Tag: Error Proofing
Alternative headline: “Poorly Designed Card Trips Up Beatty and Dunaway at The Oscars.” Or “A Bad Process Beats Warren Beatty Every Time.” What are the Lean lessons from this mistake?
When I was on vacation, my wife and I rented an apartment in Beaune, France instead of getting a hotel room. At left is a picture from the center of town.
It was nice to be able to wash clothes part way through the 12-day trip. That allowed for a smaller batch suitcase, which allowed us to carry on our bags. We’ve learned the hard way that checked bags can get lost on an international connection, especially when you are switching between “partner airlines.” These are partners that blame each other when something goes wrong, I also learned. We had bags go missing for four days once. So, we’ve eliminated that risk by vowing to never check a bag unless we’re on the way home.
This article from the Toronto Star caught my eye the other day:
There was a law passed in Ontario requiring drivers leave one meter of space between them and cyclists. This doesn’t always happen, as there have been almost 900 collisions between bikes and cars to date this year in Toronto.
I won’t literally be on the beach as the photo at left suggests.
But, I will be away on vacation through October 9, so I was going to take some time away from the blog to enjoy the trip, recharge the ole’ batteries, etc.
Gwendolyn Galsworth is a leading thinker and author on Lean and various aspects of "visuality." One thing she talks about in the workplace is "information deficits."
Last Thursday, I flew to Ohio after my 93-year-old grandfather was moved from the hospital to hospice. He passed away peacefully Saturday morning in the company of my dad and his three siblings.
So, I have a heavy heart even though he passed away after a very full and long life. I will probably blog more about him in coming days, as he was the rare combination of an incredibly kind, yet strong, person. That’s why they call his “The Greatest Generation” (although, like many of them, he would modestly reject that phrase). “Ah, baloney,” he would probably say.
I think I’m done complaining about Frontier Communications on Twitter. It’s been a very frustrating week, as I’m on day 6 of a complete internet outage. You can read my long rant about it here on LinkedIn:
Later today and tomorrow, I’ll be attending the annual World Patient Safety, Science & Technology Summit that’s produced by a non-profit called the Patient Safety Movement. If you’re also at the event, please say hi! Follow the event on the hashtag #0X2020.
Lean is, of course, not about a better way to build cars. It's a transferrable philosophy, management system, and methodology that is being applied in many different settings and industries, including healthcare. I'm often told (sometimes by somebody who is being sort of huffy): "Patients are not cars." [...]
I’ve been studying and working with Lean for 20 years now and I love Lean because I’m still learning and getting better at this craft. I love seeing other people get excited about Lean when it’s new to them, when they see the potential for improvement and the power of Lean.
Thanks to my friends in the Michigan Quality System group, the internal Lean group at the University of Michigan Health System.
Every time I am in a hospital or clinic setting, one of the first things I do is get a pump or squirt of gel or foam from a wall-mounted dispenser to clean my hands.
Or, I should say *try* to get hand sanitizer. For one, it’s important to practice proper hand hygiene when entering or leaving a unit, for my sake and the patients (and to practice what I preach, a secondary concern). Secondly, I’m testing to see if the hospital’s support processes work well – is the dispenser actually not empty?
Following up my earlier post about the “Patriot Way…”
During her halftime extravaganza (video), Katy Perry had a silver strap around her wrist, attached to the microphone. It reminded me of the Nintendo Wii strap that helps prevent throwing the controller (Update: I’m not the only one to think this and it might literally be a Wii strap).
I didn’t know , until yesterday, that Toyota has an official company blog (at least for Toyota UK).
Even though I’ve learned from Toyota people and many books and classes (and I’ve written books of my own), I always encourage people to get Toyota Production System knowledge directly from the source whenever possible – including the books of Ohno & Shingo and modern-day Toyota people like Pascal Dennis, David Meier, John Shook, and others).
Toyota has a post about 13 “pillars” (principles, really?) of the Toyota Production System. Check it out.
Following up my post about not blaming a bartender, here’s another look at learning to cast aside our old habit of blaming individuals… this time, baseball related.
Modern organizations (in healthcare and business) tend to blame an individual when something goes wrong. It’s commonplace in our societies and it’s, basically, human nature to blame. But, Lean and the Toyota Production System teaches us to NOT blame individuals and to, instead, look at the system. Dr. Deming, who influenced Toyota greatly, said that 94% of problems are due to the system. The exact percentage is unknowable, but the point is to not jump to blame.
So what happened in Major League Baseball last week?
We facilitated some “Lean Coffee” discussion sessions in a conference room. While the format is facilitated with sticky notes and pens, I noticed the whiteboard in the room had an accident just waiting to happen.