Rule One–Highly Specified work with SIGNALS built in.
April 3, 2010 by marc
I am answering my own question in the post down the page, on Toyota and Chasing the Rabbit by Spear. I am reading Atul Gawande’s The Checklist Manifesto. I get it. Check lists are a way to build signals in to the work in real time. When the step on the check list is missed or cannot be carried out, THAT IS THE SIGNAL to swarm the problem and do an A3 (A3 Problem Solving for Healthcare) with those nearest the work and solve the problem. As John Kenagy says-”solve the NEXT PROBLEM”. It is an interesting possibility for health care–to get to the place where folks doing the work can fix problems as they arise, rather than having to have a whole system of collecting, prioritizing, and delaying the solutions.
