Being Logical and Kind When a Mistake is Made
In this post, I'm going to share some reflections from one of my workplaces, some things that occurred last week.…
Browsing Tag
Blame
Is Your Hospital Punishing or Encouraging People’s Necessary Creativity…
This blog post is a collaboration with a Lean healthcare consulting friend of mine, who heard another unfortunate…
Third Time’s the Charm for the Iced Tea — On Errors, Blame, and…
This past weekend, an old friend came down from Michigan to spend two days in the Dallas area.
Amongst the…
The Academy Awards Add an Inspector, Practice “Andon Cord Pulls,”…
Tomorrow, my post will be about headlines that scream about ratings for The Oscars being "down from last year" or…
Lessons from the NUMMI 10th Anniversary Book Published in 1994 "Lean" does not…
I did manage to buy a book that was published by NUMMI to celebrate their 10th anniversary. "10 Years of Quality…
[Updated] Somebody *Did* Get Unjustly Fired in Hawaii, But System Problems Should…
The official report is out in Hawaii after the traumatic accidental missile warning that was sent last month. An…
Podcast #297 – JJ Villarreal, Ed.D. on #Lean in Public Education
My guest for Episode #297 is John (JJ) Villareal, Ed.D., the superintendent of the Rockwall I.S.D. here in the…
The Response to the Hawaii False Alarm Can’t End With Firing Someone This…
Saturday, you might have seen the news about a "false alarm" push alert that was sent to many iPhones and other…
“Our Hospitals Are Killing Us” – From a 1966 Magazine
Three or four months ago, in the midst of a discussion on LinkedIn about patient safety, somebody made reference to…
A Lesson From Toyota: Thanking Employees for Pointing Out Problems Great story…
Thanks to Lean Frontiers for sharing a story from Mike Hoseus on LinkedIn. Mike is, of course, co-author of the…
My LinkedIn Article: Supply Chain Matters – at the Oscars® and in…
The mistakes at The Oscars were trivial and unimportant in the grand scheme of things. What are some lessons…
The United Flight 3411 Mess, Holding Individuals Accountable vs. Fixing the System…
I posted this on LinkedIn earlier today and am re-posting as a blog post to get your thoughts... and then, as I…
Learning Not to Blame: Spring Training Baseball Edition
Lean thinkers do their best to avoid blaming individuals for systemic problems. This lesson comes also from W.…
#TBT: Don’t Blame the Kicker, Don’t Blame the Oscar Presenter, and…
Today's Post in <50 words: Lean thinkers don't blame individuals who are in a bad system, whether that's a…
Without Kaizen, There Can Be No Accountability
During the class, there was a case study discussion about a hospital that was trying to solve the problem of nurses…
The Oscars, An Embarrassing Preventable Error, #Lean, and Process Improvement
Alternative headline: “Poorly Designed Card Trips Up Beatty and Dunaway at The Oscars.” Or “A Bad Process Beats…
Exposé About Detroit Medical Center, Dirty Surgical Instruments, Dysfunction,…
A number of you emailed me about this report in the Detroit News. I grew up in Detroit and my first job was as a…
What These Nurses Had to Say About “Lean Hospitals”; Free Gift with…
I recently learned that a company called Anderson Continuing Education offers continuing education (CE) credits for…