Tag: Blame

Beyond Blame: How Punishing Healthcare Workers Fails to Prevent Medication Errors

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In healthcare, leaders saying "we'll hold them accountable" too often means, in reality, "we'll punish individuals for mistakes that have many systemic causes." To the...

When Life Tests You: My Attempt to Donate a Couch Was...

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tl;dr: In this post, Mark recounts his frustrating experience attempting to donate a couch, only to be stymied by bureaucratic obstacles. Using this personal...

Accountability in Leadership: My GM Flashback Story and the Blame Game

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I've written before about Bob. He was the Plant Superintendent (the #2 in command, if you will) at the GM Livonia Engine Plant, where...

Should We Blame “Just in Time”​ or “Short-Term Thinking”​ for Supply...

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A version of this originally appeared on LinkedIn -- Read and/or see the discussion that's been sparked there. So many major publications (WSJ, NYT, Bloomberg) have printed...

A Surgical Mistake and the Pressure to Lie and Cover It...

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I don't post every episode of the My Favorite Mistake podcast here, but my latest episode (#70) will have a strong appeal to readers...

Instead of Blaming the Worker, Look at Psychological Safety

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I recently wrote a post for the Value Capture blog that you might be interested in: Psychological Safety Means It's Safe to Ask for Help...

Being Logical and Kind When a Mistake is Made

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In this post, I'm going to share some reflections from one of my workplaces, some things that occurred last week. I'm going to be...

Is Your Hospital Punishing or Encouraging People’s Necessary Creativity During the...

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This blog post is a collaboration with a Lean healthcare consulting friend of mine, who heard another unfortunate story from his sister, an emergency...

Third Time’s the Charm for the Iced Tea — On Errors,...

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This past weekend, an old friend came down from Michigan to spend two days in the Dallas area. Amongst the activities and catching up, we...

The Academy Awards Add an Inspector, Practice “Andon Cord Pulls,” Avoid...

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Tomorrow, my post will be about headlines that scream about ratings for The Oscars being "down from last year" or "the lowest in X years." As I've blogged about before, I'm always skeptical of such simplistic comparisons that might mask the real underlying trend. But first, could the Academy avoid last year's embarrassing mixup?

Lessons from the NUMMI 10th Anniversary Book Published in 1994

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I did manage to buy a book that was published by NUMMI to celebrate their 10th anniversary. "10 Years of Quality & Teamwork" is the title. Here is the cover and I'll share a few things that caught my attention inside. It's interesting to think through this book in the context of : Tesla (the current owners of the building - see my past blog post) Healthcare organizations

[Updated] Somebody *Did* Get Unjustly Fired in Hawaii, But System Problems...

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The official report is out in Hawaii after the traumatic accidental missile warning that was sent last month. An employee was fired. The leader accepted responsibility and resigned. Why are others being punished?