Upstream: The Quest to Solve Problems Before They Happen by Dan Heath. Learn 3 Barriers to Overcome and 7 Key Questions for root cause analysis to prevent problems.
While facilitating an improvement project for a hospital’s surgical department recently, our team was presented with a clear opportunity for improvement. Recent data logged during a long day of procedures included three separate surgical cases where the patient’s discharge paperwork was incorrect. These three errors were all caught by the surgeon before the patient was […]