Ah, what a day yesterday. You’d think getting from Boston to Philadelphia would be easy. I’m here, teaching my “Key Concepts of Lean in Healthcare” workshop for the first time for LEI.

I got to Logan a little before 1 PM for my 2:30 PM flight. I got a call from the airline (part of which used to have the nickname “America Worst”) that the flight was canceled. At 1 PM, the ticket agent puts me on the 1:30 flight. “Do I have time to make that?” So, off I went.

First defect in the process was the TSA video that was playing. That video must be FOUR years old, because it clearly showed and explained that passengers should put their beverages (showing a Coke bottle and a bottle of Juice) into their carry-on bags for screening and x-ray.

HELLO?? Liquid explosives threat, circa 2006 anyone?

Of course, the TSA agents were confiscating a lot of drinks at the x-ray station. BAG CHECK. Slowing things down for us. No, it wasn’t my drink, but the infrequent flyers could understandably be confused by the conflicting rules.

So I run to the gate, near B6… they were in final boarding, I hand the agent my boarding pass, she tears it, and I go down to the tarmac, gate check my suitcase, and get on the regional jet.

Hmmmm, my ticket says 17F and there are only 11 rows on this plane. I ask the flight attendant about this and he says, “Oh, this flight is very empty, just sit anywhere.” I guess it didn’t seem strange that I got assigned a non-existent seat.

About 2 minutes later, the intercom pages “Robert Graban” (no, my dad wasn’t on the plane, but my middle name is now on the boarding pass, thanks to new TSA rules). They must mean me.

Turns out I had boarded the wrong gate (off by one) and this was a plane to Rochester, NY. So much for the error proofing at the gate (the bar code scanner, not being used, apparently) or checking as you board the plane (as they often do).

I’m standing on the tarmac and, of course, the gate check bags had already been loaded.

“What’s your bag look like?”

“Um, a black suitcase. It has my name on it, the American AAdvantage tag.”

They pull a bag off that, at a distance, looked like mine. They wheel it over. Argh, not my bag. They had already close up the plane.

“Try the one with MY NAME on it,” I had to shout over the engine noise.

Now, the Rochester people are getting delayed, and I figure I’m going to miss that 1:30 to Philly.

They finally find my bag, and off I go back into the terminal. The 1:30 flight is now delayed for three hours due to Philly weather.

At least US Airways and their staff didn’t treat me too rudely or do much to blame me for the error. That’s the first time I’ve boarded the wrong plane. I’ll blame the process!

And like I said, at least I got to Philly safe and sound. That’s what really matters. No defect there.

Back to regular Lean Blog posts tomorrow. No more defect-plagued travelogue entries… actually, check back later today at 1 PM when I’ll have an announcement about a future Lean Blog Podcast about patient safety…

About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.

Tagged as: Aviation, Error Proofing, Travel