Tag: 5 Whys
Create Your Own Lean System — But Don’t Lose Sight of...
TL;DR: In a 1993 speech, Toyota leader Fujio Cho said organizations can create their own Lean systems, but success depends on three principles: leaders...
Why a Sign Works Better Than an Email: A Condo Trash...
TL;DR: Emails and warning signs rely on memory and attention. Point-of-use reminders--and better yet, mistake-proofed systems--are far more effective at preventing errors, as a...
Ken Pilone, the Author of Lean Leadership on a Napkin; Toyota...
Podcast interview with Ken Pilone, author of Lean Leadership on a Napkin, discussing Toyota, TPS vs. Lean, leadership humility, and common misconceptions about Lean...
“Why?” Not “Who?” Fixing Systems, Not Blaming Workers
Today's post is the first contribution from Shrikant Kalegaonkar, a frequent commenter here on the blog, LinkedIn, and Twitter. We had a chance to meet in Austin last year and I appreciate his shared interests in Lean, statistical process control (ala Deming and Wheeler), and quality improvement. He initiated this piece and I ended up collaborating with him on it. I hope it sparks some healthy discussion...
My Visit to Cleveland Clinic: Seeing Leaders Engaging Staff in Meaningful...
I had a chance to visit one of their community hospitals, Hillcrest Hospital, as well as the main campus. It was a very stimulating visit and it was great to see the progress they were making in building a “culture of improvement.”
The City of Denton’s Lean Journey & Upcoming Webinar
I've gotten to know to know Harry Kenworthy (pictured at left) over the past few years after meeting at a conference (the Northeast L.E.A.N....
Exposé About Detroit Medical Center, Dirty Surgical Instruments, Dysfunction, and… Lean?
A number of you emailed me about this report in the Detroit News. I grew up in Detroit and my first job was as...
It might be too late to get “Buy In” by the...
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”...
Cleveland Clinic Improvement Model, Part 2: Problem Solving & Standardization
Yesterday, I wrote Part 1 of this post on the Cleveland Clinic Improvement Model.
Part 1 covered the left hand half of the model, with...
Rethinking the Five Whys: Introducing the ‘Many Whys’ Approach in Lean...
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…
Lean Valentine Candy Hearts for Continuous Improvement Nerds
Valentine's Day isn't just about flowers and chocolate.
It's about flow.It's about respect.It's about asking "Why?" five times.
If you've ever said "gemba," "poka-yoke," or "stop...
Two Recent Wrong-Site Landings & Many Wrong-Side Surgeries
In healthcare patient safety circles, there's always a lot of discussion about lessons learned from aviation safety. Aviation has gotten much safer over the...















