The red bead experiment, created by Dr. Deming, demonstrates how variation exists in any process and is mostly due to common causes within the system, not individual performance. In the experiment, workers try to produce a standard number of beads per trial but often fail due to the inherent variation in the bead drawing process. This shows that blaming individuals and incentivizing performance does not work. The key lessons are that the system, not individuals, is usually the cause of variation, and the focus should be on understanding and reducing common cause variation through systematic improvements.
WEBINAR: How to Use a Fishbone Diagram (aka Cause & Effect Diagram)GoLeanSixSigma.com
The Fishbone (aka Cause & Effect or Ishikawa) Diagram is a seemingly simple method of conducting structured brainstorming around the root cause of a process problem. So why is it so hard to get it right? We'll walk through some classic ways to build a Fishbone Diagram, we'll show you some of the common missteps and we'll provide examples of what they look like when they're properly executed. Join us for a guided tour of the Fishbone!
You can find the rest of the webinar materials and questions from the webinar here:
https://goleansixsigma.com/webinar-use-fishbone-diagram/
Automating JIRA Service Desk : Resolving Your Issues FasterAtlassian
Discover JIRA Service Desk's brand new built-in automation capabilities that help IT teams work smarter and focus on the Important Stuff™. Automation will become the #1 initiative for IT teams in the next 12-24 months as teams increasingly stay on top of their workload by automating repetitive tasks and notifications with the help of tools like JIRA Service Desk. Join Edward and Clement to learn how easy it is to create and configure rules with the WYSIWYG automation rules editor, use SMS and HipChat messaging to send alerts, and reduce repetitive tasks to get your issues resolved faster than ever.
Change is inevitable and can cause fear of the unknown. But it doesn't have to—we can learn to master change and adapt to it quickly. These 5 tips will help you successfully cope with changes at work.
WEBINAR: How to Use a Fishbone Diagram (aka Cause & Effect Diagram)GoLeanSixSigma.com
The Fishbone (aka Cause & Effect or Ishikawa) Diagram is a seemingly simple method of conducting structured brainstorming around the root cause of a process problem. So why is it so hard to get it right? We'll walk through some classic ways to build a Fishbone Diagram, we'll show you some of the common missteps and we'll provide examples of what they look like when they're properly executed. Join us for a guided tour of the Fishbone!
You can find the rest of the webinar materials and questions from the webinar here:
https://goleansixsigma.com/webinar-use-fishbone-diagram/
Automating JIRA Service Desk : Resolving Your Issues FasterAtlassian
Discover JIRA Service Desk's brand new built-in automation capabilities that help IT teams work smarter and focus on the Important Stuff™. Automation will become the #1 initiative for IT teams in the next 12-24 months as teams increasingly stay on top of their workload by automating repetitive tasks and notifications with the help of tools like JIRA Service Desk. Join Edward and Clement to learn how easy it is to create and configure rules with the WYSIWYG automation rules editor, use SMS and HipChat messaging to send alerts, and reduce repetitive tasks to get your issues resolved faster than ever.
Change is inevitable and can cause fear of the unknown. But it doesn't have to—we can learn to master change and adapt to it quickly. These 5 tips will help you successfully cope with changes at work.
PROBLEMS ARE THE GOLDEN EGGS
problems??? day by day in our proffessional life we faces so many problems, but didn't recognize about the problem. Because we are habituate to facing to problems, if we want to solve the problems, first we can feel YES am facing a problem then you have a chance to solve it... after that we should find is it REPEATATIVE problem or New problem, on the bases of the issue we can take further steps, how to break it. how to analyse, how to find countermeasure, how to check is it suitable or not, how to make standard.... if you want to know gothrough my presentations..
This is my first presentation posted in Slideshare
Visit www.shakehandwithlife.in to buy this Book. This E-Book on 7QC tools is complete training workshop for Junior, Middle and Senior quality quality professionals. The USP of this workshop is the text and graphics in the book for understanding the tools while applying to solve the practial problems. Illustrative worked examples , Construction of tools in Excel like Histogram, Pareto Chart, Scatter Diagram, Control charts are beautifully explained in step step manner. A newcomer in the area of quality can easily understand how the tools be used and applied.
Human errors are regarded as main culprit of wrong actions and failures, while research shows these errors are not human driven but system driven. Retrospective investigations seldom result in effective corrective and preventive actions.
Human beings are rational beings and perform activities which make sense for them hence to improve system this dynamic of human nature should not be ignored.
#Rootcause analysis #pharmaceutical #Failure #investigation
This presentation was presented as a term presentation in the course of Operation Management, Iqra University.
Gemba or Genba is a problem solving technique.
If you find any correction or have any complains regarding this presentation kindly email me on my mailing account.
P.S You can also take help from a video with the same name as this presentation.
Procrastination PowerPoint PPT Content Modern SampleAndrew Schwartz
121 slides include: overcoming procrastination, the 8 causes of procrastination, recognition and signs of procrastination, remedies, approaching procrastinators, 9 rationalizations to avoid, behavioral solutions, do's and don'ts, solving procrastination, 14 remedies for procrastination, the self motivation option, how to's and more.
You are the ultimate data wrangler. The polyglot master of python and R. You know all about the differences of linear versus logistic regression. You know when to use a dimensionality reduction algorithm and when to use a neural net. You have petabytes of data taking structural-form at your command, and you have the R-squared score to prove it!
But all of your data wrangling and number crunching won't matter if the decision makers ignore your data.
The tools to communicate the message in your data are simple, yet they can be a hard to learn. So, let’s talk about the five critical communication tools you need to master "The Art of Speaking Data."
PROBLEMS ARE THE GOLDEN EGGS
problems??? day by day in our proffessional life we faces so many problems, but didn't recognize about the problem. Because we are habituate to facing to problems, if we want to solve the problems, first we can feel YES am facing a problem then you have a chance to solve it... after that we should find is it REPEATATIVE problem or New problem, on the bases of the issue we can take further steps, how to break it. how to analyse, how to find countermeasure, how to check is it suitable or not, how to make standard.... if you want to know gothrough my presentations..
This is my first presentation posted in Slideshare
Visit www.shakehandwithlife.in to buy this Book. This E-Book on 7QC tools is complete training workshop for Junior, Middle and Senior quality quality professionals. The USP of this workshop is the text and graphics in the book for understanding the tools while applying to solve the practial problems. Illustrative worked examples , Construction of tools in Excel like Histogram, Pareto Chart, Scatter Diagram, Control charts are beautifully explained in step step manner. A newcomer in the area of quality can easily understand how the tools be used and applied.
Human errors are regarded as main culprit of wrong actions and failures, while research shows these errors are not human driven but system driven. Retrospective investigations seldom result in effective corrective and preventive actions.
Human beings are rational beings and perform activities which make sense for them hence to improve system this dynamic of human nature should not be ignored.
#Rootcause analysis #pharmaceutical #Failure #investigation
This presentation was presented as a term presentation in the course of Operation Management, Iqra University.
Gemba or Genba is a problem solving technique.
If you find any correction or have any complains regarding this presentation kindly email me on my mailing account.
P.S You can also take help from a video with the same name as this presentation.
Procrastination PowerPoint PPT Content Modern SampleAndrew Schwartz
121 slides include: overcoming procrastination, the 8 causes of procrastination, recognition and signs of procrastination, remedies, approaching procrastinators, 9 rationalizations to avoid, behavioral solutions, do's and don'ts, solving procrastination, 14 remedies for procrastination, the self motivation option, how to's and more.
You are the ultimate data wrangler. The polyglot master of python and R. You know all about the differences of linear versus logistic regression. You know when to use a dimensionality reduction algorithm and when to use a neural net. You have petabytes of data taking structural-form at your command, and you have the R-squared score to prove it!
But all of your data wrangling and number crunching won't matter if the decision makers ignore your data.
The tools to communicate the message in your data are simple, yet they can be a hard to learn. So, let’s talk about the five critical communication tools you need to master "The Art of Speaking Data."
Learn the results of our five-year research study that examined the impact of people problems at hundreds of companies around the world. Find out how they manage their people problems and how your company’s strategies and tactics compare.
Behaviour change is the measurable outcome of good UX design. Here's a review of a few design techniques and processes to help UX designers to create sustainable behaviour change.
Bad AI showing sexist or racist correlations makes headlines. Nobody sets out to make a bad system, so why does this happen. I take a look at all the ways bias creeps into AI and where you should put effort to avoid it.
Slides annotated from a talk given at ImpactfulAI meetup 19th June 2019 London
Complexity, Collaboration and UnconferencingGeoff Brown
I was asked by Geelong College to present on Sustainability. I am not a scientist or climate change expert, so I decided to focus my presentation on the stuff I know best. This is a presentation about learning to make the transition to a more more sustainable lifestyle, business, school community or whatever. In advance, apologies for the 'clutter' on a few of the slides.
The Social Transmission of Choice: An Exploratory Computer Simulation with Ap...Edmund Chattoe-Brown
Paper presented at the British Sociological Association Annual Conference (Social Connections: Identities, Technologies, Relationships), University of East London, 12-14 April.
I was asked by Geelong College to present on Sustainability. I am not a scientist or climate change expert, so I decided to focus my presentation on the stuff I know best. This is a presentation about learning to make the transition to a more more sustainable lifestyle, business, school community or wahtever. In advance, apologies for the 'clutter' on a few of the slides.
Execution is one of the most overlooked elements of business. Strategy, finances, and market opportunities seem to get a lot more attention. In my own experience, getting an A+ on execution will beat out the other companies who have A+'s in the more traditional areas.
Our Favorite Mistakes: Creating a Culture of Learning from MistakesMark Graban
Presented by Mark Graban for the Lean Leadership Week event hosted by Lean Frontiers.
We all make mistakes, even the most successful people we know. Are people successful because they avoid mistakes or because they make sure to learn from them? Mark Graban thinks it’s the latter based on podcast conversations he’s had with corporate CEOs, athletes, entrepreneurs, and entertainers – and former Toyota employees.
Are we willing to admit mistakes to ourselves, yet alone our colleagues, employees, or leaders? Do our organizations create a culture where it’s safe to talk about mistakes, as a first step toward preventing future mistakes? Can we shift from blaming and shaming to building a culture of continuous improvement?
In this talk, you will learn and hear stories about:
• Why it’s important to admit mistakes
• How to reflect on mistakes without being too hard on ourselves (or others)
• How to prevent repeating mistakes
• What key leader behaviors create a culture where it’s safe for people to admit mistakes
Mark Graban is an independent consultant, professional speaker, and entrepreneur. He is also a senior advisor for the technology company KaiNexus and advises healthcare clients through the firm Value Capture.
He is the author of Measures of Success: React Less, Lead Better, Improve More. Mark’s previous books include the Shingo-Award winning Lean Hospitals and Healthcare Kaizen. He was creator and editor of the anthology Practicing Lean.
Mark hosts many podcasts including “Lean Blog Interviews,” “Habitual Excellence, Presented by Value Capture” and “My Favorite Mistake.”
Mark has a B.S. in Industrial Engineering from Northwestern University, along with an M.S. in Mechanical Engineering and an M.B.A. from the Massachusetts Institute of Technology.
Today’s Effective Leader: Shifting From Cop to Coach and CounselorMark Graban
A webinar presented by Mark Graban for the Iowa Lean Consortium
This webinar, facilitated by Mark Graban, will provide practical approaches for changing the way you lead.
How often do we hear phrases like "If only people would just do what they're told," or "They're being resistant to change"? High quality organizations realize that "resistance to change" actually should be the beginning of a conversation about change, not the end.
This webinar will feature Mark Graban, an internationally recognized consultant, explaining how organizations can shift from a culture of compliance to a culture of continuous improvement – and in the process, get on the path to better quality and higher levels of performance.
Using real-life examples, Mark will share practical approaches for changing the way you lead to engage everyone in ongoing and sustainable continuous improvement. Mark also will introduce innovation mindsets and tactics from a surprising place – clinical counseling and addiction therapy – and share proven methods that have helped Toyota and other companies realize that "resistance to change" is a normal part of the change process.
The Steps You Need to Take to Get Your Business Ready to Reopen (Proactive Ma...Mark Graban
As our businesses enter the new phases of a return to post-pandemic life, it will be critically important for leaders to be proactive with their employees and customers – for the sake of the health of our people and our organizations.
By the end of this webinar, you will:
- Recognize the difference between merely containing a COVID-19 related problems and preventing them from occurring again, especially if we see a fall resurgence.
- Learn why it’s important to see problems, solve problems, and share problems in your organization.
- Understand how to use methods like FMEA (“Failure Mode Effects Analysis”) and root-cause problem solving to be more proactive in your management and improvement efforts post crisis.
Hosted by Mark Graban, M.B.A., M.S., a top expert in Lean Management. Graban is the author of “Measures of Success: React Less, Lead Better, Improve More” a book about using simple, yet practical statistical methods that help leaders overreact less to their metrics, which frees up time for real, focused, sustainable improvement. While he works with startups, entrepreneurs and midsized businesses, Mark previously worked for General Motors, Dell, Honeywell, and divisions of Johnson & Johnson. Graban is a guest lecturer at MIT, Wharton, Ohio State University, and several international universities.
Getting from Data to Analysis and Insight in the Covid-19 Pandemic (Final)Mark Graban
Presented by Mark Graban and Christopher R. Chapman.
The aim of this webinar is to expose attendees to the “Process Behavior Chart” methodology, using data and examples related to the current pandemic. Mark will provide a quick introduction to the method, using a few charts from healthcare organizations. Chris will share a deeper dive using data from the province of Ontario related to testing and cases over time.
Learning objectives:
* Learn how Process Behavior Charts are more helpful than rolling averages and two-data-point comparisons
* Understand how to determine if performance is getting better or getting worse? Or is it just fluctuating around a stable average?
* Know how to better understand cause-and-effect when a system is changed
* Forecast how the system will behave and under what conditions
Mark Graban is President of Constancy, Inc. and is author of the book "Measures of Success: React Less, Lead Better, Improve More."
Christopher R. Chapman is Owner and Chief Agile/Lean Coach, Derailleur Consulting, Inc., based in Toronto.
Busting Myths About Just in Time: The Implications for Healthcare Supply ChainsMark Graban
During the Covid-19 crisis, some have blamed “just in time” or “Lean” for the current (and tragic) shortages of life-saving items like masks and ventilators. JIT has been vilified after nearly every major natural disaster that has disrupted supply chains. Is this fair?
In this webinar, Mark Graban, a Shingo award-winning author, will dispel some common myths about just in time and Lean management. He will share a broader context of JIT and Lean, along with practical suggestions that can help organizations in various industries.
How Authors Can Stress Less Over Their MetricsMark Graban
This is a webinar presented by Mark Graban, author of the book "Measures of Success: React Less, Lead Better, Improve More."
The webinar was hosted by Cathy Fyock, "The Business Book Strategist." https://www.cathyfyock.com/
Cathy coached me through the book writing process and I am grateful to her and her community of authors.
She invited me to give this presentation for her group of authors... so I tried to tailor a talk that focuses on authors, their metrics, and how to best manage them in a way that reduces stress and overreaction.
YouTube recording:
https://www.youtube.com/watch?v=5kRaxGiKOAY
Improve Your Lean Management System With a Simple ChartMark Graban
Many organizations have discovered the benefits of Lean management system practices, ranging from Strategy Deployment in the boardroom (and on down the organization) and Lean Daily Management practices at the front lines (and on up).
In our zeal to reduce waste in the actual work, how often are we introducing additional waste through our management practices? Too often, in the varied experience of our webinar presenter, Mark Graban. Reacting to every up and down in a metric or demanding a root cause explanation for every below average data point (or any data point that doesn’t hit a target) might be consuming time that would be better spent actually improving the system that generates your results.
In this webinar, you’ll learn practical tips and methods for being more effective in your Lean improvement efforts, including:
• Why two data points are not a trend (except for the few cases when they are)
• Why Run Charts or, better yet, “Process Behavior Charts” are far more helpful than red/green color-coded tables of numbers, a.k.a. “Bowling Charts”
• How to create a Process Behavior Chart for a metric
• How to use a Process Behavior Chart over time to separate “signal” from “noise,” which shows you when to react and look for a root cause for that last data point – and when to step back and improve more systematically
Mark will share lessons from his new book, Measures of Success: React Less, Lead Better, Improve More. Less
Measures of Success: React Less, Lead Better, Improve MoreMark Graban
In this webinar, Mark Graban shares key insights from his new book that will help you be more effective with your Lean management system. He will share the practical methods and mindsets of “Process Behavior Charts” that apply at the boardroom strategy deployment level and for frontline unit huddle boards. Every metric shows variation over time, but if we react to every change in every metric, then nothing is a priority. This approach can help us waste less time, which means we can improve more effectively and sustainably.
In this webinar, participants will:
Know the three questions people should ask about their metrics and the system that leads to those results
Learn how to interpret their metrics with “Process Behavior Charts”
Determine when to react to a change in a metric, based on three simple rules for determining that we have found a “signal” in the noise
Understand how Process Behavior Charts are more effective than “Bowling Charts” or “red/green” analysis
Respect for People and Continuous Improvement for HealthcareMark Graban
Presented by Mark Graban to a healthcare conference gathering in Turkey in April 2018. Mark Graban is the author of the book "Lean Hospitals" and co-author of "Healthcare Kaizen," the books that are essentially source material for this talk.
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujarat’s DholeraAvirahi City Dholera
The Tata Group, a titan of Indian industry, is making waves with its advanced talks with Taiwanese chipmakers Powerchip Semiconductor Manufacturing Corporation (PSMC) and UMC Group. The goal? Establishing a cutting-edge semiconductor fabrication unit (fab) in Dholera, Gujarat. This isn’t just any project; it’s a potential game changer for India’s chipmaking aspirations and a boon for investors seeking promising residential projects in dholera sir.
Visit : https://www.avirahi.com/blog/tata-group-dials-taiwan-for-its-chipmaking-ambition-in-gujarats-dholera/
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
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Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
Putting the SPARK into Virtual Training.pptxCynthia Clay
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
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Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
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3. Key Management Questions
• How are we performing?
– Are we getting better or worse?
• What action should we take?
Some rights reserved by Marco Bellucci
4. Or Not Take Action
“Management must understand the
theory of variation: If you don’t
understand variation and how it
comes from the system itself, you
can only react to every figure.
The result is you often
overcompensate, when it would
have been better to just leave things
alone.”
W. Edwards Deming
5. History of the Game in One Slide
• Created at HP as a gift for Dr. Deming in 1982
by William (Bill) Boller
• Deming used the “Red Bead Experiment” or
“Red Bead Game” in his seminars
8. Lesson: Standardized Work
Alone Doesn’t Work
Account
Name:
White Bead Corporation CREATION DATE: 2/14/02
Process Location: Chicago IL CURRENT REVISION LEVEL: 3.1
Operator Process Type: Producing White Beads PREVIOUS REVISION DATE: 9/15/15
JOB GUIDANCE SHEET
PROCESS TYPE QUALITY/SAFETY
ORDER OF
PROCESS
JOB
STEP
DESCRIPTION OF
JOB CONTENT
Analysis Information
(Process Type & Estimated
Time)
DESCRIPTION OF
KEY QUALITY ("Q") AND
SAFETY("S") POINTS
CODE ESTIMATE WHAT WHY
1 1 Ensure paddle holes are empty of all beads I 2
1 2 Grasp the paddle by the handle. TL 2
Ensure holes are oriented
upwards.
Necessary for proper
capture of produced beads
1 3
Slide the paddle down into the beads until paddle is covered
with beads.
LD 4
1 4 Pick up paddle to 4 inches above the bead level. VA 5
1 5 Tilt paddle at a 47 degree angle to release excess beads. VA 5
Must be at precisely 47
degree angle.
Best utilizes gravity.
1 6 Withdraw paddle from container UL 3
Make sure one bead is in
each hole.
Production quota
2 7 Walk to Quality Control WK 5
Be careful to not spill bead
any beads.
2 8 Present to Quality Control for count of beads produced. I 10
3 9 Walk back to Production area. WK 5
4 10 Empty paddle back into bead container. RW 3
19. Deming Said…
“The worker is not the
problem. The system is
the problem. If you
want to improve
performance, you must
work on the system.”
20. Deming Said…
“Management should be
working with the
supplier to reduce the
number of red beads.
Reduce lot-by-lot
variation. That is how
to get better numbers.”
21. Deming Said…
“94% of the
problems in
business are
systems driven
and only 6% are
people driven.”
24. BBC Online Simulation
• “…in the calculator, every patient in every
hospital has exactly the same chance of dying
and every surgeon is equally good.
• This is to show what chance alone can do,
even when the odds are the same all round.”
25. BBC Online Simulation
• The calculator shows 100 hospitals each
performing 100 operations
• The probability that a patient dies is initially fixed
at five in 100
• The government, meanwhile, says death rates 60%
worse than the norm are unacceptable (in red)
• So any hospital which has eight deaths or more out of
100 ops - when the expected average is only five - is in
trouble.
• We've assigned one hospital to you, with a box around
it - it could come out green or red.
29. Blaming the System
• 10. Eliminate slogans, exhortations, and targets for
the workforce asking for zero defects and new levels
of productivity. Such exhortations only create
adversarial relationships, as the bulk of the causes of
low quality and low productivity belong to the
system and thus lie beyond the power of the
workforce.
– Deming’s “14 Points for the Transformation of
Management”
31. An SPC Chart View
0
25
50
75
100
125
150
175
200
225
250
275
300
325
350
375
400
425
450
475
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Jul-13
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Minutes
ED Arrival to Admission
CMS Top Decile = 175 minutes
CMS Median = 277 then to 269 minutes
32. The Wrong Questions
• “Why was performance disappointing
yesterday?”
• “Why were we worse than our goal
yesterday?”
– Don’t ask for a “special cause” explanation when
you have common cause variation
33. An SPC Chart View
0
25
50
75
100
125
150
175
200
225
250
275
300
325
350
375
400
425
450
475
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Jul-13
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Minutes
ED Arrival to Admission
CMS Top Decile = 175 minutes
CMS Median = 277 then to 269 minutes
?
What was
different this day?
34. Reacting to Special Causes
• Can we identify what was different in that
time period?
– There’s a small chance there was no difference
• Can we:
– Prevent reoccurrence? (bad outlier)
– Make that a permanent change? (good outlier)
35. Two Kinds of Mistakes
1. To react to an outcome as if it came from a
special cause when actually it came from
common causes of variation.
2. To treat an outcome as if it came from
common causes of variation, when it actually
came from a special cause
36. Mark’s Most Favorite Book Ever
http://www.spcpress.com/
Amazon: http://bit.ly/wheeler-book
Donald J. Wheeler, PhD
37. Red / Green Charts
http://www.leanblog.org/RYG
38. Red / Green Charts with SPC
http://www.leanblog.org/RYG
39. Red / Green / Yellow
http://www.leanblog.org/RYG
40. Common Cause (Random)
Variation
Special Cause
(Assignable)
Variation
What you are dealing with:
Choicesforaction:
Changethesystem
totrytoImprove
futureresults
Reactto,investigate
searchforrootcause,
removeifnecessary
Correct action
Correct actionDisappointment
(make matters worse)
“Tampering”
Disappointment
(make matters worse)
90% 10%
90%10%
81% 9%
9% <1%
Making Matters Worse - Consequences
41. W. E. Deming, The New Economics, p. 36
“Somehow the theory for transformation has been applied mostly on the shop floor.
Everyone knows about the statistical control of quality. This is important, but the
shop floor is only a small part of the total. The most important application of the
principles of statistical control of quality, by which I mean knowledge about common
causes and special causes, is in the management of people.”
42. Deming Said…
“The most important
application of the
principles of statistical
control of quality, by which
I mean knowledge about
common causes and
special causes, is in the
management of people.”
The New Economics, 2nd Ed., 1993, p. 37 and Chapter 6.
44. The better you understand how to react to variation when you have figures,
the better you will be at reacting appropriately when you don’t have figures.
Understanding and reacting to behaviors.
variation
systems psychology
Theory of
Knowledge
Deming’s “system of profound
knowledge”
Systems drive (affect) behaviors.
Rules
Education
Training
Roads
Weather
Light
Law Enforcement Other drivers
“backseat drivers”
Cell phone
Is it the individual? Or the system?
46. Is it the individual? Or the system?
This just in ….
http://bit.ly/performanceisrandom
“If the good people are always good and the bad
people are always bad, we can explain 100% of your
scores because next year’s score will be identical to
this year’s score. If it’s random, which would be kind
of astonishing, then it would be zero. There’d be no
relationship between how people on average perform
this year and how they perform next year. The good
people could be good, the bad people could be good
or bad.
People in human resources guess 80%. The correct
answer is 27%, so it’s way closer to zero than it is to
100%”.
47. NOT Understanding Variation Leads To…
• Pressuring people to get better
results by working harder within
the same system
• Wasting time looking for
explanations of a perceived trend
when nothing has changed
• Taking the wrong sorts of actions
in response to variation
• Not focusing on systemic
improvements
48. Quick Recap
• Don’t blame individuals for performance
variation that’s actually due to the system
• Don’t ask for “special cause” explanations
when the chart shows “common cause”
variation
49. Q&A and Contact Info
@MarkGraban
mark@markgraban.com
www.LeanBlog.org
www.MarkGraban.com
@MikeStoecklein
mike.stoecklein@
instituteforexcellence.org
Editor's Notes
Question from Lloyd S. Nelson, who worked with Deming -- This is a trick question!
Story from a reader of my blog… a story that illustrates this point perfectly. Management wastes too much time chasing every up and down (or wastes the time of people who are expected to give an “explanation” for each data point. Reacting to every data point usually INCREASES variation in a process and its results.
Go from 5% to 12% on the slider – there’s fewer outliers on larger risk numbers, then down to 1%
Go from 5% to 12% on the slider – there’s fewer outliers on larger risk numbers, then down to 1%
Go from 5% to 12% on the slider – there’s fewer outliers on larger risk numbers, then down to 1%
Martin – via Cristal
Martin – via Cristal
Martin – via Cristal
This book is so good, you should go online right now, download the Kindle version, leave my talk and spend 50 minutes reading it