Error Proofing Runways
USATODAY.com – Runway safety system has pilots seeing red This counts as “everyday lean” if you fly a lot like I do. A system like this seems long overdue, a system to prevent pilots from taxiing down occupied runways. In…
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Pharmacy Error Proofing Example
Here is a great example of error proofing that I’ve never seen before. It’s springtime, so my allergies have been killing me, especially after mowing the lawn on Saturday. I went and got a prescription for Allegra and received the…
Hotel Room Error Proofing
This Is Broken – Hotel room warning I saw a large ad in the paper Friday that reminded me of this blog posting (link above). Be sure to click on the link to see a picture of what I’m talking…
Error Proofing Excel
I spend a good amount of time working in Excel, analyzing data and such. I often accidentally hit the “F1” key in a clumsy attempt to hit “Esc”. The keys are right next to each other and each key is…
Everyday Lean: Error-Proofing Online Bill Pay
Here’s the latest in the series on Everyday Lean. I love online bill payment. My bank and the web make it easy to view and pay bills while on the road, and eliminate a lot of paper that would otherwise accumulate…
Every Day Error Proofing Examples
www.mistakeproofing.com I love this website. There are 30+ examples of every day errorproofing. I wish my bank’s ATM had the error proofing function built in to the example shown. I drove off without my ATM card the other day… as…
The Independent Double Check and the Risk of Human Error
A nurse on a telemetry floor had two orders to carry out. Forty milligrams of Lasix, to be given via IV. Two units of insulin lispro, given subcutaneously. At that hospital, every dose of insulin required a second nurse to…
29 Warning Signs and a Can Opener Bridge
I’ve been photographing warning signs for years. It started as a running joke and turned into a whole category on my site. Signs that say “Be Careful.” Signs that say “Do Not Spill.” Signs that exist because something went wrong…
“Most People Wouldn’t”: Fear, Gratitude, and Reporting Medical Errors
Somebody on the r/nursing subreddit asked what the worst medication error was that people had seen or heard about. Almost six hundred replies came in. I’ve read the whole thing, and there are a few ideas I want to come…
Highlights From Five Conversations With Karen Martin
Karen Martin has been on my Lean podcast five times over 12 years, talking through clarity, value stream mapping, whether Lean is dead, and mistake-proofing. For the 20th anniversary series, here are some of the moments from those conversations that…
Do Not Remove: What a Kaizen Binder Taught Me in Japan
On a factory table in Japan, in December 2019, there was a binder. White cover, the word KAIZEN in big orange letters, a photo of cherry blossoms underneath. Inside the front cover, someone had printed a word cloud — IMPROVEMENT,…
Is Lean Just About Speed and Six Sigma About Quality? No — and Here’s Why
No. The claim that “Lean is for speed and Six Sigma is for quality” misrepresents both methodologies. Lean — based on the Toyota Production System — improves safety, quality, delivery, cost, and morale (SQDCM) together, with built-in quality (jidoka) as…