I read in a report, I believe it was from Manitoba, that there's this Toyota management system where an employee can stop the production line and fix the problem. In hospitals it means an internal hotline where the first-line employees, nurses, can stop and try to fix a problem. This is being done in New Zealand where there's been a 35% increase in efficiency. In the United States the Virginia Mason Hospital & Medical Center in Seattle started that program in 2002 and it's considered one of the levers.
Is this happening in Canada with nurses? If it's not, why not?