Please Help with Research Topics – Understanding Variation & Reducing Blame

DSC06836-BOK, so it’s not the kind of scientific research that involves lab coats and microscopes, but I’m doing some research that I’d like your help with.

I’m looking to do some research and some interviews for writing projects related to two different topics.

Understanding Variation

PACK (1)I’ve been working with Mike Stoecklein from the ThedaCare Center for Healthcare Value to write an e-Book that looks at topics that are based on ideas from W. Edwards Deming and, more recently, from Don Wheeler (author of Understanding Variation). Broad themes include knowing how to recognize and manage variation and the use of Statistical Process Control methods to make better decisions from data (something I’ve written about here on this blog) and how to manage variation when you don’t have data.

Check out our book’s very early landing page on LeanPub.com. The title is quirky, we realize that. The subtitle isn’t set yet. More on the story behind the title some other time.

Do you have stories that others can learn from?

  • Situations where data was displayed or used “without context” as Wheeler described
  • Times when two-data point comparisons (current versus target, current versus last month, current versus last year) where used in a way that was dysfunctional
  • Stories about how managers or teams were wasting time or annoying people “chasing noise in the system” or data?

Or do you have positive stories about how you’ve used ideas from Wheeler’s book (or Deming’s ideas on understanding and managing variation) to improve how a team or system is managed? Please contact me if you do and if you’re willing to be interviewed by me or Mike (he’s already interviewed a number of people for a research paper he’s written on this theme).

Hear Mark read this post (and subscribe to the “Lean Blog Audio” series):

 

Reducing Blame in Organizations

file7561269348012Another key theme from Dr. Deming is the idea of reducing fear and not blaming individuals for system problems.

I’m thinking about a separate writing project that would not just explore the idea that “naming, blaming, and shaming” is harmful and counterproductive to good performance… it would also explore what organizations are practically doing to rely less on blame.

These approaches include:

  • Lean
  • Deming
  • Lean Startup & Lean IT
  • Just Culture
  • Studer Group methodologies
  • Systems thinking
  • Crew Resource Management

If you’re in healthcare (or other industries or settings) and your organization has specifically worked to reduce blame (replacing it with other managerial approaches), I would love to interview you and/or your senior leaders.

Again, please contact me if you would like to talk and contribute to my research.

Franciscan Workshop

Don’t forget our on-site Kaizen learning experience at Franciscan St. Francis Health on April 22-23. We’ve extended “early bird” pricing until this Friday March 20:

onsite franciscan kaizen

 


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Now Available – The updated, expanded, and revised 3rd Edition of Mark Graban’s Shingo Research Award-Winning Book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. You can buy the book today, including signed copies from the author.

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Mark Graban's passion is creating a better, safer, more cost effective healthcare system for patients and better workplaces for all. Mark is a consultant, author, and speaker in the "Lean healthcare" methodology. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent project is an eBook titled Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus.

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7 Comments on "Please Help with Research Topics – Understanding Variation & Reducing Blame"

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  1. Mark Graban
    Twitter:
    says:

    Bob Emiliani via Twitter:

    RE: Reducing blame. There are two types of blame: Overt and covert. Must reduce/eliminate both.

    Mark Graban recently posted..Podcast #218 – Karen Kiel-Rosser, Baldrige & Mary Greeley Medical CenterMy Profile

    • Gary Grindley says:

      I see the reverse of this quite often. Executives Overtly and Covertly take credit for improvements that do not exist, and for claiming improvement trends where no trend exists. Most of them just never learned how to use control charts and how to differentiate between common cause and special cause variation. :o)

  2. Tom Ehrenfeld says:

    Sounds great Mark! Does the first book run risk of converging on six sigma territory? How does one apply a powerful statistical method of reducing variation without losing the key managerial principles that leverage the full promise of this mindset?

    A book on blame sounds really cool. Just from experience, in non-hospital settings, I have found that one of the greatest sources of “blame” in workplaces comes from lack of Standard Work. Problems immediately default to existing assumptions that other people are idiots because things didn’t get done the “right” way….when in fact no one best way is not even established in the first place! And then, even when some type of SW exists, it is rarely captured in a way that is commonly understood and easy to follow. And finally, the last piece has to be folks who are willing to see divergence between what is and what should be (SW) is actually an opportunity for learning/coaching–to look together at what created the gap, and then problem-solve together to get to point of origin and then close the gap. Long-winded answer, sorry; just sharing what I’ve found to be lacking in orgs which then emerges as finger-pointing and general bad juju.

    • Mark Graban
      Twitter:
      says:

      The first book won’t go anywhere near Six Sigma. It’s more along the lines of basic quality control methods, like run charts and SPC, that Toyota uses without them doing formal Six Sigma). But, it’s going to be a management book, not a statistics book. Mike Stoecklein does a good job of articulating ideas about managing variation when we don’t have data and charts.

      I agree with what you’re saying on blame. If there’s no standardized work, how can you blame the worker? It’s management’s responsibility to have good standardized work.
      Mark Graban recently posted..#ThrowbackThursday: #Lean Manufacturing Training from 2002My Profile

  3. Bob Emiliani says:

    Mark – As part of your research on blame, have a look at REAL LEAN Volume Six, Chapter 7, “Crazy Processes, Krazy Managers.” It shows the link between business processes and leadership behaviors.
    Bob Emiliani recently posted..Good For You To KnowMy Profile

  4. These are great topics for work, Mark. Regarding blame, I would also suggest the (sub-)field of psychological safety, as well; there’s been a fair bit of research that combines personal psychology, sociology and some anthropology to better understand the complex interplay between systems, organizational culture and people. I’m currently doing some similar work on the intersection of psychological safety and just culture.
    Sean Carey recently posted..Using Plan-Do-Study-Act to Remove Alarms from a Skilled Nursing HomeMy Profile

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