How NOT to Improve Patient Flow: Laws, Targets, Blame,
Let's start by stating the obvious: it sucks to wait 24 hours or more on a stretcher in an emergency department hallway waiting for a real hospital bed. It's sad and frustrating to have a couple of bl...
29 Aug 201710min
Aim for "Effectiveness" in Your Gemba Walks, Not "Effi
This is an elaboration on something I originally posted on LinkedIn. I saw somebody touting an approach that would guarantee "maximum efficiency for your management gemba walks." Ah, the efficiency ...
24 Aug 20173min
Monday's #SolarEclipse: Supply Chain Challenges and Eye
Any rare event creates a number of challenges when it comes to manufacturing and supply chains. We're seeing a pretty historic "spike" in demand for products like the inexpensive glasses that allow on...
23 Aug 201715min
Highlights of "Boss Level Podcast" - Gen. Stan McChrystal
Highlights of "Boss Level Podcast" - Gen. Stan McChrystal and the Book "Team of Teams" I've read most of retired General Stanley McChrystal's excellent book Team of Teams: New Rules of Engagement for...
17 Aug 20178min
My Webinar: Standardize What Makes Sense...
Today at 3 PM, I'm doing a webinar at the invitation of the BC Patient Safety & Quality Council, as part of their "Quality Café" series. Thanks for the invitation! It's open to the public and it's t...
16 Aug 20179min
Does Being Giddy With Knowledge About Wine or Lean Cau
I enjoy "gemba visits" (of sorts) to wineries and vacations often focus on this walking, tasting, and learning. I usually read the wine column that's in the Wall St. Journal each Saturday, and this o...
15 Aug 20178min
Dr. Don Berwick on Respect and Change at the Front Lines
Back in 2012, I blogged twice about aspects of Dr. Donald M. Berwick's 1989 article in the New England Journal of Medicine titled “Continuous Improvement as an Ideal in Health Care.” The full text is ...
26 Juli 20175min
Change: Desire, Ability, Reason, Need, and Commitment
I'm excited to be attending the annual Lean Coaching Summit today through Thursday in Austin. If you're there, please say hi! Today, I've registered to take a class on a topic that I've taken an inter...
24 Juli 201711min
