FIXING HEALTH CARE SAFETY: Time To Pull The Andon Cord
One day, some time in the future, a nurse or doctor will notice something – a piece of equipment, the way a drug is packaged, a problem with a system – and she will (metaphorically) pull a cord to sound an alarm. The Andon Cord is part of the Toyota Production System. Pulling it means front line staff have their concerns appropriately listened to and managed in a way to ensure continuous improvement and optimum efficiency. Healthcare doesn’t have an Andon Cord. It never has and as a result the voices of front line staff are for the most part mute, after all there is little they can do about the issues they find.
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