All Features
The QA Pharm
One of the regulatory responsibilities of the quality control department is the release decision for drug batches into the market. When I was first given that responsibility early in my quality assurance (QA) career, it was impressed upon me to not count the cost of the batch when making that…
National Association for Healthcare Quality
The Toyota Production System and U.S. health care improvement share a long history. What lessons can health care leaders learn from Toyota’s recent production troubles? A few experts recently discussed this on WIHI, an audio program sponsored by the Institute for Healthcare Improvement (IHI). Here…
Michele DeMeo
A surgical technician prepares her back table for the next laparoscopic surgery. Instruments are removed from their containers and packages, and placed neatly on the back table. Chemical indicators show that sets and instruments are sterilized; the patient is prepped. The surgeon begins the…
(Academy Leadership Publishing: King of Prussia, PA) -- When news headlines trumpet story after story about fiscal mismanagement, unchecked greed, massive bankruptcies, and rampant downsizing, it’s hard to believe there’s any good news about the business world. Indeed, it’s almost impossible not…
Tony Shaw
A woman in Southern California’s Inland Empire, age 53, is suffering from an unidentified neurological disorder. It started as an odd numbness in her left arm, and now she feels an uncomfortable, persistent tingling and prickling pain from the bottom of her feet to the top of her eyebrows. She…
Leaders of quality assurance programs must be able to generate interest and commitment without burdening clinical and administrative staff with an activity they neither understand nor believe in.
Hospital accreditation has been defined as “A self-assessment and external peer assessment process…
NIST
The U.S. Department of Veterans Affairs Cooperative Studies Program (VACSP) Clinical Research Pharmacy Coordinating Center (the Center) is a federal government organization that supports multicenter clinical trials targeting current health issues for America’s veterans. Located in Albuquerque, New…
Georgia Institute of Technology
The cross-functional team at Piedmont Newnan was made up of employees that deal with the process daily. For this process improvement project, they focused on case carts, which are used for pulling together all supplies needed for surgical procedures.
Pam Murphy, a…
Knowledge at Wharton
Toyota’s legendary lean processes didn’t come out of nowhere. They were forged by the fire of urgency in post-World War II Japan when resources were scarce. Toyota innovated—and continued to innovate. Today, the Toyota Production System is the most respected manufacturing and inventory control…
redOrbit
With a silicone rubber “stick on” sheet containing dozens of miniature, powerful lenses, engineers at Harvard are one step closer to putting the capacity of a large laboratory into a microsized package.
The marriage of high-performance optics with microfluidics could prove the perfect match for…
Mark Graban
When I was in Sweden recently, we had a lot of good discussion about the lean concept of “standardized work.”
There was much agreement from different presenters at the lean laboratories conference, and from the hospital people we visited, concerning standardized work—that it isn’t a robotic…
The Un-Comfort Zone With Robert Wilson
On a summer weekend in 1977, my friend Tony and I made plans to go water-skiing. When he picked me up there were two people in the car that I did not know. He introduced his new girlfriend, Sue, and her brother, Bubba.
Bubba was the quintessential redneck. Within minutes of getting on the boat…
Jane Martinsons
With or without health care reform, health care quality professionals know that change is already a new reality for U.S. health care, transforming the industry, their own organizations, and their professional roles on what seems a daily basis.
“With all the changes that we’re facing in health…
The Un-Comfort Zone With Robert Wilson
In the early 1970s I was a young teenager who was completely caught up in the Zeitgeist. I admired the long-haired rebels and radicals who were engaged in protesting the establishment and developing the counter-culture. I didn’t really know what any of that meant, but to me it was all about…
H. James Harrington
The world is changing so fast today that it is almost impossible to keep up with the latest trends in your own profession. If you are not spending at least two hours per day updating yourself in your chosen profession, you probably are behind the current state of the art. It has been estimated that…
Mike Micklewright
Can you imagine producing products with a tremendous amount of variation? I’m sure many of you know this all too well. I mean, here you’re trying to produce the same products, trying to ensure consistency, and many of the products you produce have different shades of color, many function…
Georgia Institute of Technology
To improve customer satisfaction, enhance the quality of services and reduce costs, Peach Regional Medical Center has worked with the Georgia Institute of Technology to adopt process improvement techniques traditionally used by the manufacturing industry. Already, Peach Regional Medical Center’s…
John G. Miller
Outstanding means being superior, striking, exceptional, clearly noticeable—essentially, to stand out. People are attracted to outstanding organizations. They want to buy from them, sell to them, invest in them, volunteer at them, and work for them. And as we close out the first decade of the 21st…
WILLIAM SCHERKENBACH
I’ve spent most of the past two years living in China where I have learned much on how enterprise is managed over there. Many people have said that this century belongs to Asia. That may be, but they have a lot to learn and change before that happens. They cannot depend on cheap rote labor to…
Malcolm Chisholm
I have just finished rereading Walter A. Shewhart's 1939 book Statistical Method from the Viewpoint of Quality Control (Dover Publications, 1986). Mine is the 1986 edition, which has a foreword by W. Edwards Deming. Shewhart, a Bell Labs man, pioneered quality control and was a major inspiration…
Bill Kalmar
Several years ago, I penned a column entitled, “Nurse, I’m Ready for My Cappuccino!” The article was an interview with Gerard van Grinsven, the new CEO and president of the Henry Ford West Bloomfield Hospital, which was to be located in a Detroit suburb. At the time of my interview, Van Grinsven…
Mike Richman
Here at Quality Digest, we get a lot of mail: Some of it’s critical, some of it’s praiseworthy, some of it’s cantankerous, and some of it’s challenging. All of it is insightful. And then, every once in awhile, something comes along that simply... well...
The following was sent to us from a…
GKS Global Services
Didrick Medical Inc. is a small privately owned company located in Naples, Florida, that designs and fabricates active-function artificial finger prostheses, called the X-Finger, for partial finger amputees. The owner refined the design for more than six years before he took it to the marketplace…
Georgia Institute of Technology
(Georgia Tech Enterprise Innovation Institute: Atlanta) -- Debbie Guzman, laboratory director at Athens Regional Medical Center, says that implementing lean principles in a health care setting is especially challenging. Traditionally used in manufacturing, lean refers to an operational strategy…
When I started Productivity Inc. Press in 1979, quality of work life (QWL) was a very popular symbol for American unionism. Unions wanted workers to have a quality of work life, however, I don’t believe they understood what quality of work life really meant. The unions wanted workers to have a…