Here's the latest installment of “Key Tweets,” a (usually) weekly post that presents some of my tweets (or retweets) from the week, including pictures and other interesting stuff.
You can follow me @MarkGraban and join the fun and the conversation, but you don't need a Twitter account to view any of this.
See the previous installments of Key Tweets.
Tweets from “Lean Startup Week” are in this separate post:
And now… the tweets:
What's more clear, text numbers about # of NFL flags or a chart? https://t.co/b9usKAN7e9 pic.twitter.com/l0Qco4AJhd
— Mark Graban (@MarkGraban) November 3, 2017
You can’t inspect in quality. Even Toyota has final inspection. But you need to not throw untrained people into that role. pic.twitter.com/V2XbZ04Ck7
— Mark Graban (@MarkGraban) October 28, 2017
"This is Spinal Tap" playing at 11:11 pm on 11/11. Well played, Alamo Drafthouse pic.twitter.com/qEK9gkqT2t
— Mark Graban (@MarkGraban) October 29, 2017
Jim Womack on Tesla Model 3: “a crazy, crack-brain schedule that Musk may never have believed in to begin with.” https://t.co/vST8QdBOuc
— Mark Graban (@MarkGraban) October 29, 2017
The late Peter Scholtes: All data vary. One of the themes of my #leanstartupweek talk on Friday. pic.twitter.com/hgUqHFy24Z
— Mark Graban (@MarkGraban) October 29, 2017
More from Scholtes’s “The Leader’s Handbook” / foundational ideas for my #leanstartupweek talk #deming pic.twitter.com/3MNR1EsxvP
— Mark Graban (@MarkGraban) October 29, 2017
More from Scholtes. I fear healthcare is shifting from “#lean is new” to throwing it away because it’s hard, not a silver bullet. pic.twitter.com/HUOy88QbNC
— Mark Graban (@MarkGraban) October 29, 2017
Does history repeat itself with #TQM & #Lean? Have I been guilty of not understanding or trivializing? Trying to reflect, not blame others. pic.twitter.com/Iy0RMb7fR2
— Mark Graban (@MarkGraban) October 29, 2017
Scholtes wrote this over 20 years ago. Does it sound like many “healthcare Improvement” approaches in 2017? pic.twitter.com/DAHxJPnF2F
— Mark Graban (@MarkGraban) October 29, 2017
More from Scholtes, building on #Deming, Ackoff, and others. pic.twitter.com/1ZZIQqep4Y
— Mark Graban (@MarkGraban) October 29, 2017
Gratuitous waste of money or prudent backup plan? 🤔
https://t.co/RTtr0cNFUf pic.twitter.com/kgu6bShC8D— Mark Graban (@MarkGraban) October 29, 2017
I thought this factory was "cool" when it was NUMMI :-) #Lean https://t.co/gFWjOPig7V
— Mark Graban (@MarkGraban) October 30, 2017
“Put oxygen into her without calibrating it & exploded her lungs & caused multiple cardiac arrests and killed her" https://t.co/MdYhgKvyyR
— Mark Graban (@MarkGraban) October 30, 2017
“manufacturing was littered with companies that saw #lean as a collection of tools” (instead of as a culture) https://t.co/pV8e8TKv60
— Mark Graban (@MarkGraban) October 30, 2017
“Many executives in [tech] space do not fully understand the relationship between humility and leadership.” https://t.co/JHWmi7uaZU
— Mark Graban (@MarkGraban) October 31, 2017
"Root cause analysis" isn't just a list of problems. Those problems shouldn't be stated as solutions, either. #Lean #LeanSigma
— Mark Graban (@MarkGraban) October 31, 2017
Why wouldn't a "Lean Sigma" project use a run chart or control chart to show results instead of simple before/after? pic.twitter.com/fLrugHis64
— Mark Graban (@MarkGraban) October 31, 2017
Today @jfsussman from @kainexus dressed as "Jake from @StateFarm" – well played pic.twitter.com/1wNAKJ9awY
— Mark Graban (@MarkGraban) October 31, 2017
“I apologize if you feel that way” is NOT an apology. https://t.co/u9ElxiBZpR
— Mark Graban (@MarkGraban) October 31, 2017
A single data point higher than the last could be “noise” in the metric. Depends on the size of the “increase.” Could be fluctuating. pic.twitter.com/waUBOtjczm
— Mark Graban (@MarkGraban) October 31, 2017
#LeanStartup & #lean “strategy deployment” methods put a lot of emphasis on WHAT to measure. pic.twitter.com/VZOb7aUmWb
— Mark Graban (@MarkGraban) October 31, 2017
Does this headline assume the CEO is already wearing glasses? 🤓 pic.twitter.com/ozryunxE1Q
— Mark Graban (@MarkGraban) October 31, 2017
No matter how frequently you do it, comparing a metric to a target or a previous data point is an outdated analysis method. pic.twitter.com/8ie9eaXeDf
— Mark Graban (@MarkGraban) October 31, 2017
The key question to me is “are they responding appropriately and not overreacting to metrics?” Does this meeting help or just pretend to? pic.twitter.com/D0tYRoXbsl
— Mark Graban (@MarkGraban) October 31, 2017
Also worth asking: “Is 20% change typical variation or statistically significant?” pic.twitter.com/iLoTbf4Ofp
— Mark Graban (@MarkGraban) October 31, 2017
Looking at a metric daily requires some understanding of routine variation (noise) vs meaningful change (a signal). pic.twitter.com/UifMHIJgEQ
— Mark Graban (@MarkGraban) October 31, 2017
Dr. #Deming supposedly hated that term TQM “Deming gave us his theory called “Total Quality Management” ” https://t.co/tW7cYKVJpN
— Mark Graban (@MarkGraban) October 31, 2017
Unleash the creative, self-reinforcing, innovative forces within any org. Check out how in my new book: https://t.co/qL2blO25NB pic.twitter.com/87rZL0TZCt
— Eric Ries (@ericries) October 31, 2017
Post-Conference: How the KaiNexus Team Debriefs and Improves https://t.co/6j2RWHY21E
— KaiNexus (@KaiNexus) October 31, 2017
In poor health: “Such nurses were anywhere from 26 to 71 percent more likely to report errors on the job mistakes.” https://t.co/7vgMbaTd3V
— Mark Graban (@MarkGraban) November 1, 2017
This bad design has tripped me up before. Easy to blame the user. But, early in the AM, does the little notch or other side point to 1 cup? pic.twitter.com/gqeV6Yj2pq
— Mark Graban (@MarkGraban) November 1, 2017
“We banned those Japanese words that #Lean people use. Can’t use them here…. Hey, look at the new emoji for sushi! Karaoke later?”🤔
— Mark Graban (@MarkGraban) November 1, 2017
Dr. Kaplan: “We should never be satisfied with the status quo nor anything less than zero harm ” https://t.co/rW2cC1G5dm
— Mark Graban (@MarkGraban) November 1, 2017
Old habits are hard to break. We naturally fear new ways, but if we try, we often quickly forget the old way. Not just with iPhones… pic.twitter.com/RRSHaPPOtE
— Mark Graban (@MarkGraban) November 1, 2017
Sears CEO “rarely visits stores and has urged executives to adopt a similar policy" – says do NOT go to gemba https://t.co/QKMLlgmdLl
— Mark Graban (@MarkGraban) November 2, 2017
The stores are run down and "creepy" but Sears CEO says executives shouldn't visit stores, looking at data insteadhttps://t.co/QKMLlgmdLl pic.twitter.com/TaNEJ7GC3X
— Mark Graban (@MarkGraban) November 1, 2017
Great. I’ve heard too many safety huddles full of “nothing to report.” Driven by fear? Or ignorance of safety risks? https://t.co/QiK8EEuc3y
— Mark Graban (@MarkGraban) November 1, 2017
Of course raising prices & slashing spending boosts profits. That's not "counterintuitive." It's short term, though.https://t.co/QKMLlgmdLl pic.twitter.com/QYWoGSEl0v
— Mark Graban (@MarkGraban) November 1, 2017
You know it’s a fancy coffee shop when the regular stuff is labeled “batch brew” as opposed to being made one cup at a time. #Lean
— Mark Graban (@MarkGraban) November 1, 2017
“Hospitals tout the technique, but two studies find they’re longer and pricier than laparoscopy” https://t.co/5odkw4T9il
— Mark Graban (@MarkGraban) November 1, 2017
Because this would be super easy to carry around with you… #FAIL https://t.co/h8bqSVMBuh pic.twitter.com/Is6k12gNnc
— Mark Graban (@MarkGraban) November 1, 2017
GM’s “Factory of the Future” vision of the 1980s was a lights-out factory with no human workers. https://t.co/AGNVzoq09E
— Mark Graban (@MarkGraban) November 2, 2017
Spoiler alert: GM didn’t leapfrog Toyota with automation https://t.co/ZDj1aeeUjv
— Mark Graban (@MarkGraban) November 2, 2017
Where are the 15 Leapfrog F hospitals? https://t.co/yDaodtuZ0P
— Mark Graban (@MarkGraban) November 2, 2017
The 20-year decline in viewers is over? Helpful to see a run chart instead of a 2-data point comparison. pic.twitter.com/CR8kpR5Wv3
— Mark Graban (@MarkGraban) November 2, 2017
Interesting take on old story: using checklists to prevent mistakes. https://t.co/yj6Xa9xM10 Honored our CLABSI work was featured #ptsafety
— Peter Pronovost (@PeterPronovost) November 3, 2017
“Human error” means looking at processes and systems that need to be improved to prevent future human error. https://t.co/oGaLR2UKfX
— Mark Graban (@MarkGraban) November 3, 2017
Sounds like it might have been intentional – which would require different systems Improvement? https://t.co/7ka88VSdwf
— Mark Graban (@MarkGraban) November 3, 2017
Hope is not a strategy? “eliminate regional and market mgmt layers in HOPES of creating a more NIMBLE organization” https://t.co/ug7Hcw0V26
— Mark Graban (@MarkGraban) November 3, 2017
‘It’s insane’: Ont. patient told she’d have to wait 4.5 years to see neurologist https://t.co/snCisFaFnE
— Blazing CatFur (@Blazingcatfur) November 3, 2017
Great advice from Sir James Dyson. This is core #Kaizen thinking. “Treat every idea as a gift,” as @nbodek says. #lean pic.twitter.com/YIN7kPlFch
— Mark Graban (@MarkGraban) November 3, 2017
“There are a lot of meaningless meetings,” he said.https://t.co/NnWIqnnN4d
— Mark Graban (@MarkGraban) November 3, 2017
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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker who has worked in healthcare, manufacturing, and startups. 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 book is the anthology Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also a Senior Advisor to the technology company KaiNexus. His latest book has been released as an "in-progress" book, titled Measures of Success.