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Articole: 20
  1. Maintenance Is What Keeps Everything Going

    It is the nature of things to change and become more disordered.

  2. Improve Conditions, Make Value Flow

    In a current project, several community health centers are working to increase the number of patients with diabetes who get timely oral health care.

  3. A Culture of Learning

    Does the picture of a marked-up math test paper make you anxious?

  4. Experiment!

    Last week, I listened to an excellent webinar from Lean Frontiers hosted by Oscar Roche of the TWI Institute.

  5. Designing Systems for People

    In last month’s post, I reviewed industrial engineer Gerry Nadler’s advice: structure problems as system-design opportunities and start by analyzing the purposes of the new system.

  6. A problem is the gap between your current state and your desired state.

  7. Information and Attention

    In 1971, Herbert Simon gave a talk, “Designing Organizations for an Information-Rich World” (M.

  8. Explore before Exploit, Round 2

    Two years ago, I wrote about psychologist Alison Gropnik’s description of the difference between children and adults.

  9. Improving Big Systems

    The hourly updates in my newsfeed these days describe the Department of Government Efficiency's (DOGE) efforts to change the federal government's structure and performance.

  10. I discussed Job Instruction in a recent post.

  11. Job Instruction—Review of The Basics

    Pocket Card from 1945 to guide Job Instruction Imagine your organization had every supervisor able to teach their people core jobs, improve the work in their area, and lead their people effectively.

  12. Three-Part Data Review

    The Three-Part Data Review Method My colleagues at IHI developed a data review method that combines qualitative and quantitative data.

  13. A Strong Plan Drives a Strong Study

    I’ve seen and used many different templates to document a Plan-Do-Study-Act (PDSA) cycle.

  14. The Perla, Provost, and Murray Triplet

    In 2011, Perla, Provost and Murray published an article that promotes the use of run charts as an accessible and powerful tool[1].

  15. Explore before Exploit

    The psychologist Alison Gropnik has summarized one behavioral difference between human babies and adults.

  16. What Do The Data Say?

    In 2019 Andrea Jones-Rooy, a data scientist at NYU, reported her response when she is asked a routine question: “What do the data say?”

  17. Last week Ezra Klein reprised his 4 June 2021 podcast with Brian Christian, “If All Models are Wrong, Why Do we Give them so much power?”

  18. Plan-Do-Study-Act in Practice

    My friends Lilia Pino, Jen Nabong, and Mary Dolansky will share a story this week at the Institute for Healthcare Improvement’s Annual Forum.

  19. Decarbonizing Health Care

    The Biden administration has directed federal agencies to act and promote action to decarbonize the U.S. economy—to radically reduce the emissions of carbon dioxide into the atmosphere.

  20. Ask, Tell, Ask

    The physician started his conversation with a question.