Tag: Mistake-Proofing
Flashback Friday: Demolition Errors, Mistake Proofing, and Healthcare
In recent years, I've written two blog posts about the sad scenarios where the wrong building was demolished by a crew. In these scenarios, it's easy to blame "bad crew" instead of looking at systemic causes of such an error. Having a better process is always more effective than admonishing people to "be more careful." What did I see recently that caught my attention in terms of trying to prevent demolition errors?
Why I Was Happy My Website Host Mistake Proofed Against Me...
Mistake proofing is a core Lean / TPS concept that makes it harder for people to do the wrong thing. Ideally, we make it impossible for errors to occur. This might be easier in physical settings, but can also be done in the digital realm.
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?
This Coffee Maker Wasn’t Error Proofed, So I Got a Lousy...
When I was on vacation, my wife and I rented an apartment in Beaune, France instead of getting a hotel room. At left is...
Toronto Cyclist Error Proofs With a “Pool Noodle” to Improve His...
This article from the Toronto Star caught my eye the other day:
Cyclist says his pool noodle makes Toronto streets safer for him
There was a...
Some Design Flaws are Annoying… Some are Deadly
Here's an article that was sent to me by Dave Sundahl, who was my guest on Episode #86 of my podcast:
The Deadly Results Of...
Information Deficits, Visual Indicators, Error Proofing, and Payment Terminals
Gwendolyn Galsworth is a leading thinker and author on Lean and various aspects of "visuality." One thing she talks about in the workplace is "information deficits."
These Two Things Are Designed Badly, But Nobody Gets Hurt…
Last Thursday, I flew to Ohio after my 93-year-old grandfather was moved from the hospital to hospice. He passed away peacefully Saturday morning in...
#FrontierFail & Frontier Lies… Why Competence is Required Before Lean
I think I'm done complaining about Frontier Communications on Twitter. It's been a very frustrating week, as I'm on day 6 of a complete...
The Shared Interests & Goals of Lean and the Patient Safety...
Later today and tomorrow, I'll be attending the annual World Patient Safety, Science & Technology Summit that's produced by a non-profit called the Patient...
The First Ever Instance of “Lean Doesn’t Apply to Us?”
Lean is, of course, not about a better way to build cars. It's a transferrable philosophy, management system, and methodology that is being applied in many different settings and industries, including healthcare. I'm often told (sometimes by somebody who is being sort of huffy): "Patients are not cars." [...]
Moving from “Visuals” to “Visual Management” and to Broader Lean Thinking
I've been studying and working with Lean for 20 years now and I love Lean because I'm still learning and getting better at this...