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All posts from Mark Graban’s LeanBlog.org, including podcasts, announcements, articles, and more.

Rest in Peace, Anthony Bourdain

I was very sad to see the news about Anthony Bourdain's death, reportedly by suicide.

I regularly watched Bourdain's TV shows, "No Reservations" and "Parts Unknown." I don't normally get too excited about celebrity, but I do remember entering a contest where the prize was a chance to have dinner with him.

I also read his famed book Kitchen Confidential, which I really enjoyed. The other day, I saw a friend post a link to his 1999 article ("Don't Eat Before Reading This") in the New Yorker, which led to the 2001 book. He had a way with words, on the page and on screen.  

What Do Cars Have to Do With Healthcare?

Today, I'm giving a talk at the International Society for Blood Transfusion (ISBT) conference in Toronto. I was invited by the company Quotient to participate in a panel presentation and discussion with some laboratory professionals from the U.S. and the U.K.

The others are presenting examples of how they have improved flow, productivity, and quality in blood collection and hospital blood bank settings. Lean often gets portrayed as just being about efficiency or flow, when Toyota's definition of the Toyota Production System talks about how flow and quality go hand in hand.

I was specifically asked to give a short talk titled, "What Do Cars Have to Do With Healthcare? How to Adopt and Adapt Lessons From Manufacturing."

Major League Baseball Works on Standardizing the Ball… For What Purpose?

Back in 2014, I wrote an article for The Lean Post:

"Standardization is a Countermeasure, Never the Goal"
I'm a big fan of Taiichi Ohno's advice to "start from need." I cringe when I hear people say that we should standardize the way work is done "because Lean says so." There's no substitute for judgment in the grey areas related to standardized work.

What should we standardize? For what purpose? How standardized should the work be?

Baseball is struggling with questions like this... how standardized should the balls be... and for what purpose?

My Book “Measures of Success” and a Free Webinar Recording

Measures of Success Roller Coaster

I'm still working on my book Measures of Success, as I've mentioned here a few times. 

The partial "in-progress" book is available through LeanPub.com. Or, when it's done, it will also be available through the Amazon Kindle bookstore and I will probably also produce a paperback version.

My goal is to have the book done by the Lean Healthcare Transformation Summit in mid-June (hope to see you there at the Summit and/or my workshop on these topics). 

Here is a recorded webinar that I did for my friend Mike Stoecklein and his organization, the Institute for Excellence (IEX).

Are Hospitals Not Getting Any Closer to Having “Just Cultures?”

For a long time, I've been an advocate for the parallels between Lean and an approach called "Just Culture." See previous blog posts on this topic. Here's a good overview of Just Culture, which says, in part:

"A just culture recognizes that individual practitioners should not be held accountable for system failings over which they have no control. A just culture also recognizes that many individual or active errors represent predictable interactions between human operators and the system in which they work.

However, in contrast to a culture that touts no blame as its governing principle, a just culture does not tolerate conscious disregard of clear risks to patients or gross misconduct, such as falsifying a record, performing professional duties while intoxicated, etc."