154 ◾ Lean Management System LMS:2012
to a special badge worn by the employee. A light on the badge turns green
to indicate that the employee is now ready to work with a patient. If the
employee approaches the patient’s bed without washing his or her hands,
the badge vibrates to remind the worker. PRWeb (2011) reports that the
system was sufficiently effective to reduce hospital-acquired infections by 89
percent at Miami Children’s Hospital.
Poka-yoke means, of course, error proofing in general. Shingo had origi-
nally used baka-yoke (idiot proofing), but workers took offense to this.
“Error proofing” is a far better term because, if it is possible to do the job
the wrong way, it is only a matter of time until the even most intelligent and
dilig ...