Learning Not to Blame: Baseball Edition
Following up my post about not blaming a bartender, here's another look at learning to cast aside our old habit of…
Browsing Tag
Error Proofing
A Whiteboard Accident Waiting to Happen – How to Error Proof?
Yesterday, Jim Benson and I were facilitating a "Lean for Knowledge Work" class at Geekdom in San Antonio and had a…
Standardized Work? Why Are NFL Concussion Guidelines Not Always Followed?
Mark's note: Ah, another NFL playoff weekend and time for another football post to follow up my apparent jinxing of…
My Medication Error on Myself
Thankfully, it was nothing harmful or that dangerous... but I committed a medical mistake on myself last Saturday.…
If a Toilet Requires Instructions, It’s Probably Badly Designed
One of the more trivial things I saw on my recent vacation to Scotland and England was a badly designed toilet on a…
Detect Instead Of Inspect
Mark's Note: I'm away on vacation through November 6... there will be some guest posts in this post during that…
Denver Bronco Loses Touchdown for Not Following Standardized Work
I'll apologize in advance to those of you who don't care about football. Thursday night, we saw the type of error…
Brilliant 1981 Article: “Why Japanese factories work” – Relevant…
The year is 1981. A Major League Baseball strike interrupts the season. We're in the midst of the Cold War.…
Gemba Wine: A Lean Geek Visits Wineries, Part 2
Growing grapes and making wine is certainly an art... but when you look into it there's a lot of process…
I Thought Major League Baseball Error Proofed Against This
Wednesday night's game between the Cincinnati Reds and the San Francisco Giants had some batter's box lines…
Snowden-Proofing the NSA
Regardless of whether you think the NSA leaks that Edward Snowden admitted to make him a hero or a traitor, it begs…
#Lean Healthcare: The Really Good, the Sort of Bad, and the Ugly
I had a speaking engagement yesterday for a large system, with the audience consisting mainly of hospital CEOs and…
I Wholeheartedly Approve the Violation of this Visual Control
I've had a really nice time during my first 30 hours in Helsinki, Finland. It's been warm (72 F) and sunny -- and…
My Guest Post @LeanBlitz – Baseball and Warnings
My friend Chad Walters has contributed guest posts to my blog (and has been a podcast guest) and I'm happy to…
Remembering the “Second Victims” of Medical Errors, Including Nurses
This week, May 6-13, is National Nurses Week. It's always important, but it's especially good to thank and…
U.S. Presidential Limo Breaks Down Due to Fuel Filling Error in Israel
From today's news: "Backup presidential limo on its way for Obama in Israel after fuel filling failure."
U.S.…
Error Proofing Against Drinking Bad Tap Water at #HIMSS13
Here in New Orleans, there was a problem with the city water today and there's a 24-hour "boil water" order in…
A Coffee Mug Error Proofed Against Tipping?
I saw this at an office supply store today (but didn't buy it). For all of the coffee making problems I have,…