Some stuff

Hoquet manuever

Architecture of safety surgical excellence

Executive function

Basic laparoscopy, advanced, solid organ

Foreign language

Reproductive success

To succeed, we must broaden our understanding and soften our resistance to change.

It’s critical that safety practitioners recognize that success isn’t an “or” issue (one strategy or
another), but rather an “and” issue (one strategy and another ... and another, and another)! Safety
excellence isn’t the result of a singular strategy. There are no universal answers.

Peak safety performance results from multiple strategies designed and applied across a broad
spectrum of issues and risk factors within an organization. Safety excellence is the outcome of a
strategy continuum; a strategic architecture, which addresses the regulatory, technical, engineering,
organizational, behavioral, managerial and cultural aspects of an organization.

“At-risk behaviors” — what people do! Behavior
isn’t the next level of safety strategy; it’s the ultimate level.

SAFETY PROGRAM STRATEGY (Attitudes, Awareness & Training): “Think safe”!

Safety culture deals with the “unwritten rules” (clarified by action) that determine if safety really
is important in an organization. Safety culture is forged by what executives do (their decisions
and actions) more than by what executives say (their policies and proclamations). Tactics most
commonly pursued to strengthen safety culture in organizations are: visioning sessions, mission
and purpose definition, and values clarification ... and, above all, commitment to high visibility
executive participation in the process.

ORGANIZATIONAL STRATEGY: Safe by design ... organizational design!

PERFORMANCE LEADERSHIP “Safety follows the leader!”

hierarchical “command and control” management practice

BEHAVIORAL STRATEGY: “Safe is how we do business!

If your organization desires to achieve safety excellence, you must first develop a deep understanding of what excellence is. Deming called such an understanding "profound knowledge." It not only is a performance goal, but a definition of what excellence is and a process to achieve the goal. It also must have process metrics that facilitate understanding of how excellence is achieved. Excellence cannot be defined simply in terms of short-term results. The definition of excellence cannot inadvertently include results produced by luck and normal variation. Truly excellent safety organizations don't just get to zero; they know exactly how to duplicate and improve their success.

Excellence vs perfection
Pursuing excellence may require tremendous effort and focus as well as other resources. But, unlike perfectionism, it does not demand a sacrifice of self-esteem as it tends to focus on the process of achievement rather than the outcome.


The University of Tokyo Hospital maintains a hygienic environment and manages/operates employees in such a way that allows the efficient and safe execution of elective and emergency operations for patients. In response to the increasingly heightened awareness towards medical safety in recent years, we especially make an utmost effort to guarantee “Safe Surgery” in advanced surgical treatment.

Life-transforming

self-organizing caseload

COE bariatric 

commitment to excellence by surgicalreview COEHS