M: “… hahaha, exactly. And speaking of RT*M, you know what I did yesterday?”
H: “No, but I like it already. Tell me more.”
M: “So I wanted to whip out a fast little Koa site. It’s soo good for those.”
H: “Yeah, I know. You told me like a million times.”
M: “Ok… sorry. Off to the terminal I went and went through the usual steps:”
mkdir newAwesomeApp cd newAwesomeApp git init npm init npm install koa koa-route --save touch app.js
H: “Dude, is this a screen cast or are you going to tell me something interesting already?”
M: “Well hang on for just a few seconds more. I wrote my first simple route, to verify it. And I’m glad I did.”
var app = require("koa"
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How we created the need for an emergency lane
In my last post, I discussed practices and policies around emergency lanes. Today, during my visit to my client, I realized that we, ourselves, had created the need for them. The good news is, if we created the need, we can also eliminate it.
Let me explain.
The board at my client’s hospital doesn’t resemble your typical kanban board. However, we identified another need. Although it’s in Indonesian, I’ll guide you through it. Here’s how the board looked a couple of weeks ago:

- The board comprises 4 lanes:
- The top 2 lanes are for larger projects lasting up to 6 months.
- The lower 2 lanes, labeled “Perbaikan” or “Improvements,” are for smaller tasks targeted for completion within 2 weeks.
- Each project includes:
- A brief project description.
- “Untuk Besok” (Until Tomorrow) section listing tasks to be completed by the...
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Things I say often: I don't care about efficiency
I’ve talked more about effectiveness vs efficiency than you all care about. The reason for this fascination might be that the word is mixed up in Swedish I guess; there’s only one word for these both concepts. Booh… Swedish.
Because the difference is paramount.
In the excellent book the Goal Dr Goldratt puts it like this:
Productivity is meaningless unless you know what your goal is
This is the same thing. I hear many people talking about efficiency, or that we should become both effective and efficient and yes, but all means, become efficient. BUT don’t speak another word about that until we all have a shared view on what the goal is. Without a clear goal - there can be no effectiveness. And then efficiency is pointless, as Dr Goldratt said.
My favorite explanation for the difference of effectiveness and efficiency makes this very clear;
Usian Bolt...
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