Tag: Aviation

The Need for Pilots (Not the flying kind) at the TSA?

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My dad was flying back from Seattle last week and he noticed this at the TSA "gemba" in the airport, as he reported in...

World Series Defect: Wrong Pitcher

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People in healthcare know that miscommunications are a major cause of errors and patient harm. There was a strange footnote to game 5 of...

Checklists Promoted and Debated on “Grey’s Anatomy”

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It's my second post about the TV show Grey's Anatomy, the first being "McDreamy" Fights the Blame Game on "Grey's Anatomy." Each post makes...

Lessons from a Crazy Taxi Ride: Improving Processes in Unpredictable Environments

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When I was leaving the recent Shingo Prize conference, last week, I had what can only be described as a taxi ride from hell...

Command-and-Control Killed this Cosmonaut? Lessons for Our Organizations…

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Lean is not a "command and control" leadership and management model. The old command-and-control dynamic leads to so much poor quality and misery in...

An Astronaut’s Viewpoints on Systems & Patient Safety

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Today, I'm sharing a brilliant Slate.com interview: "Risky Business: James Bagian "NASA astronaut turned patient safety expert" on Being Wrong." He's actually also an...

Weekend Fun: Funny Plane Picture That’s Not Really “Visual Management”

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There's a series of airplane photos, of South Africa's Kalula Airlines, that have been going around the web, including being posted in some blogs...

Mental Models: Standardized Work and Performance Measures

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A few thoughts while waiting for a Sunday flight... at least it's a Sunday flight towards home. One reason traditional organizations (and traditional leaders) struggle...

How to Design Poor Service: Expect 100% Utilization of People or...

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tl;dr: The blog post criticizes the focus on 100% utilization of resources in businesses like American Airlines and Verizon FIOS, arguing that it leads...

Simplistic Solutions Can Have Unintended Consequences

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An editorial written by an American Airlines pilot in the Fort Worth Star-Telegram caught my attention ("Unintended consequences of the Passenger Bill of Rights")....

A Curious Lack of Coffee Cup Error-Proofing in the Air

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About a week ago, I was flying, and the passenger beside me knocked his water over right into my lap. Argh! I sent a Tweet...

Liveblogging the Quaid Patient Safety Documentary

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I'm blogging notes and thoughts as I watch the Discovery Channel documentary by actor Dennis Quaid and others --   "Chasing Zero: Winning the...