Tag: Deming

Without Kaizen, There Can Be No Accountability

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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

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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?

Lessons Ford & the UAW Learned in Japan in 1981 Still...

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I continue sharing documents from the Don Ephlin library archive. What did Ford and the UAW learn when they visited Japan in 1981? Many of the things that made Japanese industry successful are the same things that make organizations successful with Lean today, including in healthcare.

#TBT: My Reflections on Dr. Deming’s Notes from a 1987 Hospital...

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Today's post points to my guest blog post for the W. Edwards Deming Institute: Reflections on Dr. Deming's Hospital Notes - What Has Changed Since 1990? Why do the same problems that Dr. Deming experienced as a patient 30 years ago still happen so often today?

The Heroism of Incremental Care & Incremental Improvement in Medicine &...

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Are there parallels between medicine and organizations when we look at the tension between heroism and the sometimes boring work of preventing problems and improving things? I comment on an article by Dr. Atul Gawande…

2nd Post for the Deming Institute Blog: The Failed “Livonia Philosophy”

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Yesterday, the W. Edwards Deming Institute published the second in my series of three posts for them: "The Failure of "The Livonia Philosophy" at my GM Plant." Read more...

Better Metrics & “Understanding Variation” – An Important Topic for Healthcare

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My favorite book, as I've written about before, is not a "Lean book" -- it's Understanding Variation: The Key to Managing Chaos by Donald J. Wheeler, PhD. It might look like a book about statistics...

My Post for the Deming Institute Blog: Why Dr. Deming’s Work...

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I'm extremely honored that The W. Edwards Deming Institute published my first blog post in a series of three that I've written for them, to be published over the next month or so.

Changing the Culture: Cursing Football Coaches, Attacking the Change Agent

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John W. Parks IV, pictured at left, is a Professor of Percussion at Florida State University. He was one of my favorite people during my...

#TBT: What CFO Magazine Wrote About #Lean in 2009

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I first blogged about this article back in 2009 and it's still online: "Keen to Be Lean" The sub headline talks about hospitals being "desperate to...

Part 2: More From the Original 1984 NUMMI Team Member Handbook:...

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Here's Part 2 of a post about the original NUMMI Team Member Handbook from 1984 (see Part 1 here). This, and other documents that I'll...

Human Nature Around Incentives & Rewards… Even in North Korea?

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Dr. W. Edwards Deming used to warn against replacing intrinsic motivation with extrinsic rewards and incentives. Brian Joiner (author of Fourth Generation Management), who worked...