Poka-yoke is a Japanese term that means "fail-safing" or "mistake-proofing." A mistake-proofing device is any mechanism that either prevents a mistake from being made or makes the mistake obvious at a glance. It turns a "don't" warning into a "can't." You can see a mistake-proofing procedure and example on the ASQ website.
In our next free webinar on May 2nd, "Mistake Proofing to Reduce Medical Errors," you can learn from Dr. Grout about this technique for eliminating defects, improving quality, and streamlining work. He will discuss mistake-proofing within the specific context of health care, including lots of examples. Register now!
Almost every work area already has some mistake-proofing, so in preparation for the session, Dr. Grout asks attendees to look for examples of mistake-proofing in your work processes. It does not have to be fancy or high-tech. Often the simplest examples are the best. Once you discover one, share it in our Discussion Forums before the live webinar.
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Hospital leaders looking to cut back on waste should focus on six categories that account for more than 20 percent of escalating healthcare expenditures, according to an article in the Journal of the American Medical Association (JAMA) by former CMS administrator Donald Berwick and Andrew Hackbarth, an assistant policy analyst for the RAND Corporation. Get the full story from Fierce Healthcare.
5. Hospitals scramble on the front lines of drug shortages
Shortages of prescription drugs have been a growing concern for the past six years. They nearly tripled from 2005 to 2010 and reached record levels in 2011 as manufacturers ceased operations or ran into production problems. Get the full story from The Washington Post.
6. Discussion: Pharmacy Practice - Lorazepam 2mg/ml in NaCl 0.9% Syringes
"We are in the middle of a drug shortage with Lorazepam 2 mg/ml pre-filled syringes and will mostly likely have to compound this strength from the Lorazepam 4 mg/ml bulk vial using NaCl 0.9% as the diluent to make Lorazepam 2 mg/ml. Does anyone have a BUD for this compound?" (read entire post/reply)
7. Top News Story Last Week: Tightening the Lid on Pain Prescriptions
High-strength painkillers known as opioids represent the most widely prescribed class of medications in the United States. And over the last decade, the number of prescriptions for the strongest opioids has increased nearly fourfold, with only limited evidence of their long-term effectiveness or risks, federal data shows. View last week's news review.