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A bright hospital emergency room waiting area where the space is decorated with red and silver balloons and colorful lighting. Four patients are seated in blue chairs, with one reading a pamphlet. A large TV screen behind the reception counter reads "CELEBRATING WAIT TIME REDUCTIONS! Our Shortest Wait Ever!" accompanied by a bar graph and colorful confetti. Various posters on the walls list the "TRIAGE PROCESS & EXPECTATIONS" and celebrate achievements like "NEW RECORD: TRIAGE IN < 10 MINUTES" and "45% AVERAGE WAIT REDUCTION."

The ER Wait Time Metric That Can Hide Deteriorating Patient Experience

Mark Graban - March 31, 2026

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Robot lectures at overflowing whiteboard while a bored human sits with crossed arms and cold coffee, unnoticed.

“Help Me” Doesn’t Mean “Do It for Me” — What ChatGPT Gets Wrong...

Mark Graban - March 30, 2026

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meeting where employees are afraid to speak up

Why Employees Don’t Speak Up — and the Subtle Reasons You Might Be...

Mark Graban - March 27, 2026

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Toyota vs. Tesla: What Manufacturing Mindsets Reveal About Quality and Culture

Mark Graban - March 26, 2026

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catch ball and chuck rock lean strategy deployment

Strategy Deployment: Are You Playing Catch Ball or Chucking Rocks?

Mark Graban - March 26, 2026

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

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Feature Article – Oh, What A Company! – 03/05

Mark Graban - April 18, 2005 0

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Subtle Shifts in the 7 Wastes of Lean

Mark Graban - April 17, 2005 0

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Wanted: Inspired Leaders, Engaged Employees

Mark Graban - April 17, 2005 2

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New Balance Shoes Uses Lean

Mark Graban - April 17, 2005 1

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Waste/Muda in Phone Prompt Systems

Mark Graban - April 15, 2005 1

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Every Day Error Proofing Examples

Mark Graban - April 13, 2005 2

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"Mistake" with Deadly Flu Virus

Mark Graban - April 13, 2005 0

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Get me a Lean Latte, I mean Non-Fat Latte

Mark Graban - April 13, 2005 4

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Evolving Excellence: Learning from the Masters of Lean Manufacturing

Mark Graban - April 12, 2005 0

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We’re Moving Overseas! Are We Making a Big Mistake?

Mark Graban - April 11, 2005 0

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Heard of kaizen? How about muda? Toyota has a lot to...

Mark Graban - April 10, 2005 0

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Coming in September — The Toyota Way Fieldbook

Mark Graban - April 7, 2005 0

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Danny Dawson on The ER Wait Time Metric That Can Hide Deteriorating Patient ExperienceMarch 31, 2026
It would also be interesting to see the individual wait times plotted on the PBC. What are your thoughts on…
Mark Graban on Toyota vs. Tesla: What Manufacturing Mindsets Reveal About Quality and CultureMarch 31, 2026
Their culture won't change until they get a new CEO someday.
Zachary Capen on Toyota vs. Tesla: What Manufacturing Mindsets Reveal About Quality and CultureMarch 31, 2026
I found this a really interesting comparison, I liked the idea that the NUMMI factory proved it wasn't the workers…
Mark Graban on Toyota vs. Tesla: What Manufacturing Mindsets Reveal About Quality and CultureMarch 31, 2026
There are certainly some positive things happening. But I don't think Tesla will ever reach full potential as long as…
Brian J Moore on Toyota vs. Tesla: What Manufacturing Mindsets Reveal About Quality and CultureMarch 30, 2026
This discussion is not complete without reference to "The Algorithm." Discussed well in Jon McNeil's new book, with both Tesla…

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