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Poka Yoke (Mistake Proofing)

Japanese term that means mistake proofing. To avoid (yokeru) inadvertent errors (poka).

A Poka Yoke device is one that prevents incorrect parts of a process from being worked or easily identifies a flaw or error.

  • Any method that can help caregivers or operators avoid mistakes
  • The Lean Healthcare concept recognizes that the optimal location to prevent or correct mistakes is at the point of creation of the problem.
  • Late recognition of a mistake or defect is never as efficient and typically has a cumulative effect.

Poka-yoke - 'mistake-proofing', a means of providing a visual or other signals to indicate a characteristic state. Often referred to as 'error-proofing', poke-yoke is actually the first step in truly error-proofing a system. Error proofing is a technique of preventing errors by designing the process, equipment, and tools so that a procedure literally cannot be performed incorrectly.

HPP's Mistake Proofing Philosophy

  • Believes that a zero defect process is possible when using Lean Healthcare tools.
  • Promotes defect prevention vs. defect detection
  • Recognizes that people forget and make errors; also machines/processes fail and make errors
  • Respect the intelligence of workers by taking the judgment out of repetitive tasks where errors are likely to occur
  • Utilizes people working in the process to mistake proof the work because the own the process.
 

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