Organizational and Cultural Change

Putting a little Ritz in health care

Posted by  | Organizational and Cultural Change, Patient-Centered Care

Recently, I had an enlightening encounter with Horst Schulze, who led Ritz-Carlton Hotels to national awards and has since opened his own hotel chain, Capella. Hortz gave an informal presentation to members of a program that I’m taking part in, the Baldrige Executive Fellowship, and we continued to talk afterwards. Capella has five ultraluxury hotels(...)

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What health care can learn from corn milling

Posted by  | Organizational and Cultural Change, Preventing Patient Harm

Some of the best ideas for improving health care come from outside our field. For example, we’ve adapted cockpit-style checklists from aviation to improve teamwork and communication on our clinical teams. We’ve turned to performance improvement methods from manufacturing to reduce waste and defects in care delivery. A recent experience reminded of the value of seeking(...)

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Health care needs greater accountability, not excuses

Posted by  | Measurement of Safety and Quality, Organizational and Cultural Change

I recently spoke to an executive in the energy industry who had a joint replacement at a hospital in New York. His wound developed an infection, which required four additional hospital admissions and several operations. He asked me about hand hygiene in hospitals. Proudly, I told him that, at Johns Hopkins Hospital, we are at 80(...)

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Part II: ISO clinician leaders in patient safety and quality

Posted by  | Designing Safer Systems, Organizational and Cultural Change, Preventing Patient Harm

I recently gave a talk to the American Medical Student Association. The energy in the room was palpable. The students were excited, passionate and hopeful. We spoke about the urgent need to reduce preventable harm and to enhance value, and we discussed that they will need to be the ones to lead these efforts. Yet,(...)

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ISO clinician leaders in patient safety and quality

Posted by  | Organizational and Cultural Change, Preventing Patient Harm

WANTED: Clinicians for long-term relationship to lead unit and department safety efforts. Must be passionate about improving patient outcomes and value, have skills needed to lead these efforts, and enjoy working as part of a team. Dr. Martin Luther King, Jr., in pushing the civil rights agenda, spoke of the "fierce urgency of now." Recent(...)

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Humble beginnings

Posted by  | Organizational and Cultural Change

In early June, Dean Miller and Mr. Peterson announced the formation of the Armstrong Institute for Patient Safety and Quality. Since then, we have been busy, interviewing many of you, listening to your ideas and concerns, merging the Center for Innovation and the Quality and Safety Research Group into a single new entity. We are(...)

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