Healthcare worker writing on a white board | Virginia Mason Institute

Webinar | Stopping Mistakes to Eliminate Never Events

Erica Cumbee

In this webinar Erica Cumbee, MPA, explores how Virginia Mason’s lean method accelerates process improvement as she discusses strategies to engage staff in safety. Watch the video below for more information.

Note: If the video is not appearing above, you may need to enable Flash in your browser settings or you can watch the video here on YouTube.

After the presentation of our live webinar, Erica Cumbee answered a few questions from participants:

Q&A

At Virginia Mason, we test visual controls utilizing the Plan-Do-Study-Act (PDSA) cycle. This allows us to use objective measurements to better understand which visual control to implement.

Yes, technology can hold back improvement if the team is waiting to implement technology before they move forward with small tests of change. At Virginia Mason, quick and crude is best. Don’t wait!

At Virginia Mason, we test standard work utilizing the Plan-Do-Study-Act (PDSA) cycle.

Yes! The webinar will be recorded and sent to all registrants.

Executive leaders are accountable for leader rounding. During leader rounding, executives promote a culture of safety through role modeling respect for people and asking frontline staff about any barriers they may encounter regarding speaking up.

Implementing daily management (a part of world-class management) has by far been one of our greatest successes in terms of sustaining change. Also, frontline leaders should make it a part of their standard work to weekly check on a piece of standard work and observe on the front lines (the genba) to better understand if it is being executed.

Yes, we consistently include patients in our improvement events. We have a patient/family partner program where patients are onboarded to assist us in our improvement work. We also use experience-based design (EBD) to understand how our patients experience our processes at Virginia Mason.

We have a Virginia Mason Production System (VMPS) for Leaders training program where Virginia Mason residents can receive further training if they desire. As a part of onboarding, all new hires receive two hours of lean training as well.

All Rapid Process Improvement Workshops (RPIWs) have a sponsor (who is either an executive or administrative director). It is the role of the sponsor to ensure the RPIW aligns with the organization’s annual goals.

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