Lean Blog Audio — 281: Lean: A Combination of “Why?” and “Why Not?”


When we have really sticky, complicated problems (like the widespread healthcare patient safety and quality problems), I think it’s interesting to think about problems in the following terms… for a particular problem, which is true?

  • It can’t be solved (in general)
  • That organization can’t solve it (don’t know how?)
  • They won’t solve it
  • They don’t need to solve it

When we look at patient safety, there are many examples that show improvement is possible. So, it comes down to a question of “can’t, won’t, or don’t need to?”

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