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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If you’re working to build a culture where people feel safe to speak up, solve problems, and improve every day, I’d be glad to help. Let’s talk about how to strengthen Psychological Safety and Continuous Improvement in your organization.

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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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