Month: May 2016

“Medical Taylorism:” An Article that Does a Huge Disservice to Needed Healthcare Transformation

By Dr. Patricia Gabow and Ken Snyder The article, “Medical Taylorism,”[1] by Pamela Hartzband, M.D. and Jerome Groopman, M.D., in the New England Journal of Medicine, reflects a major misunderstanding of the principles and practice of the Toyota Production System, or Lean as it is often called. Specifically, the article appears to conflate poor implementation…
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KPIs are Dead, Long Live the KBIs!

Project succeeded? About a year ago, the head of logistics and purchasing asked me to carry out some observations on the floor. Their new ERP system had been implemented about two years ago, and he wanted to know where knowledge was still lacking so he could use the information as input for a training plan.…
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