Tag: Blame

Redefining Accountability: Shifting from Blame to Constructive Action in Lean Practices

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tl;dr: The post challenges the traditional concept of accountability as a system of blame and punishment. It advocates for a more constructive approach that...

#Throwback Thursday: Punishing and Jailing People for Patient Harm

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Today is another "Throwback Thursday" post where I revisit posts from the past. Friday and Saturday, I'm going to be attending the "Patient Safety,...

A Hotel, Time Quotas, Systemic Problems, and Employees Not Having the...

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I travel a lot and, thanks to my work, I'm pretty well attuned to the idea of not blaming individuals for systemic problems in...

GM CEO Mary Barra Celebrates Employee Kaizen

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Time magazine recently featured GM's relatively new CEO, Mary Barra, on the cover and in this story: "Mary Barra's Bumpy Ride at the Wheel of GM" I...

Ebola & Systems & Processes: Can We Do Better? Can We...

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Yesterday, Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S. died in a Dallas hospital. As I've been following this story, I...

Why Red-Green Charts in Management are a Rear-View Mirror Approach

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tl;dr: The article critiques the traditional use of red-green charts in management, likening it to driving by looking only at the rear-view mirror. It...

What I’m Reading: Diner Muda, No Blame at Etsy, Toyota Treats...

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In case you missed it, see Saturday's post: "Why Toyota is Eliminating the Andon Cord from its Factories." As I occasionally do, today's post is...

3 Ways to React to Human Error

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What happens when a mistake is made in your organization? How do you react when an error occurs? A lab specimen gets mislabeled. The wrong...

The Worst Root Cause Problem Solver in the Animal World Is…...

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We all know the beaver is "the engineer of the animal kingdom." That's why MIT has a beaver as a mascot... it's an engineer...

My Thoughts on “10 Ideas That Hospital and Health System CEOs...

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I saw this piece by Bob Herman at Becker's Hospital Review and ended up writing a blog post here instead of writing a long...

Podcast #203 – Chris Jerry, Part 1, on the Death of...

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Listen My guest for Episode #203 (and for Part 2 of our discussion in episode #207) is Chris Jerry, founder of The Emily Jerry Foundation.  The...

The Real #VAscandal is the Long Waiting Times & Bad Management,...

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Look at the System, Not the Individuals I've been wanting to blog about the "VA Scandal," but have avoided it because it is somewhat politicized (as...