Applying the toyota production system: Using a patient safety alert system to reduce error

Joint Commission Journal on Quality and Patient Safety

Volumn 33, Issue 7, 2007, Pages 376-386

  Furman, Cathie ^a   Caplan, Robert ^b  

^a VIRGINIA MASON MEDICAL CENTER   (United States)

^b Department of Anesthesiology ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH SERVICES RESEARCH; HOSPITAL MANAGEMENT; HUMAN; INDUSTRY; MASS COMMUNICATION; MEDICAL ERROR; METHODOLOGY; ORGANIZATION AND MANAGEMENT; POLICY; QUALITY CONTROL; RISK MANAGEMENT; SAFETY; STANDARD; TOTAL QUALITY MANAGEMENT; UNITED STATES;

DIFFUSION OF INNOVATION; EFFICIENCY, ORGANIZATIONAL; HOSPITAL ADMINISTRATION; HUMANS; INDUSTRY; MEDICAL ERRORS; ORGANIZATIONAL CASE STUDIES; ORGANIZATIONAL POLICY; QUALITY CONTROL; RISK MANAGEMENT; SAFETY MANAGEMENT; TOTAL QUALITY MANAGEMENT; VIRGINIA;

EID: 34347377423     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(07)33043-2     Document Type: Article

References (15)

1. Tucker A., Edmondson A.: Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. California Management Review 45:55-72, Winter 2003.
2. Ohno T.: Toyota Production System: Beyond large Scale Production. Portland, OR: Productivity Press, 1988.
3. Davidoff F., Batalden P.: Toward stronger evidence on quality improvement. Draft publication guidelines: The beginning of a consensus project. Qual Saf Health Care 14:319-325, Oct. 2005.
4. Barley S.R.: Images of imaging: Notes on doing longitudinal field work. Organizational Science 1:220-247, Aug. 1990.
5. Weick K., Sutcliffe K.: Managing the Unexpected: Assuring High Performance in an Age of Complexity. San Francisco: Jossey-Bass, 2001.
6. Institute of Medicine: To Err Is Human: Building a Safer Health System. Washington, D.C.: National Academy Press, 2000.
7. st Century. Washington, D.C.: National Academy Press, 2001.
8. Reason J.: Human Error. New York: Cambridge University Press, 1990.
9. Morath J., Turnbull J.: To Do No Harm. San Francisco: Jossey-Bass, 2005.
10. Shingo S.: Zero Quality Control: Source Inspection and the Poka-yoke System. Portland, OR: Productivity Press, 1986.
11. Womack J., Jones D.: Lean Thinking: Banish Waste and Create Wealth in Your Corporation. New York: Free Press, 2003.
12. Frankel A., et al.: Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf 29:16-26, Jan. 2003.
13. Berry D., Carlson J.: SafePlace: A Starting Point. Deerfield, IL: St. Paul Health Gate, Mar. 2002.
14. Agency for Healthcare Research and Quality: Patient Safety Culture Surveys. http://www.ahrq.gov/qual/hospculture/ (last accessed May 2, 2007).
15. The Joint Commission: 2007 Hospital/Critical Access Hospital National Patient Safety Goals. http://www.jointcommission.org/PatientSafety/ NationalPatientSafetyGoals/07_hap_cah_npsgs.htm (last accessed May 2, 2007).