Working at the Lean Enterprise Institute gave me an unexpected daily benefit: I finally got to use a simple office kanban system instead of just helping others design one. In past roles, I’d set up kanban in factories and hospitals…
What really motivates people to improve their work–especially in healthcare and other complex environments? Drawing on Daniel Pink’s Drive, Dr. W. Edwards Deming’s teachings, and Lean principles, this post explores why intrinsic motivation consistently outperforms incentives, rewards, and punishment in…
Episode #87 is a discussion with a returning guest, Steven J. Spear, DBA, author of the outstanding book Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. The book is due…
Mark’s note: I am thrilled to be able to bring you this guest post from my friend and fellow lean healthcare author Naida Grunden. Her post (and Sully’s words) are far more important than anything I could write today. Read…
Mark’s note: It’s great to welcome Andy Wagner back to the blog. Read his older posts here. General Motors, Chrysler, and Toyota have been dominating the headlines in recent months with their financial and, now, quality troubles, while some surprising…
In recent years, healthcare has been learning a lot of lessons from aviation — including checklists and “Crew Resource Management,” as written about in the excellent books The Checklist Manifesto and Why Hospitals Should Fly. Aviation has gotten much…
Regular followers of my blog know that I’ve been creating audio podcasts since 2006. Later today (at 3 PM), I am publishing #86 in the series, an interview with David Sundahl, PhD of Rule 4 Consulting. I’ve made mistakes every…
If you’ve searched for “Lean methodology,” you’ve probably seen definitions about waste reduction or efficiency. That’s part of it — but Lean is much more than that. It’s a leadership system for building better organizations. I’ve been studying and practicing…
TL;DR: The Olympic gold-medal puck was almost lost not because of bad intent, but because the system relied on people remembering under chaotic conditions. The real lesson is timeless: leaders must design processes that account for human fallibility instead of…
I will try to be careful with this topic, since I’m obviously not a doctor. Criticism of doctors gets thrown around pretty easily around many hospitals, too much so, I think. You sometimes hear blanket criticisms about doctors being difficult,…
We had a lot of spirited debate last week around the case of the pharmacist who was jailed after the tragic medical-mistake death of a two-year old girl (“A Pharmacist’s Jail Cell Interview – What Good Does Blame Do?“). There…
Mark’s Note: Don’t know Liz? Check out her Lean Blogger profile video on YouTube. One world is getting bigger—at least from my vantage point as a specialist in LEAN COMMUNICATIONS principles and practices. The lean community gathered at the Lean…
