Lean Healthcare Article in Harvard Business Review

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Fixing Healthcare From The Inside, Today

Available through HBS… this is written by Steven J. Spear, a former Harvard professor who has written about Toyota quite a bit.

He has since left and joined the Institute for Healthcare Improvement, focusing on lean in healthcare.

The focus of this article is much like his Toyota writings — it focuses on the problem solving and continuous improvement aspects of the Toyota Production System culture, one of the key points being that all work needs to be designed/improved so that steps are “unambiguous”, helping to prevent mistakes caused by wrong expectations of who is doing what in a chaotic situation.


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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 latest book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, a recipient of the Shingo Publication Award. He is also the author of Measures of Success: React Less, Lead Better, Improve More, Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean, previous Shingo recipients. Mark is also a Senior Advisor to the technology company KaiNexus.

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