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Yes, We Can… but by What Method?

TRANSCRIPT: Obama’s Inaugural Address: I guess this is a “mashup” of sorts… between Dr. W. Edwards Deming and President Obama… The President said yesterday, in his inauguration speech: “We will … wield technology’s wonders to raise health care’s quality and…

Two Sentences That Don’t Help

I’ve blogged before about the “20 things supervisors shouldn’t say.” I’ll throw out, for discussion, two phrases that are awful to hear in the context of any change management situation, such as Lean in a hospital or a factory. When…

Naida Grunden and Lean Healthcare

The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods Below is a guest post from fellow author and Lean Healthcare practitioner, Naida Grunden. Her book (linked above) is an outstanding collection of principles and case examples…

Using Lean Simulations to Spur Emergency Room Improvement

Institute for Healthcare Improvement: Getting Lean in the ED Here is a story that includes examples of Lean improvements at Rockford Health System in Rockford, Illinois. “The simulation embodied the difference between a classroom lecture and a psycho-motor experience,” explains…

Management Improvement Carnival #29

It’s once again my pleasure to host the Carnival for John Hunter and his Curious Cat blog. Please submit your favorite management posts to the carnival. Read the previous management carnivals. Coconuts, Bamboo, and Pedal Power (Mike Wroblewski, Got Boondoggle?)…

This Story Gets It Right On Healthcare Errors

‘It’s never just one thing’ that leads to serious error – Los Angeles Times This is a stunning headline, it’s pretty amazing (in a good way) to find an article that doesn’t focus on blaming individuals. “It’s never just one…

Yes, Standardized Work Saves Lives

‘Bundling’ hospital processes may help prevent infections – USATODAY.com “Bundling hospital processes” = Standardized Work Why isn’t every hospital doing this? Why isn’t every hospital administrator making sure this is happening? The IHI [Institute for Healthcare Improvement] defines bundling as…

A Defect in My Morning Coffee Routine

I could have also titled this post “I screwed up!” or “Who Screwed Up? Me!” but we try not to point the finger of blame in the Lean mindset…. it’s especially uncomfortable when you have to point it in the…