Tuesday, September 7, 2010
Marcus Evans - Advanced Laboratories - Part ll
Along with my own presentations (which in my opinion were brilliant!) there were a whole series of excellent presentations on training and competency, applying lean concepts to patient flow through patient care, and some interesting studies on coliform testing in the dairy industry.
But for my money, the prize presentation was by Don Mikkelsen of the New Zealand Blood Service, on "Transforming your management culture to ensure quality and safety improvement". Using references as broad as Fredrick Winslow Taylor (1911) and James Reason (Human Error) and David Marx (Just Culture) and Groucho Marx ("I have principles, but if you don't like them I also have other principles" Mikkelsn painted a picture of a laboratory environment that recognizes error, but reacts reasonably and appropriately. Council for human errors (slips and distractions), caution for risk behavior, and discipline for Reckless behavior. Over-reaction with minor events does know one any good, nor does under reaction for reckless behavior. Its a matter of knowing what is happening and how to react and when.
Quality and Safety thinking lead to the same end. Organisational culture is the single biggest factor in progressing either. A just culture will open the door to a quality improvement culture. And be flexible about what quality tools and principles you adopt.
Don Mikkelsen and I see a lot in common about accreditation, KPIs, and a series of other things about Quality. I will see if I can get permission to post his presentation and get a written comment.