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Posts Tagged ‘root cause


Continuous Improvement Model There is little doubt that there are many opportunities for Continuous Improvement in the US Healthcare System, but we need a Continuous Improvement Model that reliably sustains change.  There is, however, significant resistance to achieving Continuous Improvement using a model of multiple employee involvement.  In this blog I want to share one experience of using a team Continuous Improvement Model in healthcare. Straw Man in Continuous Improvement Model Continuous Improvement Model in Cardiovascular Surgery In a recent engagement, KCOE coaches and mentors taught... 

MEDRAD Problem Solving Story Here’s a note about Ken and how daily meetings are raising problems less than 24 hours later versus over a month from the time of the problem. When do you know about problems? Do you find out about quality errors days or weeks after the produce has come through your team? Check out the story about MEDRAD and Problem Solving below . . . So we’ve been coaching daily meeting and problem solving on a production floor near Pittsburgh for sometime now, and another light bulb went off for the team. How familiar does this situation sound: Ken was receiving reports,... 

Today at Phoenix Sintered Metals, I coached the team on some basic problem solving level II. Once you are able to identify your top 3 problems, chances are those top problems have multiple causes. Use a fishbone diagram and the 4M’s (man/woman, machine, material, method) to identify ALL possible causes. If your team has a good sense of what the top cause is (or a top cause that is more easily solved), start your problem solving sheet there! If you’re still in the dark after identifying all the potential causes, go ahead and use a pareto diagram to keep track of the causes. Once some... 


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