{"id":439,"date":"2007-11-03T21:39:48","date_gmt":"2007-11-04T04:39:48","guid":{"rendered":"https:\/\/staging.opexlearning.com\/resources\/439\/root-cause-genchi-genbutsu-design-thinking"},"modified":"2016-11-14T04:10:56","modified_gmt":"2016-11-14T09:10:56","slug":"root-cause-genchi-genbutsu-design-thinking","status":"publish","type":"post","link":"https:\/\/staging.opexlearning.com\/resources\/root-cause-genchi-genbutsu-design-thinking\/439\/","title":{"rendered":"Poka Yoke in Medicine: War Goggles and Eye Injuries"},"content":{"rendered":"<div class=\"a296a24fa2fc69ef5487857f02f111e8\" data-index=\"9\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- Single Post readerboard -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:inline-block;width:728px;height:90px\"\r\n     data-ad-client=\"ca-pub-8207522353004717\"\r\n     data-ad-slot=\"1144967431\"><\/ins>\r\n<script>\r\n(adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>One Pillar of the Toyota Production System is &#8220;<a title=\"respect for people principle at toyota\" href=\"https:\/\/staging.opexlearning.com\/resources\/respect-for-people-principle-lean-management\/14553\/\">Respect for the Human<\/a>&#8221; or, more commonly known outside of Toyota as &#8220;Respect for People.&#8221; \u00a0This example of <a title=\"poka yoke a coffee cup\" href=\"https:\/\/staging.opexlearning.com\/resources\/a-coffee-cup-taught-me-about-poka-yoke-human-errors\/12986\/\">Poka Yoke<\/a> in Medicine underscores that fact. That Pillar has given rise to an approach to improvement that is uniquely Toyota&#8217;s and is starkly different than the Taylorist approach proposed by Frederick Winslow Taylor, which fails to see the individual and under-appreciates the physical and psychological differences in people and in how people prefer to work.<\/p>\n<div align=\"center\">\r\n<table border=\"1\" cellpadding=\"5\">\r\n<tbody>\r\n<tr>\r\n<td style=\"text-align: center;\" colspan=\"2\"><strong>Other Poka-Yoke Examples and Articles<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<ul>\r\n\t<li><a title=\"reduce what you eat with this nifty trick from facebook cafeteria\" href=\"https:\/\/staging.opexlearning.com\/resources\/poka-yoke-overeating-overweight-lose-weight\/10207\/\">Limit Food Consumption Poka Yoke<\/a><\/li>\r\n\t<li><a title=\"coffee cup has serious problems bro\" href=\"https:\/\/staging.opexlearning.com\/resources\/a-coffee-cup-taught-me-about-poka-yoke-human-errors\/12986\/\">Why This Coffee Cup has Issues<\/a><\/li>\r\n\t<li><a title=\"how to prevent errors through public humiliation\" href=\"https:\/\/staging.opexlearning.com\/resources\/poka-yoke-examples-prevent-error-embarrasment\/9511\/\">How to Prevent Errors Through Humiliation<\/a><\/li>\r\n\t<li><a title=\"can't skateboard on this park bench\" href=\"https:\/\/staging.opexlearning.com\/resources\/no-skateboarding-sign-a-poka-yoke-approach\/9448\/\">No Skateboarding Here<\/a><\/li>\r\n\t<li><a title=\"how to make sure the toilet seat cover is always down\" href=\"https:\/\/staging.opexlearning.com\/resources\/carnival-cruise-reviews-toilet-poka-yoke\/9398\/\">Toilet Seat Poka Yoke<\/a><\/li>\r\n\t<li><a title=\"atm machine creates problems\" href=\"https:\/\/staging.opexlearning.com\/resources\/to-err-is-human-atm-machine-poka-yoke\/9320\/\">This ATM Sucks and Causes Problems<\/a><\/li>\r\n\t<li><a title=\"method for checking for errors\" href=\"https:\/\/staging.opexlearning.com\/resources\/how-to-check-for-errors\/9292\/\">How to Check for Errors<\/a><\/li>\r\n\t<li><a title=\"error proof dyslexia through this font\" href=\"https:\/\/staging.opexlearning.com\/resources\/dyslexia-treatment-poka-yoke-innovation-standard-work\/9251\/\">How to Error Proof Dyslexia<\/a><\/li>\r\n<\/ul>\r\n<\/td>\r\n<td>\r\n<ul>\r\n\t<li><a title=\"error proof your baby stroller\" href=\"https:\/\/staging.opexlearning.com\/resources\/poka-yoke-baby-stroller-fail\/7242\/\">Why this Baby Stroller Will Hurt Your Child<\/a><\/li>\r\n\t<li><a title=\"door knob safety poka yoke\" href=\"https:\/\/staging.opexlearning.com\/resources\/everyday-poka-yoke-door-knob-safety\/2512\/\">Can Your Child Open the Door Knob?<\/a><\/li>\r\n\t<li><a title=\"prevent theft through this simple poka yoke\" href=\"https:\/\/staging.opexlearning.com\/resources\/everyday-poka-yoke-preventing-theft\/1993\/\">Prevent Theft Poka Yoke<\/a><\/li>\r\n\t<li><a title=\"how to prevent prescription drug abuse - one company's approach\" href=\"https:\/\/staging.opexlearning.com\/resources\/poka-yoke-pharmaceuticals\/1424\/\">Prescription Drug Abuse Error Proofing<\/a><\/li>\r\n\t<li><a title=\"zero defects via poka yoke\" href=\"https:\/\/staging.opexlearning.com\/resources\/cost-of-poor-quality-poka-yoke\/451\/\">Can Poka Yoke Help us Reach Zero Defects?<\/a><\/li>\r\n\t<li><a title=\"eye protection during war poka yoke\" href=\"https:\/\/staging.opexlearning.com\/resources\/root-cause-genchi-genbutsu-design-thinking\/439\/\">Poka Yoke Example of Eye Protection During War<\/a><\/li>\r\n\t<li><a title=\"system design poka yoke\" href=\"https:\/\/staging.opexlearning.com\/resources\/poka-yoke-system-design-how-to-mistake-proof-your-processes\/9131\/\">Poka Yoke System Design Ideas<\/a><\/li>\r\n\t<li><a title=\"be careful with that forklift\" href=\"https:\/\/staging.opexlearning.com\/resources\/forklift-and-conveyor-safety\/8484\/\">Conveyor Safety via Poka Yoke<\/a><\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<BR>\n<p>The Toyota Production System, I argue, appreciates the individual and empowers the individual to improve her work within the System; by doing so, a firm can increase its ratio of problem-solvers to problem-finders.\u00a0\u00a0 But, this article is not about Taylorism versus The Toyota Production System &#8212; ignoring my propensity towards tangents for a moment &#8212; this article is about Root Cause Analysis, Genchi Genbutsu, and Human-Centered Design &#8212; all elements I found in the book <a href=\"http:\/\/www.amazon.com\/dp\/0805082115?&amp;camp=212361&amp;creative=380733&amp;linkCode=wey&amp;tag=sixsigma09-20\" target=\"_blank\">Better: A Surgeon&#8217;s Notes on Performance, by Atul Gawande<\/a>. Or, more simply put, <a title=\"interview with mark graban on lean for hospitals and healthcare\" href=\"https:\/\/staging.opexlearning.com\/resources\/improving-healthcare-with-lean-with-mark-graban\/14659\/\">Lean for Healthcare<\/a>.<\/p>\n<p>I recently read a short excerpt from the book <a href=\"http:\/\/www.amazon.com\/dp\/0805082115?&amp;camp=212361&amp;creative=380733&amp;linkCode=wey&amp;tag=sixsigma09-20\" target=\"_blank\">Better: A Surgeon&#8217;s Notes on Performance, by Atul Gawande<\/a>, which is an excellent example illustrating the relationship between Root Cause Analysis, Genchi Genbutsu, and Design.\u00a0\u00a0 The book is a series of essays that explain, with heart-felt candor, how difficult it is to be a physician and also points out the weaknesses and vulnerabilities of the system, the physicians, and its impact on the rest of us.<\/p>\n<h2>Eye Injuries &amp; Poor Design<\/h2>\n<p>In the excerpt that I read today, battlefield physicians noticed that soldiers and marines were getting a lot of eye injuries.\u00a0 They physicians asked the patients why they weren&#8217;t wearing their protective eye coverings.\u00a0 The answer? &#8212; The soldiers didn&#8217;t want to look like dorks!\u00a0 This point may seem subtle, but is a critically important one: These are soldiers on the front-lines, facing death everyday.\u00a0 Any amount of humanity &#8212; even vanity &#8212; that they can hold on to is important to them.\u00a0 Part of good, human-centered design is that the product must be elegant &#8212; in it&#8217;s design and functionality.<\/p>\n<p>So, the goggles were redesigned to look like cool sunglasses, and the eye injury rate went down.\u00a0 This is also a great example of why you need to ask users about problems with products.<\/p>\n<p>This is also an example of Poka-Yoke: to mistake proof our systems, processes, and devices.<\/p>\n<h2>Conclusion<\/h2>\n<p>In conclusion, we see the physicians quickly arriving at the Root Cause of eye injuries.\u00a0 They &#8220;went and saw&#8221; for themselves by asking the patients themselves why they weren&#8217;t wearing the protective goggles.\u00a0 Then, the practical solution was to redesign the goggles to make them more attractive.\u00a0 The result? &#8212; reduced battlefield eye injuries and cooler-looking sunglasses.<\/p>\n<p>I&#8217;ve already ordered the book.\u00a0 I can&#8217;t wait to read it.<\/p>\n<!--CusAds0-->\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>One Pillar of the Toyota Production System is &#8220;Respect for the Human&#8221; or, more commonly known outside of Toyota as &#8220;Respect for People.&#8221; \u00a0This example of Poka Yoke in Medicine underscores that fact. That Pillar has given rise to an approach to improvement that is uniquely Toyota&#8217;s and is starkly different than the Taylorist approach [&hellip;]<\/p>\n","protected":false},"author":12327,"featured_media":9781,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[135],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Poka Yoke in Medicine, Atul Gawande<\/title>\n<meta name=\"description\" content=\"Atul Gawande, Better, a book that shows how poka-yoke and design thinking can prevent medical errors and death. 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