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Archive for August, 2010

How Can We Prevent This Medical Error?

How Can We Prevent This Medical Error?

photo credit: Stewart A number of readers emailed me a link to this New York Times article: “U.S. Inaction Lets Look-Alike Tubes Kill Patients.” The headline emphasizes the lack of governmental oversight, but I’d rather talk about the poor system design that allows deadly errors to occur. The article describes an error where food was […]

Tweet to Win An Autographed Book and Mental Model Cards from Pascal Dennis!

Tweet to Win An Autographed Book and Mental Model Cards from Pascal Dennis!

You might know of and already be a fan of Pascal Dennis (read more about him and listen to my recent podcast with him here). He has a new book out (The Remedy) and his firm, Lean Pathways, has published a cool set of “mental model pocket cards” (the first set of more to come). […]

By August 30, 2010 3 Comments Read More →
Who Coined the Term “Lean”? And Where is He Today?

Who Coined the Term “Lean”? And Where is He Today?

People often ask “So where did the term ‘lean’ come from?” It didn’t come from Toyota. And the term isn’t an acronym (so no need to type it as LEAN or L.E.A.N.). The term came from John Krafcik, who was a graduate student at MIT, working for Lean Enterprise Institute founder Jim Womack on the […]

Releasing Time to Care (Lean Nursing) in New Zealand

Releasing Time to Care (Lean Nursing) in New Zealand

Here is a nice little (under 2 minutes) news video from New Zealand talking about one hospital (in Auckland) and their implementation of the “Releasing Time to Care” program that was started in the British NHS. Other hospitals across New Zealand are doing this too, apparently The story talks about how nurses were spending on […]

By August 28, 2010 0 Comments Read More →
Recent Interviews with John Toussaint; “Gemba Visit” to Park Nicollet

Recent Interviews with John Toussaint; “Gemba Visit” to Park Nicollet

I’m currently in Minneapolis, where today is Day 2 of our Healthcare Value Leaders Network “Gemba Visit” to Park Nicollet (read more about these visits here). Dr. John Toussaint, author of the book On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry, is here with us as always (pictured at left during […]

By August 27, 2010 0 Comments Read More →

Upcoming Public Lean Healthcare Events: Big Sky, Michigan, LEI

Here are a few events I’ll be a part of in the next few months, maybe I’ll see you there: Cindy Jimmerson’s “Big Sky” Lean Leadership Retreat, Sept 20-22 Michigan Lean Consortium’s Lean Healthcare Event, Sept 28 LEI “Key Concepts of Lean in Healthcare” Workshop, Oct 11-12 More details follow: About LeanBlog.org: Mark Graban is […]

By August 26, 2010 1 Comments Read More →
Interview with Paul O’Neill; The Right Goals in Healthcare

Interview with Paul O’Neill; The Right Goals in Healthcare

Many of you may know of Paul O’Neill for the dramatic employee safety improvements at aluminum maker Alcoa and you may know of him from his work in promoting healthcare improvement (he is the “bureaucrat” in “The Nun & the Bureaucrat” book about lean and systems thinking in healthcare). He also worked with Dr. Richard […]

By August 25, 2010 6 Comments Read More →
John Shook to Replace Jim Womack as CEO of Lean Enterprise Institute

John Shook to Replace Jim Womack as CEO of Lean Enterprise Institute

By now, you may have read the news release and/or e-letter (scroll way down) from the Lean Enterprise Institute that announces founder and chairman James P. Womack is stepping down as CEO of LEI, to be replaced by longtime LEI senior advisor, and former Toyota manager, John Shook. It’s an understatement to say that Jim […]

By August 24, 2010 5 Comments Read More →
Great Interview with Dr. Richard Shannon on Lean / Toyota Methods

Great Interview with Dr. Richard Shannon on Lean / Toyota Methods

Today, I’m linking to a fantastic interview and discussion between two luminaries in the patient safety world – Dr. Robert Wachter (read his blog) and Dr. Richard Shannon (who is featured, among other places, in the “Good News: How Hospitals Heal Themselves” video and the companion book “The Nun & the Bureaucrat.“ Here is the […]

Mental Models: Standardized Work and Performance Measures

A few thoughts while waiting for a Sunday flight… at least it’s a Sunday flight towards home. One reason traditional organizations (and traditional leaders) struggle with Lean is because the mental models are different. The problem isn’t understanding tools; the problem occurs when people are forcing Lean methods into a traditional setting. What might work […]

Record of Annual WSJ JIT/Lean Blunders

The WSJ has a long track record of not understanding Lean, as I’ve written about many times on my blog. There’s a major flare up at least once a year: 2011:  http://www.leanblog.org/2011/05/fox-news-channel-understands-lean-better-than-the-wsj/ 2010:   http://www.leanblog.org/2010/07/wsj-wrongly-blames-apple-inventory-problems-on-lean-manufacturing/ 2009: http://www.leanblog.org/2009/05/this-years-wsj-jit-bashing-article/ 2008: http://www.leanblog.org/2008/09/jit-as-cause-of-delayed-shipments/ 2007: http://www.leanblog.org/2007/07/step-1-earthquake-step-2-jit-bashing/ 2006: http://www.leanblog.org/2006/06/wsj-blows-it-on-lean/ About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the […]

By August 20, 2010 7 Comments Read More →
Lean Parody Audio & Video: GEICO Commercial

Lean Parody Audio & Video: GEICO Commercial

Here is the latest of my Lean Healthcare parody commercials, in this streaming audio player (RSS readers will have to come to the website): Please upgrade your browser This time, I’m spoofing the overplayed GEICO commercials, where the gravely-voiced guy in the suit asks a series of funny rhetorical questions… About LeanBlog.org: Mark Graban is […]

By August 20, 2010 1 Comments Read More →

Dan Markovitz Teaching “A3″ Course at Stanford this Fall

  Mark’s note: I asked Dan to write a post about his upcoming class… I’ll be teaching a class this fall at the Stanford University Continuing Studies Program on A3s — how to create them, how to review them, and how to coach others on them. The goal of the class is to help you […]

If You Had to Rebuild Your Workplace Tomorrow?

I’ve had the chance recently to re-watch some of The Deming Library DVDs, thanks to my friends at CC-M Productions (found at www.managementwisdom.com). I’m watching some of the videos for the first time. It’s always a joy for me to watch these videos, produced in the 1990s featuring interviews with Dr. W. Edwards Deming and […]

By August 19, 2010 4 Comments Read More →
Top 10 Signs You’re In a Fear-Based Workplace

Top 10 Signs You’re In a Fear-Based Workplace

Dr. W. Edwards Deming always said we need to drive out fear from organizations, as point 8 of the 14 Points said: “Drive out fear, so that everyone may work effectively for the company.” Too many organizations, including hospitals, are driven by fear. This is counterproductive and harmful. You can’t implement Lean in a fear-based […]

Lean Experience “A Plus” for Lean Healthcare Job?

Lean Experience “A Plus” for Lean Healthcare Job?

Via Google Alerts, I try to regularly scan and see where hospitals are posting jobs related to Lean. I found (OK, Google found) one posting last week that I shared on my “Move to Healthcare” networking site (free registration required to view and participate fully). You can also see the posting here on hotjobs. One […]

By August 17, 2010 5 Comments Read More →
Reader Question: Rapid Response Teams (Oops, We Don’t Have the Items)

Reader Question: Rapid Response Teams (Oops, We Don’t Have the Items)

I received an email from a reader that I’m sharing and commenting on with permission. “Dear Mark: I am a lean coordinator for a manufacturing company and it was a real shock to see some of the waste during a recent hospital visit to see a dying family member. He was 92 years old and […]

By August 16, 2010 5 Comments Read More →

Great Guests on “The Lean Nation”

There have been lots of people you would recognize on Karl Wadensten’s radio show “The Lean Nation” recently, including many of my guest bloggers. Take a listen to the on-demand or downloadable shows: Lean Nation 8-13-10 —  Guest: Bob Emiliani in studio Topic: Five Reasons for Lean Failure Lean Nation 8-12-10 —  Karl talks lean […]

By August 15, 2010 0 Comments Read More →