tag:blogger.com,1999:blog-5865768815327716731.post2843202658941457643..comments2024-03-01T00:44:55.120-05:00Comments on The Lean Insider: Mistake-Proofing in Hospitals: The Case of the Wrong FilmMichael Sinocchihttp://www.blogger.com/profile/00599950068521490710noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-5865768815327716731.post-83130116543690440722007-12-07T17:48:00.000-05:002007-12-07T17:48:00.000-05:00IMPORTED7/14/2007 2:41:49 AM Re: Mistake-Proofing ...IMPORTED<BR/>7/14/2007 2:41:49 AM <BR/>Re: Mistake-Proofing in Hospitals: The Case of the Wrong Film<BR/>By: thopper<BR/><BR/>It's an interesting case, from a process improvement perspective. Creating a database link between the lab and the operating rooms would clearly help. As would using bar codes on patient wrist bands to positively match them to their records. However both solutions would seem to require a fairly substantial investment in time and money to implement.<BR/><BR/>A good rule of thumb is that Poka-yokes are, at best, easy to implement and very visual. In that spirit, I've been trying to think of ways to avoid the error in this article with minimal investment in time and money. Not knowing the hospital systems, here are a few ideas:<BR/><BR/>1) Have the database that burns the films to CD also print CD labels, rather than rely on the operator to write the patient's name.<BR/>2) It sounds as though the operators are batching CDs, so that they label two or more at the same time. Change the process of burning and labeling CDs so that the operators handle only a single set of films and CD at a time, essentially going to single-piece flow.<BR/><BR/>I would be interested in what other, easy-to-implement, ideas readers have (recognizing that none of us have studied this hospital's process, and so are dealing in hypothetical situations).Ralph Bernsteinhttps://www.blogger.com/profile/14872065446489560244noreply@blogger.com