An innovative culture needs room for ideas that are not ready yet. If every suggestion must arrive with a guaranteed outcome, people learn to keep uncertain ideas to themselves. We lose the chance to find out which ones could help. In The Mistakes That Make Us, I explore how leaders… Read More "Building an Innovative Culture: Make Room for Imperfect Ideas"
Learning from Mistakes with Lean: Improve the Process, Not Just the Reminder
Learning from mistakes is part of Lean, but admitting an error does not automatically improve a process. Something has to change—and we need to find out whether that change helps. In The Mistakes That Make Us, I connect the way leaders respond to mistakes with the practical work of preventing… Read More "Learning from Mistakes with Lean: Improve the Process, Not Just the Reminder"
Books About Learning from Mistakes: Where Should You Start?
Looking for books about learning from mistakes? Start with the question you want to work on. Responding to an employee’s error, testing a new idea, and helping a child handle disappointment are related challenges, but they are not identical. The books below approach those questions from different directions. I have… Read More "Books About Learning from Mistakes: Where Should You Start?"
Preventing Mistakes in Healthcare – An Excerpt from ‘Lean Hospitals’
The following is an edited and annotated excerpt from my Shingo Award-winning book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. To me, “mistakes” and “errors” are synonyms, so a discussion of “mistake-proofing” is the same as “error-proofing.” A Serious Problem With Large, Unknowable Numbers It is hard to… Read More "Preventing Mistakes in Healthcare – An Excerpt from ‘Lean Hospitals’"
A Botched Overtime Coin Toss 25 Years Ago; At Least It Led to Rule Changes
I remember watching this game live on TV, and I can’t believe this mistake happened 25 years ago now! From The Athletic: The Lions, the Steelers and a crazy, botched Thanksgiving coin flip 25 years ago You can watch video of it on the NFL’s YouTube channel. At the start… Read More "A Botched Overtime Coin Toss 25 Years Ago; At Least It Led to Rule Changes"
Happy Accident: “Inverted Jenny” Mistake Stamp Sells for $2 Million
Recently, a fascinating piece of news caught my attention on NPR: the sale of the “Inverted Jenny” stamp for a staggering $2 million. This story isn’t just a quirky anecdote about a philatelic error; it’s a profound illustration of how mistakes can transform into unexpected value, a theme central to… Read More "Happy Accident: “Inverted Jenny” Mistake Stamp Sells for $2 Million"
