Moving Beyond “Be More Careful”
Last weekend, I watched a show on the Smithsonian Channel that was an interesting contrast to the CNN show I…
Browsing Tag
Aviation
My Flight Attendant’s Coffee Kaizen
As a very frequent flyer on American Airlines, I've learned not to expect much from the company and its employees…
A Lean Guy Reads the Globe and Mail – Shoelaces & Plane Crashes
I was in Canada a few weeks back and two articles from the Globe and Mail newspaper caught my eye - stories from…
The Need for Pilots (Not the flying kind) at the TSA?
My dad was flying back from Seattle last week and he noticed this at the TSA "gemba" in the airport, as he reported…
World Series Defect: Wrong Pitcher
People in healthcare know that miscommunications are a major cause of errors and patient harm. There was a strange…
Checklists Promoted and Debated on “Grey’s Anatomy”
It's my second post about the TV show Grey's Anatomy, the first being "McDreamy" Fights the Blame Game on "Grey's…
Said the Unsafe Taxi Driver, “Well, Did I Hit Anybody?”
When I was leaving the recent Shingo Prize conference, last week, I had what can only be described as a taxi ride…
Command-and-Control Killed this Cosmonaut? Lessons for Our Organizations…
Lean is not a "command and control" leadership and management model. The old command-and-control dynamic leads to…
An Astronaut’s Viewpoints on Systems & Patient Safety
Today, I'm sharing a brilliant Slate.com interview : "Risky Business: James Bagian—NASA astronaut turned…
Weekend Fun: Funny Plane Picture That’s Not Really “Visual…
There's a series of airplane photos, of South Africa's Kalula Airlines, that have been going around the web,…
Mental Models: Standardized Work and Performance Measures
A few thoughts while waiting for a Sunday flight... at least it's a Sunday flight towards home.
One reason…
How to Design Poor Service – Expect 100% Utilization of People or Resources
I have as many bad customer service experiences as the next guy, both in healthcare and other businesses. As I've…
Simplistic Solutions Can Have Unintended Consequences
An editorial written by an American Airlines pilot in the Fort Worth Star-Telegram caught my attention ("Unintended…
A Curious Lack of Error Proofing in the Air
About a week ago, I was flying and the passenger next to me knocked his water over right into my lap. Argh!
I…
Liveblogging the Quaid Patient Safety Documentary
I'm blogging notes and thoughts as I watch the Discovery Channel documentary by actor Dennis Quaid and others -- …
Guest Post: Captain Sully Talks about Lean and Healthcare Safety
Mark's note: I am thrilled to be able to bring you this guest post from my friend and fellow lean healthcare…
Of 777s and Heart Rate Monitors
In recent years, healthcare has been learning a lot of lessons from aviation -- including checklists and "Crew…
Of Course An Individual Got Blamed for this TSA Airport Security Breach
Update (1/7/10): Turns out the TSA agent walked away from his post. I'd certainly hold someone accountable for…