectionsUsing Poka-Yoke SystemsAbout Poka-Yoke SystemsPoka-Yoke Systems in Source Inspection and in Informative Inspection (Self-Checks and Successive Checks)How Poka-Yoke Systems Regulate the ProcessTypes of Poka-Yoke SystemsMethod Poka-Yokes Checklists in Healthcare Using Checklists Effectively Stop the Line—Stop the ProcessPhysical Poka-Yokes Contact or Identification Techniques Fixed-Value or Number Techniques Motion-Step or Sequence TechniquesPoka-Yoke SensorsDevices that Link to Poka-Yoke SensorsSummaryReflectionsExamples of Poka-Yoke ApplicationsLearning from Examples of Poka-Yoke ApplicationsMethod Poka-Yoke Examples Thoracic Surgery Checklist Red Event Safety Alert, Incident Command Checklist Chart Preparation Checklist Rounding Checklist Clinician Previsit Checklist Electronic Health SystemsContact or Identification Poka-Yoke Examples Integrated Color-Coding Systems Other Color-Coding Poka-Yokes Wristbands with Bar Codes or Radio-Frequency Identification Tags Tactile Signals on Wrong Buttons Throat Pack Identification Shrink-Wrapping on Dangerous MedicationsFixed-Value or Number Poka-Yoke Examples Surgical Sponge-Counting Systems Automatically Timed Processes Automated External Defibrillator Bed Angle Visual Aid Pulse OximeterMotion-Step or Sequence Poka-Yoke Examples Oral Care Pegboard Glucose Test Reminder Hand Hygiene Monitoring Systems Sheathed NeedlesSummaryReflectionsReflections and ConclusionsReflecting on What You Have LearnedApplying What You Have Learned Possibilities for Applying What You Have LearnedYour Personal Action Plan Opportunities for Further LearningConclusionIndex

Carlson, Md
Tom Jackson is the former CEO of Productivity, Inc. and Productivity Press and member of the influential Ford Lean Advisory Group.

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