Mark Graban Interviewed by Dr. Bob Wachter on Lean & Patient Safety
I’m honored to have been interviewed by Dr. Robert Wachter for his “Web M&M” interview series on the AHRQ website.
Dr. Wachter is a leader in the patient safety movement who I’ve respected and admired for quite a while. You can read his “Wachter’s World” blog and his book Understanding Patient Safety is very influential and a must-read. I’ve also had a chance to read an advance copy of his upcoming book The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age, which I’m enjoying very much. I’ll be doing a podcast interview with Dr. Wachter in a few weeks.
Update: Here is the podcast.
See my post from 2009 that discusses (and links to) a blog post and an article that he wrote on finding the right balance between blame and accountability: “No Blame” Doesn’t Mean “No Accountability”
Click here or on the image below to read the interview.
Part of the interview:
MG: Lean is very, very different than that traditional top-down–what’s often called command-and-control–management model. Lean has a much more participatory approach. Toyota talks about one of their core pillars being the idea of “respect for people” and realizing that everybody in an organization–regardless of their level of formal education, the size of their paycheck, and the number of letters after their name–has an important role to play. We can respect that role they play as part of a team. Everybody has ideas to bring forward about improving their own work. Everybody can point out problems. When an organization listens to those people and then helps them fix things, these are the cultural themes that lead to improved safety and improved quality in a factory or in an operating room. John Shook from the Lean Enterprise Institute spent many years at Toyota. He was the first American to work for Toyota in a management role, and he said it’s both top-down and bottom-up. He would say it’s not laissez-faire management or “do whatever you want as long as you get results, I don’t care.” It’s focused on the process and the results. The top-down role that leaders still have is to help define strategy, set direction, and define what the organization needs to do and why. That’s a critically important role.
I’m curious to hear what you think. Leave a comment here on the post, since you can’t comment on the AHRQ site.