{"id":6021,"date":"2022-10-18T01:00:45","date_gmt":"2022-10-18T07:00:45","guid":{"rendered":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/?p=6021"},"modified":"2022-09-14T15:22:54","modified_gmt":"2022-09-14T21:22:54","slug":"to-err-is-human","status":"publish","type":"post","link":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/to-err-is-human\/","title":{"rendered":"To Err is Human?"},"content":{"rendered":"\r\n<p>Some people think humans will always make mistakes and there&#8217;s nothing we can do about it. I disagree. Here&#8217;s why:<\/p>\r\n\r\n\r\n\r\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/748335522?title=0&amp;byline=0&amp;portrait=0\" width=\"720\" height=\"405\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\r\n\r\n\r\n\r\n<p>&#8220;Hi, I&#8217;m Jay Arthur, author of \u201c<a href=\"https:\/\/www.amazon.com\/Lean-Six-Sigma-Hospitals-Improving\/dp\/1259641082\/\">Lean Six Sigma For Hospitals<\/a>\u201d and the <a href=\"https:\/\/www.qimacros.com\/demo\/\">QI Macros [software]<\/a>.<\/p>\r\n<p>&#8220;Back in 1999, the Institute of Medicine published a book called \u2018<a href=\"https:\/\/www.amazon.com\/Err-Human-Building-Health-Quality\/dp\/0309261740\">To Err is Human<\/a>\u2019 which showed that healthcare kills about a hundred thousand people a year unnecessarily. Since then, we&#8217;ve gotten better at measuring that, and it&#8217;s probably three to five times that much, give or take a few hundred thousand\u2026 But my thing about this was it presupposes that humans will make mistakes and that&#8217;s not preventable; not preventable.<\/p>\r\n<p>&#8220;I believe that error is not\u2026 it&#8217;s not about humans, it&#8217;s about systems. \u2018To err is systems&#8230; systematic.\u2019 It&#8217;s your processes, it&#8217;s your information systems, it&#8217;s whatever you do: your paperwork, your policies, your whatever. It is entirely possible\u2026<\/p>\r\n<p>&#8220;I have this limiting belief: I believe it is entirely possible to mistake-proof everything, everything, so that nobody ever makes a mistake. You can&#8217;t. Your systems won&#8217;t let people fail. That&#8217;s what happens; people fail. In my car, I have to step on the brake to start the car. You can&#8217;t start the car unless you step on the brake. Well, duh, right?<\/p>\r\n<p>&#8220;I believe it&#8217;s possible to mistake-proof everything. You know the little tongs on [the] electrical cords? One of them is fat so you can&#8217;t stick it in backwards\u2026 can&#8217;t do it.<\/p>\r\n<p>&#8220;All right? So i want you to get this idea it is entirely possible. Share my delusion, my limiting belief that it is entirely possible to mistake-proof everything. The more you focus on that, the more you get to the point where things don&#8217;t error anymore. I worked very hard on that in the QI Macros, but every once in a while I still miss something that I haven&#8217;t thought of, and then I fix it so it&#8217;s mistake-proof now. I want you to get this idea it&#8217;s entirely possible to mistake-proof everything.<\/p>\r\n<p>&#8220;That&#8217;s my Improvement Insight: Let&#8217;s go out and mistake-proof something this week.&#8221;<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Some people think humans will always make mistakes and there&rsquo;s nothing we can do about it. I disagree. Here&rsquo;s why: &#65279; &ldquo;Hi, I&rsquo;m Jay Arthur, author of &ldquo;Lean Six Sigma For Hospitals&rdquo; and the QI Macros [software]. &ldquo;Back in 1999, the Institute of Medicine published a book called &lsquo;To Err is Human&rsquo; which showed that [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":6062,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[290],"tags":[308,136,168],"class_list":["post-6021","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-improvement-insights","tag-human-error","tag-mistake-proofing","tag-qi-macros"],"_links":{"self":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts\/6021","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/comments?post=6021"}],"version-history":[{"count":7,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts\/6021\/revisions"}],"predecessor-version":[{"id":6097,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/posts\/6021\/revisions\/6097"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/media\/6062"}],"wp:attachment":[{"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/media?parent=6021"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/categories?post=6021"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.qimacros.com\/lean-six-sigma-blog\/wp-json\/wp\/v2\/tags?post=6021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}