Comments on Lean Blog: The Waste of Handwritten Notes

Leadership is the key. The big issue is "who's in...

2008-03-17T09:01:00.000-05:00

Leadership is the key. The big issue is "who's in charge?" The administration? The doctor? The nurse manager? One issue that we face is competition for doctors - will they take their business to the other hospital? They're treated more as a customer than a partner in many cases. This is one of the big barriers we must break down in order to make some of the key changes we need to make.

I've seen this exact thing when I worked in health...

2008-03-15T10:51:00.000-05:00

I've seen this exact thing when I worked in healthcare too. I went to do an ultrasound on the patient and I couldn't find my written order. Turned out the unit clerk had entered the orders in the computer but then didn't return the page to the binder -- as a result he nurse had missed a whole page of orders.

I only know my hospital, but I can't understand how anyone can tolerate the amount of foolishness that goes on in our hospitals. They drive the best people out with incompetence.

Hi Mark,you're quite right Lean starts with LEADER...

2008-03-15T07:50:00.000-05:00

Hi Mark,

you're quite right Lean starts with LEADERSHIP!!

Leaders set the space, tension and vision for growing their teammates towards lean thinking and continuous improvement.

Leaders have VISIONS (necessary to get lean going) whereas managers just deal with current reality (establishing a comfort zone for everyone -especially themselves).

This may sound a bit hars but that is what I have experienced in my almost two decades where I have had direct involvement in work processes.

Best

Ralf