Comments on: Getting Started with Lean in Nursing http://www.leanblog.org/2009/05/getting-started-with-lean-in-nursing/ Mark Graban's leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System Thu, 09 Feb 2012 22:59:58 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Dolly Bellhouse, Rule 4 Consulting http://www.leanblog.org/2009/05/getting-started-with-lean-in-nursing/#comment-5019 Dolly Bellhouse, Rule 4 Consulting Sun, 31 May 2009 22:23:31 +0000 http://leanblog.bigbigdesign.net/2009/05/getting-started-with-lean-in-nursing/#comment-5019 You're right. Lots & lots of observation not only helps you learn how work really happens; it helps staff learn to see their work in a different way. Documenting your observations by drawing them and reflecting those drawings back to staff keeps everything open and safe. And, as Michael noted, it honors their work. It is a great privilege to learn by observing staff. Work as observed is almost always different from work as espoused.<br /><br />Thanks, Dean! You're right. Lots & lots of observation not only helps you learn how work really happens; it helps staff learn to see their work in a different way. Documenting your observations by drawing them and reflecting those drawings back to staff keeps everything open and safe. And, as Michael noted, it honors their work. It is a great privilege to learn by observing staff. Work as observed is almost always different from work as espoused.

Thanks, Dean!

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]]> By: Michael Lombard http://www.leanblog.org/2009/05/getting-started-with-lean-in-nursing/#comment-5018 Michael Lombard Sat, 30 May 2009 14:22:05 +0000 http://leanblog.bigbigdesign.net/2009/05/getting-started-with-lean-in-nursing/#comment-5018 That key feature that you describe as "lots and lots (and lots) of direct observation" has always been for me the most effective approach to team-based problem-solving. When I was inexperienced w/ Lean and didn't have command of any other Lean tools, I could always just go "stand in the circle" and be confident that I would help the team solve a problem. I imagine Taichi Ohno would say that this is Lean in its purest form. Here's why:<br /><br />1) It's simple (all you need is a notepad, pen, and comfortable shoes)<br />2) It adheres to the 'genchi genbutsu' principle<br />3) It adheres to the 'respect for people' principle<br /><br />Great stuff! That key feature that you describe as “lots and lots (and lots) of direct observation” has always been for me the most effective approach to team-based problem-solving. When I was inexperienced w/ Lean and didn’t have command of any other Lean tools, I could always just go “stand in the circle” and be confident that I would help the team solve a problem. I imagine Taichi Ohno would say that this is Lean in its purest form. Here’s why:

1) It’s simple (all you need is a notepad, pen, and comfortable shoes)
2) It adheres to the ‘genchi genbutsu’ principle
3) It adheres to the ‘respect for people’ principle

Great stuff!

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