Category: Conferences

Dennis Quaid Video on Medical Errors

Here are some video highlights of Dennis Quaid’s speech about medical errors and his family’s experience at Health Journalism 2008, the 10th annual conference of the Association of Health Care Journalists:

[youtube=http://www.youtube.com/watch?v=A7vcYN-K0Dk]

I was in the back row, and there are a couple of jerky moments as my arm got tired, so I apologize if you have any fleeting moments of vertigo. Still, for SMUG students and journalists, it’s an example of what you can do fairly easily to share interesting and important information with the world. It’s not a live uStream (maybe I’ll work on that next). I’m not a trained journalist (and as you can see not a trained videographer, either), but this is a step between streaming everything and a deeper context piece. And maybe it can be a resource for real journalists to use in their reporting.

Dennis Quaid on Medical Errors

Dennis Quaid

I’m at the opening session of Health Journalism 2008, which is being kicked off by Dennis Quaid telling the story about his twins daughters receiving 1,000 times the recommended dose of Heparin.

Quaid and his wife have started a foundation to help combat medical errors. One of the measures they advocate is bedside bar-coding.

The breach of patient privacy in their case was another concern. The overdose incident happened (twice) on a Sunday, and was discovered late Monday night. When the Quaids came to the hospital early Monday they were met by risk management, and during the process of the Heparin working its way out of the system (a 41-hour process), he said blood was squirting on the walls. On Tuesday they got a call that the news was all over the gossip site TMZ, even though the Quaids hadn’t told even their close family members.

While they were in the hospital they worked for about a week and a half to get their children’s medical records, and the pages related to the time when they were being overdosed were missing from the 600 pages (300 pages for each of the twins.)

Quaid says that if he had been met with an apology instead of a risk management team, he likely would have responded much differently. One of the overdoses had happened on Sunday while the Quaids were with their twins. When he had called Sunday night to check on them, the nurse told Dennis they were “fine.”

A few months before this incident, three children in Indianapolis died of an overdose when adult Heparin was given in place of the pediatric dose. The Quaids are suing Baxter, not Cedars Sinai, though, because the product wasn’t recalled when the Indianapolis incident happened. He said he’s not interested in any settlement that involves non-disclosure; he wants to raise awareness about the problem of patient safety.

I will have some video highlights from Quaid’s presentation a bit later. It’s good that he is giving public attention to this issue. As he says, patient safety doesn’t typically make headlines because incidents happen one at a time, and not to celebrities. He is making a lot of the same points I’ve heard patient safety leaders make at Mayo Clinic. He has a megaphone that enables him to get the issue noticed, and today he spoke to a bunch of journalists who I’m sure will help with the effort.

I wonder whether bloggers will take up this patient safety issue in a big way.

Mayo Clinic Podcasts Featured on Ragan.com

A few weeks ago I had an opportunity to discuss our Mayo Clinic podcasts with Michael Sebastian from Ragan Communications for a newsletter article. My friend Chris Martin just passed along the article, which was posted on Ragan.com today. I think Michael does a nice job of summarizing our podcasting history and some of the current activity. Most importantly, I think he quite accurately reflects what we discussed in the interview; that’s a real treat. Check out the story.

If you’re interested in a bit more of what Mayo Clinic has been doing in social media, check out our Facebook fan page and the blog (and podcast) we’ve established for the Mayo Clinic Health Policy Center. My colleagues at MayoClinic.com also have some blogs and podcasts they’ve been producing, too, and we’ve got some more good things in the works.

I’m blessed to work for an organization that not only makes traditional media relations a priority, but also is enabling and encouraging us to engage in social media. I think a big part of the reason for this support is our leaders’ healthy appreciation of the role word-of-mouth from satisfied patients has played in Mayo Clinic achieving the reputation it has.

The on-line social networks like Facebook are just newer and more powerful versions of the water cooler or the backyard fence, where people talk about what’s going on in their lives and what’s important to them.

Their health care experiences are among those meaningful topics.

It’s an exciting time to be working in news media and social media, and particularly where they intersect. I’m looking forward to the next few days here at Health Journalism 2008, and particularly to the session on “Multimedia tools for telling stories,” which will include Scott Hensley from the Wall Street Journal‘s Health Blog. He’s right at the intersection of mainstream and social media, and it will be interesting to hear his perspective.

Business Blogging Capstone Project

Yesterday was a big day blogging for me…not with SMUG, but on a work-related blog.

brokawpicture.jpg

Tom Brokaw was the keynote speaker and moderator for the opening session of the Mayo Clinic National Symposium on Health Care Reform. I hope SMUG students will check out Mayo Clinic’s Health Policy Blog, which I’ve been using to capture the essence of the symposium proceedings and to help extend the conversation both geographically and temporally.

This is the equivalent of a capstone project, enabling me to apply for a business purpose the things I’ve been learning through my personal blogging. It’s been an interesting experience, and I’d appreciate any comments or suggestions here on ways I can improve what I’ve been doing there.

Truth Hardware’s Lean Journey

The second speaker at the Lean seminar I described here was Jim Wheeler from Truth Hardware, a company with 1,000 employees in Owatonna, Minn. They make parts for window manufacurers like Andersen, Marvin and others.

They didn’t think Lean could work for them because they have 10,000 saleable part numbers, adding 10 new ones each day. How could they possibly do just-in-time manufacturing with that many unique part numbers?

Jim says Lean is not a cost-cutting strategy … it’s a growth strategy. In the current housing downturn, the productivity gains they have made have enabled Truth to maintain and even grow market share, even against competitors that have moved their manufacturing to China. When the housing market comes back, Truth will be poised for significant growth. And because they have eliminated waste, they will be able to add capacity without huge investments in additional facilities or equipment.

Truth holds one week-long Kaizen event per month. Instead of analyzing to death, they say getting things 60 percent right is good enough. They develop prototypes, then make the changes and continually iterate. Jim says “Don’t just think about it, do it and then find out what the problems are, so you can fix them.”

My kind of guy.

Jim also described a literal breakthrough Truth achieved through one of its Kaizen events. I may be getting some of the details wrong, but in essence they had one big piece of equipment that was used for metal fabrication, and after that step the parts would be loaded into bins and put on a fork lift to be hauled through the plant to the painting and finishing area. As they looked at the process, they realized that the finishing area was just on the other side of the wall from the fabrication equipment…so they cut a hole in the wall to enable the parts to flow through to be painted.

This saved hours from the start-to-finish process, and also eliminated the need for storage bins to hold the half-done parts waiting to be painted.

Through Jim’s presentation, I learned something else about system engineering that I thought was really interesting: in the airplane cockpit all of the instruments are arranged so that if all of the indicators point straight up, it’s normal. Then you can tell at a glance when something is wrong, because the abnormal readings really stand out.

Jim Wheeler is a Lean evangelist in much the same way as I’m a social media evangelist. Here was his list of recommended reading:

If you want to reach Jim, based on what I heard in this seminar, I’m sure he’d be glad to share his experience.

How about you? Have you looked at your work to see what delays are introduced into your processes, that don’t add value from your customers’ perspectives? What prototypes can you develop easily (perhaps using free social media tools) to eliminate both wasted effort and wasted time?