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Foreword | |
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Note About This Book | |
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Preface: A Surprising Visit | |
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A New Idea | |
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Change or Die | |
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Physician-Centric | |
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Germ of a New Idea | |
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Toyota Mantra: Eliminate Waste | |
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Journey to Japan | |
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A Daring New Path | |
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Skepticism | |
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The First Trip | |
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An Industrial Symphony | |
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"Aren't You Ashamed?" | |
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The Missing Piece | |
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"This Is Ludicrous" | |
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No Going Back | |
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The Blue Yarn | |
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A Revealing Value Stream | |
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The Patient's Voice | |
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New Space, New Process | |
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Continuous Improvement | |
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Standard Work | |
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A Singular Success | |
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Safety Crusade | |
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Patient Safety Alerts<sup>™</sup> | |
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A Nurse's Courage | |
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A Doctor's Courage | |
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Why Shouldn't Everybody Get a Flu Shot? | |
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Mrs. Mary McClinton | |
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Mistake Proofing | |
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A Culture of Safety | |
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Evolution of the PSA System | |
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Ambulatory Care Breakthrough | |
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Stress on Primary Care | |
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Moving the Mountain of Waits | |
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Mistake-Proofing Care: Early Steps | |
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Creating a New Tool | |
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Inventing the Flow Station | |
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Breakthrough | |
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Skill-Task Alignment | |
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Primary Care Transformed | |
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Going to Jidoka | |
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External Setup | |
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Biggest Room in the House | |
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Transforming Procedural Care | |
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Creating a New Ambulatory Surgical Experience | |
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Design Challenge | |
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Listening to Patients | |
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Setup Reduction | |
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Breakthrough | |
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Center for Hyperbaric Medicine | |
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Ask Why | |
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Patient Focused | |
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Transforming Inpatient Care | |
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Geographic Cells | |
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Report/Handoff | |
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In-Room Documentation | |
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Visual Work Environment | |
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Medical Emergency Teams | |
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Hourly Rounding: From Reactive to Proactive | |
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Knowing the Frontline Work | |
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Dramatic Change in Nurse Culture | |
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Shorter Length of Stay | |
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Better, Faster, More Affordable | |
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Identifying The Customer | |
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"We Can Do Better" | |
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Value Stream Reveals Huge Waste | |
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Same-Day Access | |
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Marketplace Defines Quality | |
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Home Run | |
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Financial Conundrum | |
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Perverse Incentives | |
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Management Method | |
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Seeing Virginia Mason with Fresh Eyes | |
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Structure and Discipline | |
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Training within Industry | |
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Standard Work: Hand Hygiene | |
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World-Class Management | |
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Daily Management | |
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"The State of the Union Every Tuesday Morning" | |
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"Everybody Can Be a Leader" | |
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Leadership | |
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The Journey Continues | |
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Will You Teach Us? | |
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If You Build It | |
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Role Model | |
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The Virginia Mason Institute | |
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"Accountable Outside Our Own Walls" | |
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The Obstacle of Arrogance | |
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A Nonsystem | |
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A Sense of Hope | |
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The Journey Continues | |
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"We're Just Getting Started" | |
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Source Notes | |
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Preface | |
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Appendix | |
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Glossary | |
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Appendix | |
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Applying VMPS to Business Functions | |
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Relentless Attack on Waste | |
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Bringing Flow Stations to Specialty Department | |
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General Internal Medicine: Spreading Innovation in Ambulatory Care | |
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Breaking Down Silos | |
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Skill-Task Alignment | |
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Uphill Battle | |
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Restructuring | |
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Introducing Flow Stations | |
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The New GIM | |
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Acknowledgments | |
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Index | |
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About the Author | |