Quality Improvement and Health Inequalities

Health inequalities are a major public health concern. Some differences in health status are caused by pressures entirely out with a person, or group’s, control. Despite the scope for gain, Health Inequalities work and Quality Improvement work have tended to be two separate islands of activity. There are examples of application of QI techniques to…

Lean and Person-Centred Care

I am running teaching on Lean for first line health and social care managers. The groups include Charge Nurses, Team Leaders, Senior Staff Nurses, Care Home Managers, dental team leaders and people with similar responsibilities. With a few exceptions, they are people who have been promoted from posts in which all their time was spent…

Washington State Government Lean Materials

Results Washington of the Washington State Government seems to have taken a great interest in Lean techniques. They have sponsored a series of conferences and, as befits a public agency, a lot of the presentations are available on-line, either as pdf files or, in some cases, as YouTube videos of the presentations themselves. The video…

Conducting Observations in Clinical Areas

I’m going to start a series of posts on the type of observations that can be useful in Lean work, and on the forms that are often used to collect and display the information. In advance of that, I want to write about observation etiquette. In an ideal state, everyone in a work area knows…