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Mark Graban reads and expands upon selected posts from LeanBlog.org. Topics include Lean principles and leadership in healthcare, manufacturing, business, and the world around us. Learn more at http://www.leanblog.org/audio Become a supporter of this podcast: https://anchor.fm/lean-blog-audio/su…

Mark Graban


    • Nov 13, 2025 LATEST EPISODE
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    Latest episodes from Lean Blog Audio

    Fred Noe of Jim Beam: Leadership Lessons on Mistakes, Innovation, and Long-Term Thinking

    Play Episode Listen Later Nov 13, 2025 15:17


    The blog postIn this episode of Lean Blog Audio, Mark Graban reads and reflects on his post “Fred Noe of Jim Beam: Leadership Lessons on Mistakes, Innovation, and Long-Term Thinking.”What can a seventh-generation master distiller teach us about leadership, experimentation, and learning from mistakes? Quite a lot, as it turns out. Drawing on two in-person encounters with Fred Noe—at the Jim Beam Distillery in Clermont, Kentucky, and at a Bourbon Society event—Mark shares timeless lessons from a leader who practices Lean principles without ever using the jargon.Fred's stories about 4,000-gallon “small batch” experiments, revisiting brown rice Bourbon years later, and guiding his son Freddie through failed blends show how humility, patience, and long-term vision create both great whiskey and great organizations.

    The Biggest Lean Six Sigma Myth: "Lean Is Just About Speed"

    Play Episode Listen Later Nov 11, 2025 8:03


    The blog postIn this episode of the Lean Blog Audio podcast, Mark Graban reads and reflects on one of his classic posts: “The Biggest Lean Six Sigma Myth: ‘Lean Is Just About Speed.'”Far too often, consultants and trainers claim that “Lean is for speed” while “Six Sigma is for quality.” Mark calls out this false dichotomy and explains why both Lean and Six Sigma—when properly understood—aim to improve quality, flow, safety, cost, and morale together.Drawing on his own experience in manufacturing and healthcare, Mark reminds listeners what Toyota has always taught: quality and productivity go hand in hand. If someone tells you Lean is about “making bad stuff faster,” that's your cue to run the other way.

    I'm Still Dreaming About My Meal at Sukiyabashi Jiro's Sushi in Tokyo

    Play Episode Listen Later Nov 8, 2025 12:38


    The blog postIn this episode of Lean Blog Audio, Mark Graban reads his reflection, “I'm Still Dreaming About My Meal at Sukiyabashi Jiro's Sushi in Tokyo.”Join Mark as he shares a rare dining experience at the legendary Sukiyabashi Jiro — the Michelin-starred Tokyo restaurant made famous by Jiro Dreams of Sushi. Beyond the extraordinary craftsmanship and taste, Mark explores what this meal revealed about efficiency, flow, and the subtle trade-offs between speed and hospitality.Was the meal a marvel of Lean precision, or a reminder that even the best systems can become too efficient for the human experience?This thoughtful story connects sushi-making to leadership, quality, and the meaning of service in any industry — from restaurants to hospitals to manufacturing floors.Listen for insights on:The difference between cycle time and takt time — and how it shapes customer experienceWhy optimizing for efficiency can unintentionally reduce satisfactionThe balance between process excellence and personal connectionWhat Jiro's disciplined craftsmanship can teach us about Lean thinking

    Fear and Futility: Two Barriers to Improvement (and How Leaders Can Remove Them)

    Play Episode Listen Later Nov 6, 2025 7:57


    The blog postIn this Lean Blog Audio episode, Mark Graban explores two silent killers of improvement—fear and futility—and how leaders can dismantle both to unleash the full potential of their teams.Drawing from his book Lean Hospitals and more recent research by organizational psychologist Ethan Burris, Mark explains how fear (“What will happen if I speak up?”) and futility (“Why bother? Nothing will change.”) combine to silence ideas, suppress learning, and stall continuous improvement.Through real-world healthcare examples—including Virginia Mason Medical Center's Patient Safety Alert system and Allina Health's Kaizen program—Mark shows what it looks like when organizations replace fear with trust and futility with action. The results? More engagement, faster problem-solving, and safer care for patients.Key themes include:Why “Respect for People” must go beyond posters and become daily practiceHow psychological safety grows when leaders respond with curiosity, not criticismThe link between timely follow-up on staff ideas and sustained Kaizen participationHow Lean thinking offers practical antidotes to fear and futilityThis episode is a reflection on what's still holding many organizations back—and how leaders can make it safe and worthwhile for people to speak up, share ideas, and improve the systems around them.Listen and ask yourself:What invisible barriers might be silencing improvement in your workplace?

    Leadership, Laughter, and Lean: How a CEO's Shaved Head Symbolized $7 Million in Improvement

    Play Episode Listen Later Nov 4, 2025 5:11


    The blog postIn this episode of the Lean Blog Audio podcast, Mark Graban shares a story that perfectly captures the human side of Lean leadership—how a CEO's shaved head became a powerful symbol of trust, empowerment, and respect for people.At IU Health Goshen Hospital, Lean wasn't just a set of tools; it was a cultural transformation. Starting in 1998, their staff-driven improvement program generated over $30 million in savings by 2012. But one moment in 2009 stood out: CEO James Dague's promise to shave his head if employees could achieve $3.5 million in improvement savings. They didn't just hit the goal—they doubled it.That public act of humility wasn't about theatrics. It represented a deep cultural shift where improvement was owned by staff, not dictated from above. For more than 17 years, Goshen avoided layoffs, reinforcing psychological safety and building a workforce that trusted leadership enough to take risks, speak up, and continuously improve.Mark reflects on what organizations everywhere can learn from Goshen's story:How leadership visibility builds credibilityWhy psychological safety drives real innovationAnd how celebrating small wins every day sustains a culture of improvementLean isn't about tools—it's about people. And sometimes, it's about hair.Listen and reflect on what your leaders might do to show their true commitment to continuous improvement.

    Ghosts, Zombies, and Frankenstein Processes: A Lean Halloween Reflection

    Play Episode Listen Later Oct 31, 2025 6:48


    The blog postHalloween might be about ghosts, zombies, and monsters -- but those same creatures sometimes show up in our organizations all year long. They lurk in old processes, mindless routines, and fear-based management habits. Here's how to spot the spooky stuff in your systems -- and how Lean thinking helps us drive the fear out of improvement.Halloween monsters are fun when they stay in movies. They're less fun when they show up in your workplace.Ghosts of outdated processes.Zombie routines that waste energy.Monsters born of fear and blame.Frankenstein systems cobbled together without purpose.

    Leader Standard Work Is About Behavior, Not Just Your Calendar

    Play Episode Listen Later Oct 30, 2025 13:12


    The blog postToo many organizations treat Leader Standard Work (LSW) as a scheduling tool — a calendar filled with Gemba walks, meetings, and routines. But Lean leadership isn't about how you plan your time — it's about how you show up.In this episode, Mark reads and reflects on his LeanBlog.org article, “Leader Standard Work Is About Behavior, Not Just Your Calendar.” He explores what it means to make leadership a daily practice of intentional behaviors — listening, asking, thanking, reflecting — instead of just checking boxes.You'll hear about:Why a color-coded schedule doesn't make someone a Lean leaderHow mindset and presence define real Leader Standard WorkA behavior-based checklist for leaders to use as daily reflectionThe connection between psychological safety and consistent leadership habitsRead the full post: leanblog.org/2025/10/leader-standard-work-is-about-behavior-not-just-your-calendarLearn more about Mark's work, books, and speaking: MarkGraban.com#LeanLeadership #LeaderStandardWork #LeanCulture #PsychologicalSafety #ContinuousImprovement

    Coaching vs. Berating: Lessons from Football for Better Leadership

    Play Episode Listen Later Oct 28, 2025 5:52


    In this episode, I revisit a classic post—Coaching vs. Berating: Lessons from Football for Better Leadership. ⁠The blog post⁠With Brian Kelly recently fired as LSU's head coach, it's worth contrasting his sideline outbursts with the calmer, teaching-oriented approach of Northwestern's Pat Fitzgerald. Years ago, Kelly's tirades at Notre Dame raised questions about what real coaching looks like—and those questions still matter today. Whether it's football or the workplace, leaders who coach build confidence and learning; those who berate only create fear.

    Plan, Do, Check, Act… or Plan, Do, Cover Your A**? Leadership Makes the Difference

    Play Episode Listen Later Oct 18, 2025 8:16


    The blog postIn this solo episode, I explore the contrast between two powerful management cycles — PDCA (Plan, Do, Check, Act) and its dysfunctional cousin, PDCYA (Plan, Do, Cover Your A**).Dr. W. Edwards Deming's PDCA framework was meant to bring the scientific method into management — to help teams learn, experiment, and improve. But in too many organizations, fear and blame have quietly replaced learning and accountability. That's when PDCYA takes over.I share examples from healthcare and beyond that show how psychological safety, not heroics or perfection, determines whether PDCA thrives or dies. Leaders who react to mistakes with curiosity instead of punishment create systems that learn. Those who don't end up with teams who stay silent and stuck.If your organization seems to be running on PDCYA, this episode offers a way back — one safer question, one better response, and one small cycle of learning at a time.

    A Look Back at Continuous Improvement at the Bedside: Allina Health Case Study

    Play Episode Listen Later Oct 16, 2025 17:52


    The blog postIn this audio edition of the Lean Blog, Mark Graban revisits a 2014 case study co-authored with Gregory Clancy about Allina Health's early Kaizen journey. What began as four pilot units became a model for engaging everyone in improvement—from nurses to leaders. Mark reflects on concrete examples that still resonate today: reducing wasted motion, improving safety, and building psychological safety so staff feel safe to speak up with ideas.Ten years later, the lessons endure: small ideas create big impact, leaders must coach not control, and improvement thrives only where people feel respected and safe to experiment.Learn how Allina's story connects to enduring principles from Healthcare Kaizen and The Executive Guide to Healthcare Kaizen, and how psychological safety remains the foundation for continuous improvement in healthcare today.

    Leader Standard Work Is About Behavior, Not Just Your Calendar

    Play Episode Listen Later Oct 14, 2025 8:36


    The blog postIn this episode of Lean Blog Audio, Mark Graban reads and expands on his article, Leader Standard Work Is About Behavior, Not Just Your Calendar.Too many organizations treat “Leader Standard Work” (LSW) as a scheduling exercise—a calendar full of gemba walks, huddles, and recurring meetings. But true Lean leadership isn't about where you go or how often you show up—it's about how you show up.Mark explores the deeper intent behind LSW: to make leadership behavior intentional, consistent, and aligned with the principles of respect for people and continuous improvement. He contrasts superficial routines with authentic engagement, drawing on a real complaint from a hospital employee who saw a painful disconnect between a CEO's Lean rhetoric and their daily behavior.The episode also introduces Mark's Behavior-Based Leader Standard Work Checklist—ten daily reflection questions to help leaders practice curiosity, humility, and genuine respect, from “Did I listen without interrupting?” to “Did I follow up on yesterday's concern?”Whether you're a frontline supervisor or a CEO, this reflection-driven view of LSW will challenge you to think less about your calendar and more about your conduct.Lean leadership isn't a set of appointments—it's a set of habits.Listen now and consider: what does your behavior say about the kind of culture you're building?

    From Know-It-All to Learn-It-All: Leadership Lessons from Mistakes

    Play Episode Listen Later Oct 11, 2025 10:05


    The blog postIn this episode of Lean Blog Audio, Mark Graban reads and reflects on his recent article, From Know-It-All to Learn-It-All: Leadership Lessons from Mistakes.Drawing from themes in his Shingo Award–winning book The Mistakes That Make Us and interviews with leaders Phillip Cantrell and Damon Lembi on My Favorite Mistake, Mark explores the transformative shift from being a leader who must always be right to one who is willing to learn.You'll hear stories of humility in action—from Cantrell's reinvention of Benchmark Realty after the housing collapse to Lembi's recovery from near-bankruptcy during the dot-com bust. Both leaders learned that progress doesn't come from certainty, but from curiosity, reflection, and the courage to say, “I might be wrong.”Mark also connects these lessons to healthcare leader Dr. John Toussaint's evolution from “all-knowing” executive to facilitator and coach—showing how psychological safety, experimentation, and evidence-based learning drive true continuous improvement.If you've ever felt pressure to have all the answers, this episode is a reminder that the best leaders aren't know-it-alls—they're learn-it-alls.Listen, reflect, and consider: how might humility strengthen your own leadership practice?

    Gaming the System: What a USPS Smiley Face Teaches Us About Bad Metrics

    Play Episode Listen Later Oct 9, 2025 5:10


    The blog postIn this episode, Mark Graban shares a small but revealing story from a local post office — and what it teaches us about bad metrics and broken systems. When a clerk tapped the “green smiley face” on a customer feedback device for the customer, it raised an important question: was this about genuine service, or just gaming the system?Mark explains why the issue isn't the clerk, but the system around him — a system that encourages scoring over substance, compliance over improvement. Drawing on Lean thinking and Deming's philosophy, he explores how poorly designed metrics push people to protect themselves instead of serving customers.You'll hear why:Metrics without context mislead more than they informPeople naturally adapt to meet incentives, even if it means gaming the numbersMost performance is a function of the system, not individual effortIf you've ever wondered why “customer satisfaction scores” or other simplistic measures don't always match reality, this episode will resonate. Leaders everywhere — in healthcare, government, and business — need to ask not “why did they do that?” but “what about the system made that behavior the best option?”Because when we fix the system, we don't need people to game it.

    Why "You're Being Safe" Should Be the Norm in Every Operating Room

    Play Episode Listen Later Oct 7, 2025 4:58


    The blog postIn this episode, Mark Graban shares a powerful story from an operating room that highlights the importance of culture, leadership, and psychological safety in healthcare. A nurse noticed a small break in sterility, spoke up, and apologized. The surgeon's response? “Don't be sorry, you're being safe.”That short exchange changed the tone of the entire room. Instead of discouraging or shaming, the surgeon encouraged and reinforced the nurse's action — preserving not only sterility, but also trust.Mark unpacks why moments like this matter so much, how leaders' real-time reactions shape culture, and why “you're being safe” should be the norm in every hospital. He connects the story to key themes from The Mistakes That Make Us and Lean Hospitals, emphasizing that safety and respect for people aren't abstract ideals — they're daily practices that save lives and build better systems.Whether you work in healthcare, manufacturing, or any high-stakes environment, this episode challenges you to reflect: How do you respond when someone speaks up? Do you reward their courage — or risk silencing it?

    95% of Enterprise AI Pilots “Fail”–Just Like Lean? Not So Fast

    Play Episode Listen Later Oct 4, 2025 9:28


    The blog postAre 95% of enterprise AI pilots really “failing”? And how does that compare to the long-repeated claim that 70% of Lean initiatives fail? In this episode of Lean Blog Audio, Mark Graban examines what's really behind these numbers. He explains why many so-called “failures” stem not from flawed tools or technologies, but from leadership gaps, unrealistic goals, and a lack of psychological safety.Drawing lessons from Lean practice and his book The Mistakes That Make Us, Mark highlights the importance of experimentation, learning from setbacks, and creating an environment where people feel safe to try, adjust, and improve. Whether you're implementing AI, Lean, or any transformation, the key is shifting from fear of failure to a culture of continuous learning.

    Jim Womack on the Origins of ‘Lean' and Why It's Often Misunderstood

    Play Episode Listen Later Oct 2, 2025 6:13


    In this episode, Mark revisits a 2007 conversation with James P. (Jim) Womack, founder of the Lean Enterprise Institute and co-author of The Machine That Changed the World. Nearly two decades later, Jim's reflections on the origins of the word “Lean” remain just as relevant.The blog postThe discussion takes us back to MIT in 1987, when Womack and his colleagues were analyzing data from auto plants around the world. Toyota and Honda were clearly operating in a fundamentally different way—faster design cycles, fewer errors, less capital, less space, and more value. But they needed a name for this system. That's when researcher John Krafcik suggested a term that captured the essence of “less”: Lean.Womack reflects on how the word solved one problem—it shifted attention away from “Japanese manufacturing” or “the Toyota Production System” to something more universal. But the name also created challenges: because Lean rhymes with “mean,” too many managers misused it as shorthand for cutting jobs rather than creating more value while respecting people.Mark reads Womack's timeless warnings and lessons: Lean was never about headcount reduction; it was always about eliminating waste, improving flow, and engaging people in problem-solving. And while the term has traveled in many directions since that 1987 “naming moment,” its underlying principles—value for customers, respect for people, and continuous improvement—remain as important in 2025 as ever.Listen in to hear Jim's words from that original 2007 interview, plus Mark's reflections on why this conversation still matters today.

    Lean Lessons from Japan: Mindsets, Culture, and the Challenge of Speaking Up

    Play Episode Listen Later Sep 30, 2025 14:04


    Episode pageIn this episode, I share a reading of my recent blog post, based on a Catalysis webinar where I explored what we can learn from Lean in Japan. Since 2012, I've been fortunate to travel to Japan six times with study groups, including those led by the Kaizen Institute, Honsha, and Katie Anderson. Each trip has reinforced the paradox that Lean is both easier and harder in Japan—and that the deepest lessons are not about tools, but about mindsets, culture, and leadership.What You'll Learn in This EpisodeWhy Lean in Japan isn't about “being Japanese,” but about cultivating long-term thinking and respect for people.How Ina Food practices “tree-ring management” and why profit is seen as a byproduct, not the goal.How Toyota reinforces its role as a “people development company” through problem-solving and Kaizen.The double-edged role of Japanese culture: precision and standardization on one hand, but reluctance to speak up on the other.How mechanisms like the andon cord create safer ways to surface problems.What Japanese hospitals are learning from American health systems—and vice versa.Why Kaizen isn't about cost savings alone, but about making work easier and building capability.Memorable lessons from leaders like Dr. Shuhei Iida of Nerima General Hospital: “If you keep doing Kaizen, you will get innovation.”Key Quotes from the Episode“Profit is like excrement produced by a healthy body. Nobody's goal is to wake up and produce excrement — it's just the natural result of living and doing things well.” — Chairman of Ina Food“The role of the leader is to set the vision — that cannot be delegated.” — Japanese executive“If you keep doing Kaizen, you will get innovation.” — Dr. Shuhei Iida, Nerima General HospitalWhy It MattersLean is not a set of tools to copy, but a system of beliefs and practices rooted in respect, learning, and long-term thinking. Speaking up about problems isn't easy—whether in Japan or elsewhere—which is why leaders must create psychological safety and model improvement themselves.Resources & LinksCatalysis webinar recording (available soon)Learn more about upcoming Lean Healthcare Accelerator Experience in JapanWork With MeIf you're a leader aiming for lasting cultural change—not just more projects—I help organizations:Engage people at all levels in sustainable improvementShift from fear of mistakes to learning from themApply Lean thinking in practical, people-centered ways

    Your Current Estimated Alarm Response Time Is... 13 Hours?

    Play Episode Listen Later Sep 9, 2025 5:27


    The blog postWhen Mark applied for a burglar alarm permit, he accidentally sent the form to the wrong Newport — Rhode Island instead of Kentucky. The voicemail he got back was kind, clear, and even funny: pointing out that an 845-mile police response probably wasn't going to work.In this story, Mark reflects on:Why small mistakes are easier to handle with humility and humorHow Toyota's “expected vs. actual” lens helps frame errorsWhy psychological safety and kindness matter more than blameHow to turn a minor error into a “favorite mistake” — one you can laugh about and learn fromIt's a reminder that even harmless slip-ups can reinforce bigger lessons about improvement, culture, and how we respond to mistakes.

    Avoiding the Dunning-Kruger Trap in Lean: Lessons from Early Mistakes

    Play Episode Listen Later Sep 6, 2025 6:09


    The blog postIn this episode, Mark explores how the Dunning-Kruger effect shows up in Lean—especially after a first belt course, workshop, or book. Early enthusiasm can turn into overconfidence, creating blind spots and stalling growth.Drawing from his book Practicing Lean, Mark shares stories (his own and from contributors like Paul Akers and Jamie Flinchbaugh) about mistakes made early on, what they taught us, and why Lean should be treated as a practice, not a project.Key themes:Why certifications are a starting point, not the finish lineHow psychological safety helps keep overconfidence in checkLessons learned from early Lean misstepsPractical tips for avoiding common training pitfallsAll royalties from Practicing Lean benefit the Louise H. Batz Patient Safety Foundation, supporting safer care for patients and families.

    How a Vineyard “Improvement” Nearly Destroyed European Wine — and What We Can Learn from It

    Play Episode Listen Later Sep 4, 2025 10:09


    The blog postSometimes an “improvement” makes things worse. The Germans even have a word for it: verschlimmbesserung.In this episode, Mark Graban shares the story of how a well-intentioned fix to Europe's vineyard fungus problem in the 19th century nearly wiped out the continent's wine industry. The introduction of American grapevines solved one issue but unleashed a far bigger one: phylloxera, a microscopic pest that devastated vineyards, economies, and cultures across Europe — including Mallorca, where wine production lay dormant for nearly a century.This historical case offers powerful lessons for today's leaders:Why most of the time small, contained tests are bestWhen risks are irreversible, testing may not be safe at allHow to balance experimentation with rigorous risk assessmentWhy good intentions aren't enough if you create tomorrow's crisis while solving today's problemFrom vineyards to hospitals, factories, and offices, the challenge is the same: how do we solve problems without making things worse?

    Kaizen Alone Isn't Enough: Why Leaders Must Fix the System for Real Improvement

    Play Episode Listen Later Sep 2, 2025 8:04


    The blog postToo often, leaders think that if they simply “get everyone doing Kaizen,” performance will automatically improve. While daily improvement is essential, some problems are too deeply rooted in the system for frontline staff to fix on their own.In this episode, Mark Graban explores why Kaizen is necessary but not sufficient — and why leaders must take responsibility for changing the systems that shape performance. Drawing on Dr. W. Edwards Deming's reminder that “a bad system will beat a good person every time,” Mark shares real-world examples, including a hospital laboratory redesign that transformed results once leadership tackled systemic constraints.You'll learn:Why leaders can't delegate away system-level changeThe difference between local improvements and structural redesignsHow system fixes and daily Kaizen reinforce one anotherPractical lessons for avoiding frustration and building real, sustainable improvementThe message is clear: frontline staff can't Kaizen their way out of a broken system. Leaders must create the conditions where Kaizen can truly flourish.

    Einstein's Favorite Mistake — and What It Teaches Us About Lean Thinking

    Play Episode Listen Later Aug 30, 2025 7:49


    The blog postAlbert Einstein once called the “cosmological constant” the biggest blunder of his life. But what if that so-called mistake actually holds timeless lessons for leaders today?In this episode, Mark Graban explores Einstein's “favorite mistake” — why he altered his equations to fit prevailing beliefs, what he missed in the process, and how the story connects directly to Lean thinking, Toyota Kata, and continuous improvement.You'll hear how Einstein's cautionary tale mirrors what happens in organizations when:Data contradicts long-held assumptionsTeams run pilots that outperform the old way, but leaders resist changePeople hesitate to speak up because it feels unsafe to challenge the consensusThe conversation highlights the importance of scientific thinking, experimentation, and psychological safety — and why the real mistake isn't being wrong, but failing to learn.Whether you're leading change in healthcare, manufacturing, software, or beyond, you'll come away with practical insights to help you trust the data, encourage dissent, and model learning from mistakes.

    Join Me at AME St. Louis 2025 for an Interactive Workshop on Better Metrics and Better Management

    Play Episode Listen Later Aug 28, 2025 4:19


    the blog postIn this episode, Mark Graban previews his upcoming half-day workshop at the AME St. Louis 2025 International Conference: The Deming Red Bead Game and Process Behavior Charts: Practical Applications for Lean Management.If you've ever felt stuck in the exhausting cycle of reacting to every up and down in your performance metrics—or frustrated by red/green scorecards that drive pressure and finger-pointing more than improvement—this session is for you.Mark explains why Process Behavior Charts provide a more thoughtful, statistically sound alternative to arbitrary targets and binary dashboards. He also shares how the famous Deming Red Bead Game makes visible the ways that systems set people up to fail—and how leaders can do better.What you'll learn in this episode:How to distinguish between signal and noise in performance dataWhy Process Behavior Charts help leaders react less and improve moreThe pitfalls of red/green scorecards and arbitrary targetsHow to connect better data interpretation to Lean management and strategy deploymentWhether you're a leader, manager, or improvement professional in any industry, you'll come away with practical takeaways to reduce firefighting and improve decision-making.

    Beyond Tools: Why Lean Healthcare Depends on Respect and Continuous Improvement

    Play Episode Listen Later Aug 26, 2025 10:48


    the blog postWhat does Lean healthcare really mean? It's more than tools like 5S, A3s, or huddle boards. Lean is a management system that depends on two pillars: respect for people and continuous improvement. Without both, attempts to copy Lean practices in healthcare fail.In this episode, Mark Graban—author of Lean Hospitals, Healthcare Kaizen, and The Mistakes That Make Us—explores how the Toyota Way philosophy applies to hospitals and health systems. He shares lessons from Toyota, Franciscan Health in Indianapolis, and other organizations proving that Lean leadership in healthcare is not about cost-cutting—it's about creating a culture of improvement.What You'll Learn About Lean Healthcare:Why Lean is a system, not a toolbox of methodsHow respect for people means designing systems that prevent mistakes, not blaming staffHow Kaizen in healthcare develops people while improving quality and safetyWhy suggestion boxes fail and daily improvement succeedsThe four goals of Kaizen: Easier, Better, Faster, Cheaper (in that order)How Lean leadership means coaching, not controllingWhy psychological safety and trust are essential for sustainable improvementKey Quotes from Mark:“Improvement happens at the speed of trust.”“The primary goal of Kaizen is to develop people first and meet goals second.”“A Lean environment doesn't cut costs through layoffs. It invests in people and meaningful work.”If you're a healthcare leader trying to reduce errors, engage staff, and build a lasting culture of improvement, this episode provides practical insights you can apply today.

    Three Ways Pressure Warps Performance Metrics–and What Leaders Must Do Instead

    Play Episode Listen Later Aug 24, 2025 11:10


    The blog postAccurate data is essential in any system–for diagnosing problems, guiding decisions, and driving improvement. But when leaders react poorly to uncomfortable data, the message often gets buried, and the system loses its ability to learn.When the truth becomes dangerous to report, people stop sharing it. That's when improvement stops too.Just recently, a senior government statistician in the U.S. was abruptly dismissed following the release of a disappointing jobs report. The data was valid. The revisions were routine. But the report didn't support the preferred narrative. So the messenger was blamed.

    Almost 17 Years Later: Reflections on Lean Hospitals and the Journey of Improvement

    Play Episode Listen Later Aug 22, 2025 7:33


    The blog postIt's hard to believe, but it's been almost 17 years since the first edition of Lean Hospitals was published–an effort that eventually received the Shingo Research and Professional Publication Award and has since reached tens of thousands of healthcare professionals around the world.When I wrote that first edition, Lean in healthcare was still new territory. Many leaders were still asking, “Will Lean work in healthcare?” Today, the better question is “How can we make it work–and sustain it?”To mark the occasion, I've been reflecting on some of the key ideas from the book–concepts that continue to resonate with readers, leaders, and improvement professionals.

    reflections post it lean hospitals shingo research
    Kakorrhaphiophobia: How Fear of Failure Sabotages Continuous Improvement and Innovation

    Play Episode Listen Later Jul 29, 2025 8:31


    Read the blog postWhen I first came across the word kakorrhaphiophobia, I thought it might be one of those obscure terms you learn once and never use again.But the meaning stopped me in my tracks:an irrational, intense fear of failure or defeat.It turns out, this fear is more common–and more consequential–than we might admit, especially in workplaces that say they support continuous improvement but don't act in ways that support it.

    Kaiteki: The Japanese Philosophy Behind Motivated Employees and Lean Success

    Play Episode Listen Later Jun 19, 2025 4:56


    Episode page with links and moreDuring my most recent visit to Japan (as part of a tour hosted by Katie Anderson), we spent time in several remarkable organizations where the focus wasn't just on performance or process… but on people.One company in particular introduced me to a word I hadn't encountered in this context before: kaiteki.Roughly translated, kaiteki means “comfort,” “ease,” or a “pleasant working environment.” But what stood out was how deeply embedded this idea was in the company's culture–and how it shaped their entire approach to leadership and improvement.

    How Safe is it to Admit a Mistake at Work? [Poll]

    Play Episode Listen Later Jun 16, 2025 4:18


    Episode page with survey results and moreWhen someone on your team makes a mistake, what happens next?Do they speak up–or stay quiet?Do leaders give feedback that demonstrates curiosity–or do they blame employees?After interviewing over 200 leaders and contributors for my podcast “My Favorite Mistake” and book, The Mistakes That Make Us, one truth has become clear:Speaking up isn't about character–it's about culture.-----And if you're looking for a practical way to bring this conversation into your workplace, I created a free resource:Download The Mistake-Smart Leader's Checklist

    Excited to Facilitate a Workshop at AME 2025: Deming, Red Beads & Process Behavior Charts

    Play Episode Listen Later May 29, 2025 5:10


    The blog postI'm honored to share that my workshop, "The Deming Red Bead Game & Process Behavior Charts: Practical Applications for Lean Management," has been accepted for the 41st Annual International AME Conference, taking place this October in St. Louis.The conference theme--Gateway to the Future: AI and Beyond--is both timely and forward-looking, and I'm grateful to contribute a workshop that brings us back to foundational thinking: systems, variation, and learning.While AI is the shiny new thing, timeless management principles still matter--perhaps now more than ever.

    A Free Resource for Leaders: The Mistake-Smart Leader's Checklist

    Play Episode Listen Later May 27, 2025 2:30


    Read the blog postWe all say mistakes are a part of learning. Or at least many of us do, as individuals.But how many organizations actually act that way?Too often, people are punished for systemic errors. So, problems get hidden.When problems are discovered, blame is assigned instead of learning being shared. And we wonder why our teams hesitate to speak up.That's why I created a simple new resource:The Mistake-Smart Leader's Checklist[Download it here]

    40 Years Ago: Just for the Mistake of It… New Coke!

    Play Episode Listen Later May 22, 2025 6:56


    The blog postThanks to NPR for their recent story about how today, April 23, 2025, marks the 40th anniversary of what is considered one of the biggest business or product marketing failures of my lifetime — the failed introduction of “New Coke.”

    Update on my June 17th Workshop: Improving the Way We Improve (Cincinnati)

    Play Episode Listen Later May 19, 2025 4:11


    The blog postAre your improvement efforts falling flat, or are you constantly chasing red dots? Are you interested in improving the way we improve?I've had to re-tool my Cincinnati workshop (June 17th) since my collaboration partner is now, unfortunately, unable to make it.Join me for a practical and thought-provoking day exploring two essential foundations for sustainable performance: psychological safety and modern leadership metrics.LEARN MORE AND REGISTERIn the morning, we'll explore how psychological safety fuels continuous improvement–not just as a “nice to have” but as a must-have.In the afternoon, we'll untangle data confusion and overreaction by learning to apply Process Behavior Charts and other concepts from my book Measures of Success.

    Psychological Safety: You get your say, not always your way.

    Play Episode Listen Later May 17, 2025 3:19


    The blog postThere's a phrase I've been thinking about a lot lately:"You get your say, not always your way."It's a short sentence, but it says a lot. It's about voice, it's about respect, and it's about the kind of culture we're building--especially when we aim for continuous improvement.In The Mistakes That Make Us, I wrote about the characteristics of learning organizations. One of the most important is encouraging people to speak up--not just about mistakes, but also about ideas, concerns, and potential risks.But here's the nuance: Psychological safety doesn't mean consensus. It doesn't mean you'll get your way every time.

    Join Me in Japan: A Lean Healthcare Accelerator Experience This June

    Play Episode Listen Later May 14, 2025 5:59


    Read the blog postSince 2012, I've had the opportunity to visit Japan six times, each trip a deep learning experience–rich with lessons about Lean, Kaizen, leadership, culture, and continuous improvement.This June, I'm heading back for my seventh visit–and what makes this one especially exciting is that it will be my fifth trip focused on Lean in healthcare… and the first that I've helped design from the ground up.It's my first trip in this format, but I was invited to partner up with two amazing individuals who have a great deal of experience in organizing and facilitating such tours — Dave Fitzpatrick, a Canadian who has lived and worked in Japan for a long time, and Reiko Kano, who I know as a translator on my earliest trips — and she's highly experienced with Lean and TPS implementations in healthcare in both the U.S. and Japan.And I want to personally invite you to consider joining us. If not from June 23 to 29, in a later trip. We're also planning on the week of October 23, 2025 along with trips in April and October of 2026.

    Leadership by Fear Doesn't Work — And Never Really Did

    Play Episode Listen Later May 6, 2025 5:34


    The blog postNearly 30 years ago, I had my first real encounter with what not to do as a leader. I was working in a General Motors factory where the culture was one of daily disrespect. Leaders--if you could call them that--were quick to belittle, yell, scream (with spittle flying) at employees on the floor. The lesson I learned wasn't the one they thought they were teaching.This behavior wasn't "tough love" or "just how things are done in manufacturing." It was toxic. And it didn't lead to improved results. It didn't drive engagement. It didn't foster continuous improvement. It certainly didn't build trust. At best, that type of leadership creates short-term compliance. At worst, it drives costly mistakes, disengagement, and deep cultural scars.It was management by intimidation--and it failed. Repeatedly.Fast forward to today, and the evidence is no longer just anecdotal. Organizational psychologist Adam Grant recently wrote in The New York Times:"The evidence is clear: Leadership by intimidation and insult is a bad strategy. Belittling people doesn't boost their productivity; it diminishes it. Disrespect doesn't just demotivate. It also disrupts focus, causing costly mistakes [including in operating rooms]."Read the full article (free link)

    How Psychological Safety Drives Digital Transformation and the Toyota Production System (or Lean)

    Play Episode Listen Later Apr 15, 2025 8:04


    The blog postBefore I departed for my recent workshop tour of Australia and New Zealand, I knew that I would learn things in the process of teaching and facilitating on my favorite topics. I didn't expect to learn about flying koalas, though!I did expect to learn something when I had the opportunity to meet up for lunch with a friend, former Toyota Australia leader Barry McCarthy. Barry's also the chair of this year's AME International Conference in St. Louis. I first met Barry back in 2018 when I went on a Japan Study trip with Barry and the Honsha Consulting team, and I learned a lot from him on that trip (check out my podcast with him about these topics).Toyota and Psychological Safety–A New BookIn recent years, I've come to believe that Psychological Safety is the oft-unheralded foundation of the Toyota Production System and Lean Management. Former Toyota Kentucky leader Mike Hoseus agrees, as we discussed in this Lean Blog Interviews episode — and as mentioned in the book Toyota Culture, that Mike co-authored with Jeff Liker.I've learned a lot from Barry about Toyota as a “human development company,” as we discussed in his episode.He agrees with me about the direct importance of Psychological Safety at Toyota — and that it's something they intentionally nurture.One new piece of direct evidence of this is a book that was published, in Japanese, back in late 2023. The title can be translated to English as:Two kata that realize psychological safety and speed up work that supports Toyota-style DX: “How to speak” and “How to proceed with work” that resonate with young peopleBarry shared his summary of the book (as translated by him via Google) and I ordered it from Amazon Japan based on his recommendation. When I got home, the book was waiting for me.“DX” is jargon (an abbreviation) for “digital transformation,” something that's increasingly important to Toyota.Back to the title — I suspect that “make work flow better” might be a better translation since we don't normally try to “speed up work” directly through the Lean methodology. Lean is more about reducing and eliminating barriers to flow and not a matter of pressuring people to work faster.The ChatGPT translation of the title says:“Supporting Toyota-Style DX: Two Kata That Achieve Psychological Safety and Speed in Work”“A way of speaking that resonates with young workers” and“A way to move work forward”I've been running pages through ChatGPT as a translation tool. It's incredibly fast. You take a photo of a page (or pages) and out comes the translation. I've been uploading photos in a batch size of “chapter” so ChatGPT can perhaps look at the full context of the chapter instead of only seeing page by page.Before jumping into what Psychological Safety is, the book poses a problem statement:“A diagnostic list for managers–if you mark 3 or more “yes,” you should seriously reconsider your current management style. Examples include:“I've never said ‘thank you' to a team member today.”“I find the word ‘challenge' cringeworthy.”“I haven't talked to anyone outside my own department.”“I tend to suppress my real opinions at work.”I think a good question for leaders is: “Do you remember the last time an employee disagreed with you?” If the answer is “no,” then you have a problem.(1) What is Psychological Safety?“Being able to express honest opinions, candid doubts, and even disagree with others for the sake of organizational or team results–without fear.”— Atsusuke Ishii, 2020, Japanese Management Skills Association

    'The Mistakes That Make Us' Receives the Shingo Publication Award!

    Play Episode Listen Later Feb 12, 2025 10:54


    Blog postI'm very excited to announce that my latest book, The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, has been officially selected as a recipient of the Shingo Publication Award by the Shingo Institute (the home of the Shingo Prize for organizations).

    My Upcoming Webinar on Mistake-Proofing Across Industries

    Play Episode Listen Later Feb 7, 2025 4:22


    The blog post I'm excited to be presenting this webinar on February 12th at 1 pm ET as part of the KaiNexus Continuous Improvement webinar series: The webinar description: “Are you looking for practical ways to eliminate errors and enhance efficiency in your organization? Join us for “Mistake-Proofing in Action: Real-World Examples Across Industries,” an insightful webinar showcasing how organizations across healthcare, manufacturing, and service sectors have successfully implemented mistake-proofing techniques. Discover innovative solutions that prevent errors before they occur, improve safety and quality, and save valuable time and resources. Through inspiring case studies and actionable takeaways, you'll learn how to adapt these proven approaches to your unique challenges. Don't miss this chance to gain practical tools and insights to drive continuous improvement and operational excellence. Register today and see mistake-proofing in action!” You can also register to win a signed copy of my book, The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, which has a chapter about preventing mistakes. Mistake-Proofing in Action: Real-World Examples Across IndustriesEnter to Win!

    An Aussie Backpacker's Workplace Frustration: The Universal Need for Better Leadership

    Play Episode Listen Later Feb 6, 2025 2:17


    The blog post Last Sunday, in Frankfurt, Germany, I took part in a guided walking tour of the city. Our group included a young professional from Australia in his early 20s. He has taken leave from work to travel, backpacking across Europe. We had an opportunity to chat over lunch and a local “apfelwein” (hard cider). He lamented his frustrations at work. He said, “My boss thinks he is giving clear direction to us. Then we do the work our best way… only to be criticized for not understanding the direction.”

    Safety First: GE Aerospace's Lynn Facility Demonstrates True Lean Leadership

    Play Episode Listen Later Jan 21, 2025 6:02


    Episode page At its core, Lean is about people–respecting them, empowering them, and ensuring their well-being while driving continuous improvement. Recently, GE Aerospace's Lynn, MA, facility provided an inspiring example of what it means to put these principles into action, even under challenging circumstances. Read more about this and/or watch a video at this link: Keep the Line Moving: GE Aerospace's Lynn Facility Is Using FLIGHT DECK to Put Safety First

    Leadership Gone Wrong: The Cost of Prioritizing a CEO's Ego Over Effectiveness

    Play Episode Listen Later Jan 17, 2025 2:37


    Episode blog post A sad but true leadership tale: “Unlike most CEOs who rely on their executive team to keep them informed, [redacted] relies on his team to keep him feeling good about himself. And so whenever somebody would tell him something that he didn't know and make it very clear that he wasn't the smartest person in the room on each and every topic, he generally fired them.”

    Starting the New Year with Global Leadership Resolutions: Building a Foundation of Psychological Safety

    Play Episode Listen Later Jan 6, 2025 11:39


    Read the blog post During Katie Anderson‘s #JapanStudyTrip this past November, a participant shared an observation with me that resonated deeply: “The biggest challenge is our blame culture. It's easier for people to do nothing because they don't get in trouble. But if they make a mistake, they get punished. And our company is successful enough that there's not a compelling reason for top leaders to change the culture.” This isn't a story from the U.S., but the feeling is universal. A workplace culture where individuals are punished for mistakes–especially when those mistakes have systemic causes–is a significant barrier to progress. It's a global challenge, and addressing it requires rethinking how we approach leadership and learning.

    Lost My iPhone in Tokyo: A Lesson in Japanese Kindness and Culture on My Japan Study Trip

    Play Episode Listen Later Dec 10, 2024 6:12


    Read the blog post: https://www.leanblog.org/2024/11/lost-iphone-japan-taxi-tokyo-kindness-culture/ I'm thrilled to be back in Japan for the first time in five years. Today is the start of Katie Anderson's Japan Study Trip (learn more about joining her in May 2025). It's great to be here for another week of learning and great experiences. Little did I know, I'd kick off the trip by nearly losing my iPhone on the streets of Tokyo–a mistake that ended up teaching me a valuable lesson about Japan's culture of trust. --- Support this podcast: https://podcasters.spotify.com/pod/show/lean-blog-audio/support

    Ten Years Ago -- In the News Visiting a Japanese Lean Hospital

    Play Episode Listen Later Dec 5, 2024 4:05


    The blog post Just over a week ago, I got back from Katie Anderson's Japan Study Trip. It was amazing! I have so much to write about and share. But first, Facebook reminded me of something from exactly ten years ago–the second time I visited Japan with the Kaizen Institute. I asked 2024 ChatGPT to translate this 2014 news story that's pictured below (with me sitting there and taking notes in the front row of the meeting room). See the English text below the image: --- Support this podcast: https://podcasters.spotify.com/pod/show/lean-blog-audio/support

    Surveying the Lean Global Connection Audience on Barriers to Speaking Up

    Play Episode Listen Later Dec 3, 2024 7:19


    The blog post: https://www.leanblog.org/2024/11/surveying-the-lean-global-connection-audience-on-barriers-to-speaking-up/ At yesterday's Lean Global Connection event, I posed a straightforward yet revealing question to the audience: “What keeps you from speaking up at work?” The responses illustrated two of the common barriers. I posed the survey options based on the research of Prof. Ethan Burris, from the University of Texas at Austin, who has found that fear and futility are the top two reasons why people choose to stay quiet. For some, fear stood in the way–the fear of reprisal, being judged, or being seen as a troublemaker. For others, the obstacle wasn't fear but futility–the belief that speaking up wouldn't make a difference. Four people, sadly, said BOTH were barriers. And yet, amidst these challenges, eight people shared that they felt no barriers at all, a testament to the environments they work in. That is the ideal we should all strive for. The survey results line up with the Burris research that shows futility is actually the biggest reason, not fear. --- Support this podcast: https://podcasters.spotify.com/pod/show/lean-blog-audio/support

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