W. Edwards Deming’s ideas about leadership, systems, variation, and psychology continue to shape how organizations pursue quality and improvement. This archive brings together blog posts, podcasts, and reflections exploring Deming’s teachings—and how they apply to Lean, healthcare, management, and continuous improvement today. Many of these posts challenge common misinterpretations of Deming’s work, emphasizing that quality cannot be delegated and that improvement starts with leadership.
Today's post is an excerpt from the collaborative ebook project Practicing Lean. I wrote the first two chapters of the book and then asked others to contribute their early stories about mistakes and lessons learned.
In this 2015 conversation, John Dyer reflects on his career at General Electric — including attending Dr. W. Edwards Deming’s four-day seminar and a smaller follow-on course — and what happened when he took Deming’s 14 Points back to GE…
It’s far too common to see somebody with just a little bit of understanding about Lean do things that really shouldn’t be described as Lean at all… in terms of the decisions they are making or the approaches they are…
I stumbled across an article from the Inc. magazine archives from 1987, so it’s today’s “Throwback Thursday.” In 1987, I was starting high school and that was probably right about the time when my dad, an engineer for General Motors,…
As I mentioned on Monday, I’m working on a 3rd revised edition of my book Lean Hospitals. Traditional book publishing is a funny (and sometimes frustrating) value stream, in a lot of ways. There are many batches and many queues along…
I forget what hospital these charts are even from, but it doesn’t really matter. It’s become more common, in my gemba visits, to see hospital departments charting metrics. They are often part of “huddle boards” that teams gather around on…
tl;dr: Deming’s Red Bead Experiment shows that most performance variation in healthcare comes from the system–not individual effort. Incentives, threats, and goals don’t reduce defects; leadership must redesign the system and create psychological safety for improvement. Later next month, at…
tl;dr: A sushi company’s safety and quality policy illustrates what hospital operational excellence really requires: visible leadership commitment, daily practice, and systems that make safety the default–not a slogan. I love the Texas-based grocery store chain “Central Market.” It’s basically…
A collection of creative videos was recently brought to my attention and I’d like to share them here. They are created by Dr. Mark Harrison (@leanpsychiatry), a psychiatrist for an NHS Trust. He created the videos by taking photos of…
I love the show “Silicon Valley” and I just “binge watched” all ten episodes of Season 2 while traveling home from vacation. A few scenes from two episodes made me think about continuous improvement (yeah, even while on vacation). When…
Joining me for episode #222 of the podcast is Erin S. DuPree, M.D., FACOG, the Chief Medical Officer and Vice President for the Joint Commission Center for Transforming Healthcare. Dr. DuPree is an OB/GYN by training, was previously the Chief Medical…
Last Wednesday and Thursday, I collaborated with Joe Swartz and a countless number of his colleagues to host 24 visitors from different health systems (and an Indiana state government organization) to learn about the “Kaizen” approach to continuous improvement first hand…
