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As seen on the Huffington Post: Patrick Mahomes Accidentally Tweets Mean Note About Aaron Rodgers After Injury Last night, new New York Jets quarterback (and future Hall of Famer) Aaron Rodgers suffered a season-ending torn Achilles tendon injury in the first few minutes of the game. Fellow quarterback Patrick Mahomes,… Read More "For the Want of a Comma, Patrick Mahomes Mistakenly Slams Aaron Rodgers"
In the book, Chapter 4 focuses on preventing mistakes, including methods like checklists and mistake-proofing. We should really try to avoid and prevent medication mistakes, considering the harm that can result (up to and including death). We can try to prevent mistakes while also emphasizing the need to learn from… Read More "Comparing Pharmacy Mistake-Proofing Methods: Which Is More Effective in This Case?"
In the news: Arnold Schwarzenegger Had Botched Heart Surgery Three Months Before ‘Terminator 6’ Filming, Doctor Poked Through Heart Wall: ‘I Was in the Middle of a Disaster’ What happened has been described as a “mistake.” “Schwarzenegger remembered the doctor telling him when he woke up, “We made a mistake… Read More "How an Operating Room Error Nearly Cost Arnold Schwarzenegger His Life"
Being oriented around learning from mistakes doesn’t mean we are flippant about mistakes and human error. There are some mistakes that we should work really hard to prevent through checklists, mistake-proofing methods, and good systems. Telling people to “be more careful” isn’t really effective. I saw this in the news… Read More "Learning from the Grave Mistake of Losing a Patient’s Removed Tumor"
I was thrilled to receive an invitation to attend an event in New York, “The Lean Mindset” day that was organized and hosted by GE and CEO Larry Culp. Learn more about the event in my blog post (which includes a link to the recordings of the Live Streamed Sessions…… Read More "CEO Larry Culp’s Book Selections for the GE Lean Mindset Event: What You Need to Know"
In the news: ‘Catalogue of errors’ in treatment of terminal man Leslie Boatfield died of bowel cancer. His surviving daughter complained about a series of errors. “It was a catalogue of errors and people not doing things,” Ms Price said. It doesn’t make everything OK, but “the University Hospitals Sussex… Read More "NHS Apology Over Care Mistakes Includes Wishing Deceased Patient ‘Future Wellbeing’: A Deep Dive"
