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Reducing Specimen Contamination: Did the Improvement Last?

November 9, 2026

At St. Luke Community Healthcare in Montana, routine monitoring revealed a significant problem with contaminated urine cultures. In 2025,...

Is Your CI Team Too Good at Solving Problems?

November 5, 2026

At the AME 2026 International Conference in Milwaukee, I went to a session from OhioHealth whose title is a bit of a math problem: "Scaling...

When Strategy Lives in PowerPoint, Nothing Aligns

June 24, 2026

Most organizations have a strategic plan. Most also have the experience of watching that plan fragment as it moves downstream. Priorities...

Two Questions Kim Barnas Wanted Every Leader to Ask

June 22, 2026

The continuous improvement community lost Kim Barnas earlier this year. She passed away on January 3, 2026, after several years of...

When Your Metric Is Hiding Your Improvement

June 2, 2026

A patient arrives in the emergency department with stroke symptoms. The clock starts. Somewhere between that arrival and the moment the...

When Local Improvement Wasn't Enough: How St. Clair Hospital Scaled a Lean Culture

May 29, 2026

CASE STUDY

How St. Clair Hospital scaled a Lean culture across 2,400 employees with a two-person improvement team

At a glance

  • 328-bed...
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