Stop Hiring Your Way Out of a Process Problem
Why 'FTE Headcount' is a vanity metric that hides the real constraint: Nursing Minutes at the Bedside.
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8 posts
Why 'FTE Headcount' is a vanity metric that hides the real constraint: Nursing Minutes at the Bedside.
You cannot 'sprint' a circuit board design. A systems architect's view on why software methodologies break when applied to physics, and how Critical Chain solves the real constraint.
When Regulatory departments prioritize 'documentation stability' over 'engineering reality,' patient safety suffers. A systems view on the conflict between Compliance and Quality.
Most dashboards measure local efficiency at the expense of global throughput. Here is how to define the minimum dataset that actually drives system performance.
Why 'Scope Creep' is usually a symptom of a deeper strategic failure—in software, in hardware, and in healthcare.
A proactive approach to discharge readiness that treats discharge delays as an input quality problem, not a process problem.
Analysis of 134 structural conflicts across 10 Washington State nursing CBAs reveals why higher wages aren't fixing nurse burnout.
Why smart, well-run organizations reliably get stuck on solvable problems, and what tribal dynamics and cognitive limits have to do with it.