Tag: Blame

Blame, Accountability, and Leadership in Lean

Blame is often mistaken for accountability—but in practice, it creates fear, silence, and surface-level compliance. These posts examine blame through a Lean and systems-thinking lens, showing how punishment-based responses undermine learning, psychological safety, and continuous improvement.

Across healthcare, manufacturing, aviation, and leadership culture, this archive focuses less on who to fault—and more on how leaders design systems that either encourage learning or drive mistakes underground.

“No fault, just an accident”

1
Explosions rock downtown Dallas | Latest News | WFAA.com Working from home with this news on in the background, the massive gas cylinder explosions at...

A Fatally Broken ER

1
Woman dies in ER lobby as 911 refuses to helpClick here for a more positive ER story posted on the same day... a UK...

Don’t Look for "Lean" in the PC Industry

0
How H-P Reclaimed Its PC Lead Over Dell - WSJ.comToday's WSJ article doesn't focus on the Dell layoffs (although it does mention them, as...

Focusing Only On Price Can Kill…

4
Chinese say U.S. shares blame in food scandal - USATODAY.comI've been tempted a few times to post about the pet deaths from contaminated pet...

It’s NOT the Fault of GM’s Workers

0
NPR : Reasons for GM Slide Go Beyond Work ForceHonestly, I'd expect more from liberal NPR and their headline. You'd expect NPR to...

A Defect in My Morning Coffee Routine

7
I could have also titled this post "I screwed up!" or "Who Screwed Up? Me!" but we try not to point the finger...

Scapegoating Toyota?

0
Toyota fears U.S. backlash over gains  (Detroit Free Press article) I tend to fall on the side of those who think the "Detroit Three" are...

Should Nurses Be Jailed for Medical Mistakes? Blame, Systems, and Patient...

12
In the news: Charges against nurse igniting a debate This case -- involving Wisconsin nurse Julie Thao -- is still referenced in debates about whether...

Dr. Kovach is Part of a System…

0
... and the system sucks!" That was the final line of a recent episode of ER that we just watched last night (thanks to the...

Lack of Error Proofing Kills 3 Babies

8
This is an incredibly sad, and completely preventable, situation. Three babies are dead, and three more injured, because the wrong drug was administered...

Discipline and Blame in Healthcare Oversight

0
State's long disciplinary process doesn't protect patients, critics sayHere is a story about complaints with Florida's disciplinary system for physicians. The system seems...

The System Failed, 49 Killed

4
USATODAY.com - Error in Comair crash fairly common As a frequent flyer, this almost makes me physically sick to think about the systemic problems, the...
An AI that won't just give you the answer. That's what makes it useful.Free Demo -- Learn More
+ +
lean coach ad hand drawn