GE was in bad enough shape in 2018 that investor Nelson Peltz says he was sure the company would end up in Chapter 11. Inside GE, meanwhile, business reviews were full of good news. Both things were true at the same time. Larry Culp eventually had a...
Somebody says it in the comments of nearly every post about Lean, usually with a few exclamation points. “Toyota doesn't call it Lean!” It gets offered as if it settles the matter. I've said a version of it myself. Talking with Don Kieffer on Episode...
Carl Pradelli spent 18 months building a co-branded skincare launch with the Home Shopping Network, then watched it unravel when the contract manufacturer he had chosen on a referral produced a formula that was nothing like the one he approved. He ex...
On Thursday, I wrote about the death of Donald Gough at the University Hospital of Wales in Cardiff. He received insulin during liver surgery even though he was not diabetic and had no clinical reason to be given it. That post was about one hospital....
A man named Donald Gough died in a Cardiff hospital in November 2022, four weeks after an insulin error during surgery. He was 77, a retired NHS radiographer who had spent more than 50 years working in the same health system that was now caring for h...
I've been reading The Birth of Lean, a collection of talks and interviews with the people who helped build the Toyota Production System. One passage stood out because it explains something I had never seen described this clearly: Toyota copied its em...
Somebody on the r/nursing subreddit asked what the worst medication error was that people had seen or heard about. Almost six hundred replies came in. I've read the whole thing, and there are a few ideas I want to come back to. This is the first. A w...
Three years ago, I wrote about GE CEO Larry Culp's habit of beginning every investor meeting with a safety briefing and his insistence that the company's priorities should be safety, quality, and delivery–before cost. See “GE's CEO Larry Culp on SQDC...
Tiffany Auvil spent more than twenty years inside the U.S. healthcare system, starting as a volunteer firefighter and eventually serving as System Director of Outpatient Clinics for a three-hospital health system. Then her husband Dave was diagnosed...
The Mistakes That Make Us is a recipient of the Shingo Publication Award from the Shingo Institute!Hi :Three years ago, my book "The Mistakes That Make Us" came out. Around the same time, Elisabeth Swan published "Picture Yourself a Leader." Two diff...
The Mistakes That Make Us is a recipient of the Shingo Publication Award from the Shingo Institute!Hi :I haven't mentioned this here yet, but I'm writing a new book. It's a practical guide for Lean leaders on psychological safety -- why so many impro...
The Mistakes That Make Us is a recipient of the Shingo Publication Award from the Shingo Institute!Hi :There's a limit to what you can learn about the Toyota Production System from books, courses, and conferences. I say that as someone who writes the...
The Mistakes That Make Us is a recipient of the Shingo Publication Award from the Shingo Institute!Hi :I'm giving away 10 free quarters of the Lean Hospitals AI Coach. Here's how to get one.If you own a copy of Lean Hospitals -- any edition, any lang...
The Mistakes That Make Us is a recipient of the Shingo Publication Award from the Shingo Institute!Hi :Here's something odd about AI coaching tools: they're all trained to be maximally helpful, which means the moment you ask a question, they give you...
