Transcript Discussion Guidelines

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 that worker do step 6 before step 4
» Something is wrong
» Step 4: install front seat-bolts
» Step 6: install rear seat-bolts
» Opportunity for improvement!!!
– Step 4 should be completed after 31 second
» The length of each work area is marked in tenths
» Manager knows worker is behind or ahead of
schedule instantaneously
» Opportunity for improvement!!!
– How to improve?
• Toyota workers are responsible to improve their
own works
• Group assisted by Sensei
– Group members begin their presentation
» Describe the steps by which their products are created
– Delineate all the problem they identified
– Explain the specific changes they made
• TPS creates a community of scientists in this way