DiscussionGuidelines.pptVIP

Discussion Guidelines #1 Company-wide structure for discussing, selecting, and implementing any productivity idea Get management involved Leadership goes to the Gemba Patient Safety Alert Case Virginia Mason A nurse noticed that a new patient have a pink wristband Pink wristband signifies “No Code 4” All resuscitation is withheld The nurse felt that it is odd The patient had a new diagnosis of operable lung cancer The nurse asked the patient What the wristband means The patient indicated His allergy to certain medications The nurse Replaced the wristband An orange that signifies drug allergies Reported the incident to her manager Management called a “Patient Safety Alert” New procedure was developed Print “Allergy Alert” on the orange wristband Virginia Mason “Patient Safety Alert System” Chief Nursing Officer Vice president of information system Facilitate the hospital-wide change in wristband printing process by the FOLLOWING morning 華航 2007年8月 琉球、那霸機場 Boeing 737-800 漏油爆炸 翼前縫條的螺帽鬆脫、刺破油箱 美國聯邦航空總署（ FAA ） 第一次的緊急指令中要求 目視檢查翼前縫條（ slat） 第二次緊急指令則要求須用 內視鏡檢查 其他航空公司回報， 發現有好幾起類似華航事故飛機， 發生螺帽鬆脫情形， 且已有一架飛機的油箱也有受損 The Mechanism … Air travels is the lowest risk way of travel Can KPI Do this? Key performance index #2 Employee believed that Management frequently changed program Rarely follow through on them Management program of the year #3 Why employee don’t devote themselves to innovation? Innovation is Risky Need a culture of “it is ok to fail” #4 Paradox of Toyota Production System Rigid specification is the very thing that makes the flexibility and creativity possible Toyota’s seat installation Take 4 bolts from a cardboard box Carry bolts and a torque wrench to the car Tighten the 4 bolts Enter a code into a computer What can go wrong? Put 4 bolts in position and tighten them all together Put 1 bolt in and tighten it, then … How can you know the operator is doing his ho correctly? 目視管理 What Toyota do? Georgetown Kentucky Sequence of 7 tasks in 55 seconds If manager see