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Miss Interpretation

Miss Interpretation

My colleagues don’t call me Mister Key Point for nothing.  Years of Lean manufacturing and Lean Healthcare experience deconstructing processes to understand the salient points to maintain safety, quality, cost and delivery have driven me to habitually apply this skill... read more
Gemba Walk or Robotic Rounding?

Gemba Walk or Robotic Rounding?

During a recent Lean Healthcare training session, a participant remarked about how awkward and out of place their leadership seemed as they made rounds on nursing units.  I was instantly reminded of my own first experiences with rounding – something I would... read more
Leadership, Personal Mastery and Mental Models

Leadership, Personal Mastery and Mental Models

After a trying session with a client leadership team, I returned to Peter Senge’s The Fifth Discipline Fieldbook: Strategies and Tools for Building a Learning Organization.  I felt stuck.  This team had been going about “Lean” for a few years but was frustrated with... read more
Defect or Error – Is There a Difference?

Defect or Error – Is There a Difference?

In healthcare, errors can be harmful or even deadly, therefore healthcare workers spend a lot of time and energy to minimize them.  The definition of an error is a deviation from accuracy or correctness.  Nurses double check each other before giving a high risk... read more
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