Tag: Blame
The United Flight 3411 Mess, Holding Individuals Accountable vs. Fixing the...
I posted this on LinkedIn earlier today and am re-posting as a blog post to get your thoughts... and then, as I writing this, the news about the man being forcibly removed from a United Airlines flight went viral.
Learning Not to Blame: Spring Training Baseball Edition
Lean thinkers do their best to avoid blaming individuals for systemic problems. This lesson comes also from W. Edwards Deming who was deeply influential...
#TBT: Don’t Blame the Kicker, Don’t Blame the Oscar Presenter, and...
Today's Post in <50 words: Lean thinkers don't blame individuals who are in a bad system, whether that's a presenter at Oscars, a kicker in a football game, or a healthcare professional in a hospital.
Without Kaizen, There Can Be No Accountability
During the class, there was a case study discussion about a hospital that was trying to solve the problem of nurses not always scanning patient bar codes and medications 100% of the time. In the discussion, I was disappointed that an attendee fell back on saying...
The Oscars, An Embarrassing Preventable Error, #Lean, and Process Improvement
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?
Exposé About Detroit Medical Center, Dirty Surgical Instruments, Dysfunction, and… Lean?
A number of you emailed me about this report in the Detroit News. I grew up in Detroit and my first job was as...
What These Nurses Had to Say About “Lean Hospitals”; Free Gift...
I recently learned that a company called Anderson Continuing Education offers continuing education (CE) credits for nurses related to my book Lean Hospitals. See their page...
Still Settling In After Moving; Not Blaming People for Their Best...
The past two weeks have been very busy, to say the least. Thanks to the guest bloggers who contributed posts to help reduce my...
What We Can Learn About Teamwork and Culture from the San...
After living in San Antonio for almost four years, my wife and I will finally be settled into the DFW area by the end...
Simple Mixups & How Blaming Workers Doesn’t Explain or Prevent Them
When we see a simple error, even in something as silly as sports memorabilia, we would ask "why?" or "how?" instead of "who?" Blaming individuals doesn't help...
Rethinking the Five Whys: Introducing the ‘Many Whys’ Approach in Lean...
There’s no magic about the number five. I’ve seen some people write that five is somehow a “magic number.” No, that’s not really the case. Ask why more than once, probably more than twice…
Throwback Thursday: This Hospital CEO Was Never Going to Get Lean
It's tempting to visit a place like ThedaCare and then mandate "everybody must have huddle boards." Then, a bunch of huddle boards get purchased and installed... and maybe not used. It's another thing for executives to realize that they have to change the way they manage. There's a great quote that ThedaCare folks readily share, including Kim Barnas in her book Beyond Heroes:
