Article on Lean Design and Evidence-Based Design

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I was quoted / interviewed in this piece that was published by daSILVEA Architects: “Re-thinking Healthcare: Improving Patient Care through Design.” My friends Naida Grunden and Charles Hagood (co-authors of  Lean-Led Hospital Design, which was just awarded the Shingo professional publication award) were also interviewed in the piece.

One thing I said that I'd like to clarify: “Lean is not always an easy sell, it's a leap of faith.” By that, I mean that the cost of using Lean design might be known (the staff time, etc.) but the benefits (cost savings during construction and over time) are a projection – they aren't known with certainty. So, it's a leap of faith (but not one that's excessively risky). What's risky, to me, is building hospitals the way they've always been built!


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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.

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