Tag: Blame

Instead of Blaming the Worker, Look at Psychological Safety

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I recently wrote a post for the Value Capture blog that you might be interested in: Psychological Safety Means It's Safe to Ask for Help...

Being Logical and Kind When a Mistake is Made

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In this post, I'm going to share some reflections from one of my workplaces, some things that occurred last week. I'm going to be...

Is Your Hospital Punishing or Encouraging People’s Necessary Creativity During the...

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This blog post is a collaboration with a Lean healthcare consulting friend of mine, who heard another unfortunate story from his sister, an emergency...

Third Time’s the Charm for the Iced Tea — On Errors,...

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This past weekend, an old friend came down from Michigan to spend two days in the Dallas area. Amongst the activities and catching up, we...

The Academy Awards Add an Inspector, Practice “Andon Cord Pulls,” Avoid...

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Tomorrow, my post will be about headlines that scream about ratings for The Oscars being "down from last year" or "the lowest in X years." As I've blogged about before, I'm always skeptical of such simplistic comparisons that might mask the real underlying trend. But first, could the Academy avoid last year's embarrassing mixup?

Lessons from the NUMMI 10th Anniversary Book Published in 1994

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I did manage to buy a book that was published by NUMMI to celebrate their 10th anniversary. "10 Years of Quality & Teamwork" is the title. Here is the cover and I'll share a few things that caught my attention inside. It's interesting to think through this book in the context of : Tesla (the current owners of the building - see my past blog post) Healthcare organizations

[Updated] Somebody *Did* Get Unjustly Fired in Hawaii, But System Problems...

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The official report is out in Hawaii after the traumatic accidental missile warning that was sent last month. An employee was fired. The leader accepted responsibility and resigned. Why are others being punished?

Podcast #297 – JJ Villarreal, Ed.D. on #Lean in Public Education

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My guest for Episode #297 is John (JJ) Villareal, Ed.D., the superintendent of the Rockwall I.S.D. here in the Dallas area. In this podcast, we talk about the applications of Lean in education, how to move beyond what JJ calls "the behavior waste of judgment and blame," and how visiting a factory was inspiring and helpful, among other topics. Even if you don't work in education, I hope you'll be inspired by this podcast.

The Response to the Hawaii False Alarm Can’t End With Firing...

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Saturday, you might have seen the news about a "false alarm" push alert that was sent to many iPhones and other smart phones in Hawaii. An alert was also sent out over many TV channels through the Emergency Response System. Is the response one that focuses on blame and punishment? Or is it focused on understanding how systems fail and how to improve them to prevent future recurrence? How does this all apply to your organization?

“Our Hospitals Are Killing Us” – From a 1966 Magazine

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Three or four months ago, in the midst of a discussion on LinkedIn about patient safety, somebody made reference to a 1966 cover story...

A Lesson From Toyota: Thanking Employees for Pointing Out Problems

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Thanks to Lean Frontiers for sharing a story from Mike Hoseus on LinkedIn. Mike is, of course, co-author of the excellent book Toyota Culture: The Heart and Soul of the Toyota Way (written with Jeff Liker, who I just learned is retiring from the University of Michigan... more on that soon).

My LinkedIn Article: Supply Chain Matters – at the Oscars® and...

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The mistakes at The Oscars were trivial and unimportant in the grand scheme of things. What are some lessons learned that apply to improving healthcare supply chains?
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