Tag: Deming

Mr. Burns From the Simpsons is, No Surprise, a Safety Hypocrite

Mr. Burns From the Simpsons is, No Surprise, a Safety Hypocrite

We can probably all use a mid-week chuckle… I used to be a die hard fan of The Simpsons. I’ve drifted away from watching the show over time, but a friend recommended that I was the season finale. The full episode is embedded below (and probably can only be seen in the U.S., sorry). My […]

#Lean Would Be a Solution for What These Nurses Complain About

#Lean Would Be a Solution for What These Nurses Complain About

In my time working with hospitals, I’ve always been very sympathetic to front-line nurses (and other staff). They are far too often overburdened and undersupported. Work is often more difficult than it needs to be — too much hassle and not enough time with patients. Nurses are forced to jump through hoops, fighting through bad […]

By February 22, 2016 5 Comments Read More →
Ask This Question (Not This One) When Trying to Improve a Stable System

Ask This Question (Not This One) When Trying to Improve a Stable System

As I’ve done before (and written about), I’ll be facilitating the famed “Deming Red Bead Experiment” on Thursday at the Society for Health Systems annual conference. See this pages with notes and slides. The intent of the exercise is to help people see and understand common cause variation in a system. Different participants dip their […]

By February 16, 2016 3 Comments Read More →
“Practicing Lean” Excerpt – Lessons from Japan

“Practicing Lean” Excerpt – Lessons from Japan

I’ve recently updated the eBook Practicing Lean to include a new ninth chapter, submitted by Samuel Selay. Other new chapters are by David Haigh, from Canada, and Joe Swartz (my Healthcare Kaizen co-author) . I love the diversity of perspectives in the book, as it’s continuing to grow and take shape. Upcoming chapters will include thoughts from a Scottish physician, along […]

By February 12, 2016 1 Comments Read More →
It might be too late to get “Buy In” by the time you bemoan the lack of it

It might be too late to get “Buy In” by the time you bemoan the lack of it

Another question I get thrown at me very often is something along the lines of “How do we get more buy in for ______” with that space being filled with Lean, Kaizen, 5S, using the EMR system, improvement, or any number of terms. If you do a Google search for Lean “lack of buy in”…

By February 9, 2016 4 Comments Read More →
Throwback Thursday: Various Posts from February 4th, Across 11 Years

Throwback Thursday: Various Posts from February 4th, Across 11 Years

My blog turned 11 years old last month. Thanks to everyone for reading! I looked back, as a Throwback Thursday, and found a number of really good posts that were published on this date…

By February 4, 2016 0 Comments Read More →
The Shared Interests & Goals of Lean and the Patient Safety Movement

The Shared Interests & Goals of Lean and the Patient Safety Movement

Later today and tomorrow, I’ll be attending the annual World Patient Safety, Science & Technology Summit that’s produced by a non-profit called the Patient Safety Movement. If you’re also at the event, please say hi! Follow the event on the hashtag #0X2020. I attended last year and wrote a post titled “Politicians and Patient Safety: […]

By January 22, 2016 0 Comments Read More →
Cleveland Clinic Improvement Model, Part 1: Alignment & Visual Management

Cleveland Clinic Improvement Model, Part 1: Alignment & Visual Management

Back in November, I had a chance to meet Nate Hurle, from Cleveland Clinic, as he was giving a presentation about their work with Lean and continuous improvement. As we chatted, I mentioned that I’d be in Ohio in early December, as I was going to visit my grandfather who lives in northeastern Ohio (he’s […]

By January 19, 2016 9 Comments Read More →
Doctors Bash “Taylorism” and “Toyota Lean” in the New England Journal of Medicine

Doctors Bash “Taylorism” and “Toyota Lean” in the New England Journal of Medicine

In the article posted today, Pamela Hartzband, M.D., and Jerome Groopman, M.D. (the later the author of the popular book How Doctors Think), rant about all sorts of things… some of which have nothing to do with Lean…

By January 13, 2016 54 Comments Read More →
Wise Words from Mark Twain on Continuous Improvement and Perfection

Wise Words from Mark Twain on Continuous Improvement and Perfection

A hat tip goes to Brian Buck for sharing this quote via email recently. Samuel Clemens, aka Mark Twain, was a pithy and wise man. I didn’t remember this quote, but it is attributed to him. It’s very appropriate for the type of work we do…

By January 13, 2016 0 Comments Read More →
Podcast #238 – Kevin Cahill, on his Grandfather, W. Edwards Deming

Podcast #238 – Kevin Cahill, on his Grandfather, W. Edwards Deming

Episode #238 is a conversation with somebody I’ve wanted to talk with for a long time, Kevin Cahill. He is the executive director of the W. Edwards Deming Institute. He’s also a grandson of Dr. Deming! …

By January 11, 2016 2 Comments Read More →
Dr. Don Berwick is “Stunned” By How Few Organizations Study Deming

Dr. Don Berwick is “Stunned” By How Few Organizations Study Deming

One of the first people in healthcare to be influenced by Deming’s work is Dr. Don Berwick, founder of the Institute for Healthcare Improvement (at right in that picture). Berwick wrote about Deming’s ideas back in…

By January 7, 2016 9 Comments Read More →
More Notes on Dr. Deming & “If Japan Can, Why Can’t We?” (Part 3)

More Notes on Dr. Deming & “If Japan Can, Why Can’t We?” (Part 3)

Hopefully you’ve already seen the famed 1980 NBC documentary “If Japan Can, Why Can’t We?” that featured Dr. W. Edwards Deming. I posted a link to the video and some notes on Part 1 of the broadcast. Today, I’d like to blog about Part 3 of the program…

By January 6, 2016 3 Comments Read More →
Simple Mixups & How Blaming Workers Doesn’t Explain or Prevent Them

Simple Mixups & How Blaming Workers Doesn’t Explain or Prevent Them

When we see a simple error, even in something as silly as sports memorabilia, we would ask “why?” or “how?” instead of “who?” Blaming individuals doesn’t help…

By January 4, 2016 3 Comments Read More →
It’s Not the Worker’s Fault – in 1980 or Today (Part 1 of “If Japan Can, Why Can’t We?”)

It’s Not the Worker’s Fault – in 1980 or Today (Part 1 of “If Japan Can, Why Can’t We?”)

Recently, I shared the famed 1980 NBC documentary, “If Japan Can, Why Can’t We?” that essentially introduced W. Edwards Deming to a mainstream Western business audience. Today, I’m going to share some highlights and thoughts from Part 1 the program (which runs 76 minutes in its entirety). read more

By November 27, 2015 0 Comments Read More →
Famed NBC Video with Dr. Deming from 1980 Now Available: “If Japan Can, Why Can’t We?”

Famed NBC Video with Dr. Deming from 1980 Now Available: “If Japan Can, Why Can’t We?”

The W. Edwards Deming Institute and Dr. Deming’s grandson Kevin Cahill worked with NBC to make the 1980 program available, giving the institute perpetual rights to it (see their blog post). To the institute’s credit, they’ve made this freely available on YouTube.

By November 22, 2015 10 Comments Read More →
Key Tweets from @MarkGraban – Week of November 16, 2015: #LeanStartup Conference, #Deming & More

Key Tweets from @MarkGraban – Week of November 16, 2015: #LeanStartup Conference, #Deming & More

Here’s the latest installment of “Key Tweets,” a weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation.

By November 21, 2015 0 Comments Read More →
Maybe We Should Call it “The Many Whys” Instead of “The Five Whys” in #Lean & #LeanStartup

Maybe We Should Call it “The Many Whys” Instead of “The Five Whys” in #Lean & #LeanStartup

There’s no magic about the number five. I’ve seen some people write that five is somehow a “magic number.” No, that’s not really the case. Ask why more than once, probably more than twice…

By November 18, 2015 6 Comments Read More →