When I need to fix a process, I want to know how it actually runs, so I do not redesign something reality left behind long ago.
Khi tôi cần sửa một quy trình, tôi muốn biết nó đang chạy thật thế nào, để không thiết kế lại một thứ mà thực tế đã khác từ lâu.
Job context
- Who
- An operator who does not do the work daily
- When
- Before each improvement and after each incident
- Trigger
- Discovering the documented process bears no relation to the work
- Situation
- Every process is quietly amended by the people running it
- Constraints
- Cannot stand and watch each person all day
5 Pains
The documented process differs from the real one
HighThe people doing it have amended it many times to make it work.
Root cause: Documents are written once while work keeps changing
Asked, people describe the ideal process
HighThey tell you how it should be done, not how they do it.
Root cause: Describing a shortcut sounds like admitting a violation
Does not know where the time actually goes
HighIntuition about bottlenecks is usually wrong, and nobody measures.
Root cause: Waiting time between steps belongs to no step
Everyone does it differently
MediumThere is no canonical version to improve.
Root cause: Processes propagate by showing rather than by document
After improving, everyone reverts
HighThe old way existed for a reason the new design did not know.
Root cause: The redesigner is not the person living with the design
5 Desired Outcomes
See the process as it actually runs
FunctionalPeople describe honestly how they work
SocialKnow where the time really goes
FunctionalHave one canonical version to improve from
FunctionalImprovements survive after moving on
Emotional
5 Existing Solutions
A solution is not the same thing as a product — a customer can hire a behaviour or a workaround too.
Map the process in a meeting room
BehaviourProduces the ideal process as held by whoever is in the room.
Shadow someone for a day
BehaviourThe only way to see the real process, and it does not scale.
Read system logs
ProductSees steps that pass through systems and is blind to those that do not.
Ask a new joiner what confused them most
WorkaroundOperators use new joiners as instruments for measuring the process.
Rewrite the process document
ProductCreates a canonical version that starts drifting the following week.
2 Opportunity Gaps
The person who knows the real process is the one taking shortcuts, and describing a shortcut sounds like self-incrimination.
Why existing solutions fail: Every process-mapping method starts by asking the doer, and none separates the question from the possibility of being judged.
Potential opportunity: Treating shortcuts as a source of improvement rather than a violation, with credit to whoever names one.
Waiting time between steps belongs to no step, so it appears in no measurement, though it is usually the largest part.
Why existing solutions fail: Systems measure handling time because that is when someone acts; waiting has no actor and therefore no record.
Potential opportunity: Measuring end-to-end elapsed time for one unit of work instead of summing step times.