Inde x ESW. See Engineering Standard Work European colonization, 225­227, 238 An Evolutionary Theory of Economic Change (Nelson and Winter), 27 Exchange rates, macroeconomic determinants of, 10 Experiential teaching, 230 Experiments, teaching to construct and conduct, 216­218 Femoral line, 337­338 Final-assembly skills, 243­244 Fishman, Charles, 157 Flu shot clinic, 330­332 Ford, 3­4 Fume filter, 201­202 Garvin, David, 11 General Motors, 3­4, 13, 190­191, 232­237, 293 Georgetown plant, of Toyota, 289­291 high-velocity organizations in, 30­31, 327­329 insulin/heparin mixup in, 51­58, 127, 229, 323 learning from Toyota, 153 MacArthur Foundation panel dis- cussion on, 324­327 medical education and, 348­356 medical errors in, 50­58 Pittsburgh Regional Healthcare Initiative in, 18­19, 107, 328 potential/performance gap in, 49­58 presurgical nursing in, 343­346 professionals ill prepared to manage, 59­­60 in "Quality Grand Rounds," 50­51 statistics of, 324 trade-offs and, 363­364 West Penn Allegheny Hospital in, 343 Heparin/insulin mixup, 51­58, 127,