Tag: Mistake-Proofing
Delta’s $70,000 Slide Mistake Shows Why “Human Error” Is Really a...
A Delta Air Lines flight attendant accidentally deployed an emergency slide, causing $70,000 in damage and delaying passengers for hours. It sounds like a...
My Upcoming Webinar on Mistake-Proofing Across Industries
I'm excited to be presenting this webinar on February 12th at 1 pm ET as part of the KaiNexus Continuous Improvement webinar series:
Mistake-Proofing in...
Karen Martin on the Power of Mistake Proofing in Lean Management
Karen Martin and Mark Graban discuss mistake proofing in lean management, why "zero harm" is a meaningful aspiration, and how building quality at the...
Mistakes and Errors: A Circular Definition; Leadership Matters
When writing or speaking, I use the words "mistake" and "error" interchangeably. The definitions in some dictionaries are comically circular.
Dictionary.com defines an error as:
"a...
Mistake-Proofing That Builds Learning: A New Course on Preventing Errors Without...
Over the years, I've seen how often organizations respond to mistakes with blame, punishment, or superficial fixes--rather than learning and prevention. That's why I...
How Kura Revolving Sushi Uses Mistake-Proofing to Improve the Dining Experience
Mistake-proofing -- or poka-yoke, in Japanese -- is about designing processes so errors are less likely to happen. It's rarely all-or-nothing. Instead, there's a...
Apple and I Made a Similar Mistake: 24 or 2024?
The other day, I was presenting at a company about "Psychological Safety as a Pre-Condition for Continuous Improvement." It was a hybrid event and...
Why a Sign Works Better Than an Email: A Condo Trash...
TL;DR: Emails and warning signs rely on memory and attention. Point-of-use reminders--and better yet, mistake-proofed systems--are far more effective at preventing errors, as a...
Ryan McCormack’s Operational Excellence Mixtape: March 8, 2024
Thanks as always to Ryan McCormack for this... there's always so much good reading, listening, and viewing shared here by him! Subscribe to get...
Signs Are Not Mistake-Proofing: Hospital Hallways Edition
As I posted recently on LinkedIn, here are some photos and a story from years ago.
Signs are not mistake-proofing. Signs are not adequate process...
The Boeing 737 MAX Problem Isn’t “Idiots”–It’s Systems, Culture, and Preventable...
tl;dr: The Boeing 737 MAX incident wasn't caused by careless workers. It was the predictable result of weak systems, rushed production, poor mistake-proofing, and...
Are Mistakes Proof That You’re Trying? Why It Depends on the...
We can all make mistakes, so I advocate for learning from mistakes through my book, podcast, and speaking. I do my best to learn...















