Popular Posts
A Lean Management System That Doesn’t Depend on the Lean Team — Emily Swaney, OhioHealth What 21,050 Clinicians Told Us About Fear and Futility
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Mark Graban

Lean Leadership, Psychological Safety, and Continuous Improvement

Since 2005, LeanBlog.org has shared practical insights from real-world work in healthcare, manufacturing, and beyond.

Books Keynote Speaking Coaching / Advisory Podcasts
Books by Mark Graban on Lean, Leadership, and Learning (4)

Lean Blog Interviews Podcast

liker lean blog 20 years

Jeff Liker, Twenty Years Later: The Ideas That Keep Showing Up

ByMark Graban May 27, 2026 768
In 2006, I started this podcast. Jeff Liker was guest number 3, in August of that year. He has been back on seven more episodes since, which makes him one of the most frequent guests this show has...
manufacturiing quality lean blog

Chad Diggs on Building Quality Systems, Not Heroes

ByMark Graban May 20, 2026 1968
Why do so many quality programs fall apart the moment the firefighter walks out the door? In this conversation, Chad Diggs talks about his new book, Below the Surface, and what it takes to...
scott burgmeyer lean think

Why Most People Don’t Think — and What to Do About It, with Scott Burgmeyer

ByMark Graban April 29, 2026 1837
Scott Burgmeyer, founder and CEO of Become More Group, has spent more than 30 years watching smart people make avoidable decisions — not because they lack intelligence, but because they stopped...
john rizzo creating value lean

Creating Value Without Command-and-Control — John Rizzo on Empowering People

ByMark Graban January 21, 2026 2290
In this episode of the Lean Blog Interviews Podcast, John Rizzo explains how organizations create lasting value by empowering people instead of relying on command-and-control leadership. The...

More Blog Posts

Medical personnel in blue scrubs and gloves performing surgery, passing a surgical instrument in a sterile environment

Three Weeks to Act on a Nurse’s Patient Safety Concerns

Mark GrabanByMark Graban September 3, 2026
For three weeks after his surgery, a patient at the Royal Oldham Hospital (England) had no bowel movement and was in increasing pain. The ward sister kept raising patient safety concerns with the...
Mark Graban in a blue suit holding a tablet displaying the book cover The Mistakes That Make Us

What I Tell People Who Want to Write a Book About Lean

Mark GrabanByMark Graban September 1, 2026
Split factory scene contrasting top-down Lean compliance—checklists, rigid instructions, and disengaged workers—with a collaborative team using a visual improvement board to test ideas, learn, and improve together.

Larry Culp on Resistance to Lean: Compliance Isn’t Belief

Mark GrabanByMark Graban September 1, 2026
Empty seminar room with folding chairs and an overhead projector, one chair lit by window light

You Came Back From the Training Ready. Nobody Around You Could Change a Thing.

Mark GrabanByMark Graban August 31, 2026
Hands in blue medical gloves preparing a syringe over a sterile plastic tray with needles and medical supplies

When “Human Error” Is the Root Cause, the Investigation Stopped Early

Mark GrabanByMark Graban August 29, 2026

Webinars

karen martin ask the expert webinar kainexus

Ask Karen Martin Anything on Operational Excellence: A KaiNexus Webinar

March 5, 2026
Karen Martin is one of those people I've been lucky to know and learn from for a long time. She's...
1. Professor with glasses in front of EMS 20th anniversary logo and KaiNexus logo on blue background.

Unlock the Power of Leadership: A Preview of the Electrolux Manufacturing System (EMS) Webinar

December 4, 2025
KaiNexus recently hosted a webinar I was especially looking forward to: “Unlock the Power of...
Breaking Through Cultural Friction: Respect for People and Sustainable Performance

Breaking Through Cultural Friction: Respect for People and Sustainable Performance

June 9, 2025
When organizations struggle to sustain Lean transformation, people often look first at tools...
Driving a Culture of Patient Safety: Lessons for Healthcare and Beyond

Driving a Culture of Patient Safety: Lessons for Healthcare and Beyond

April 28, 2025
Recently, I had the pleasure of moderating a webinar titled “Driving a Culture of Transforming...
Why Lean Fails Without Psychological Safety

Why Lean Fails Without Psychological Safety

April 16, 2025
TL;DR: Lean tools don't fail because people resist change–they fail because people don't feel...
Preview: Driving a Culture of Accountability – Transforming Patient Safety with KaiNexus (Webinar, April 15)

Preview: Driving a Culture of Accountability – Transforming Patient Safety with KaiNexus (Webinar, April 15)

April 8, 2025
One of the most powerful elements of continuous improvement is the ability to learn from each other...
My Upcoming Webinar on Mistake-Proofing Across Industries

My Upcoming Webinar on Mistake-Proofing Across Industries

February 3, 2025
I'm excited to be presenting this webinar on February 12th at 1 pm ET as part of the KaiNexus...
Top 5 Takeaways from my KaiNexus Webinar: Psychological Safety as a Precondition for Continuous Improvement

Top 5 Takeaways from my KaiNexus Webinar: Psychological Safety as a Precondition for Continuous Improvement

January 8, 2025
TL;DR: Psychological safety isn't optional for continuous improvement. This KaiNexus webinar...
Creating Leader Standard Work (LSW) Across a Distributed Business Model — Webinar Preview

Creating Leader Standard Work (LSW) Across a Distributed Business Model — Webinar Preview

November 7, 2024
I'm happy to be hosting and moderating this webinar that will be presented by Brent Loescher, a...
Embedding Change Management into your Continuous Improvement Initiatives – Webinar Preview

Embedding Change Management into your Continuous Improvement Initiatives – Webinar Preview

September 25, 2024
I'm happy to be hosting and moderating this webinar that will be presented by Melissa Sherman, a...
View Our “Ask Us Anything” Event on Psychological Safety and Lean

View Our “Ask Us Anything” Event on Psychological Safety and Lean

August 20, 2024
Psychological safety is often described as “feeling safe to speak up.” In Lean...
From Strategy to Execution: Webinar with Karen Friedenberg

From Strategy to Execution: Webinar with Karen Friedenberg

July 17, 2024
Are you looking to transform your business strategy into actionable results? Join us for our...

Videos

Illustration of a laptop on a desk showing an AI coaching chat interface with a question from the user and a follow-up coaching response ending with a reflective question, representing the Lean Hospitals Coach tool

Watch the Lean Hospitals Coach in Action — Live, Unscripted, With Your Questions

ByMark Graban March 4, 2026 Comment (0) 806
Here's something I've learned over many years of consulting: giving people advice they haven't asked...
Innovative man with glasses smiling against a blue background, symbolizing continuous improvement.

Digital Support for a Culture of Improvement: A Reflection on Electrolux and KaiNexus

ByMark Graban December 15, 2025 Comment (0) 1284
In a webinar I hosted with Sandro Casagrande from Electrolux, we reflected on the 20-year evolution...
Smiling men with glasses, one in casual clothing and the other in a suit, against a bokeh background.

5 Big Lean Questions with Mark Graban: Purpose, Misconceptions, and the Path Forward

ByMark Graban December 1, 2025 Comment (0) 1140
Last year, my friend (and long-time fellow blogger) Tim McMahon from the A Lean Journey blog sent me...

Mark Graban on YouTube

Emily Swaney, VP of Operational Excellence at OhioHealth, explains how a Lean Promotion Office of 11 people supports a Lean management system for 35,000 associates - by developing about 1,500 leaders as problem-solving coaches instead of leading projects. Episode #548 of Lean Blog Interviews. Full transcript and show notes: https://www.leanblog.org/548 We discuss: - Why the Lean team doesn't lead projects, and how process owners take over after kaizen events - Coaching leaders to stop being heroes and to advance problem-solving at the gemba - The patient safety exception to slow coaching - Second coaches, including managers who coach hospital presidents on their coaching - Five-tier safety huddles, good catches, and a roughly twofold increase in reported concerns - Closing the loop on escalations during daily protected gemba time - How frontline teams choose their own KPIs, connected to the balanced scorecard - What's next: an associate idea platform and extending the system into corporate functions Chapters: 0:00 Introduction 1:08 Emily's path into Lean and healthcare 3:29 Why Lean over Six Sigma in healthcare 6:05 Using marketing to sell the management system 8:47 An 11-person Lean team for 35,000 associates 12:21 Why the Lean team doesn't lead projects 15:08 Coaching leaders to stop being heroes 18:29 The patient safety exception 19:01 Psychological safety and tiered safety huddles 22:59 Good catches and looking for patterns 27:30 Closing the loop through protected gemba time 30:45 Structure and accountability for gemba walks 33:44 Coaching the coaches 35:53 Connecting frontline KPIs to the balanced scorecard 42:17 Executive buy-in and results 45:01 What's next: idea platform and corporate functions 47:58 Emily's expanded role Guest: Emily Swaney - https://www.linkedin.com/in/emilyswaney/ Host: Mark Graban - https://www.markgraban.com/ Subscribe to the podcast: https://www.leanblog.org/podcasts/podcasts-how-to-subscribe/ Part of the Lean Communicators network: https://leancommunicators.com/ #Lean #LeanHealthcare #OhioHealth #ContinuousImprovement #TieredHuddles #Gemba #PsychologicalSafety #LeanManagement
How 11 People Support a Lean Management System for 35,000 | Emily Swaney, OhioHealth
Toyota has been replacing its famous andon cord with buttons. I visited Toyota's plant in Durban, South Africa, to see how the andon system works there and why they made the switch. Toyota started the change at a plant in Toyota City in 2013. The Durban plant switched about a year ago, and they gave me two reasons. First, there are now two buttons. Yellow calls for help, and red stops the line right away for something like a safety issue. Second, with 90 to 100 andon activations a day in one area, reaching overhead that often was becoming an ergonomics risk. The hardware changed, but the response didn't. When a team member pressed the button, the team leader was there within seconds. Read more on LeanBlog.org: The Toyota Andon System in South Africa: Two Buttons Instead of a Cord https://www.leanblog.org/2026/09/toyota-andon-system-south-africa/ Why Toyota Is Eliminating the Andon Cord (2014) https://www.leanblog.org/2014/08/toyota-eliminating-andon-cord/ Follow for a new Lean short every week. #Andon #Toyota #ToyotaProductionSystem #Lean #LeanManufacturing #ContinuousImprovement #Kaizen #Leadership #PsychologicalSafety #Manufacturing #Shorts
Why Toyota Is Replacing the Andon Cord with Buttons
Strategy deployment -- hoshin kanri -- is supposed to work like a game of catch. Goals flow down from leadership, ideas and feedback flow back up from the people doing the work, and both sides adjust. The ball goes back and forth. A lot of organizations are playing dodgeball instead. The ball only goes one direction, it's thrown hard, and the people on the receiving end are just trying not to get hit. The cost isn't the meeting time you save by skipping the conversation. It's the year you lose executing against metrics that don't match the work. In this short, I share what happened when a hospital cascaded a patient falls target to a labor and delivery unit whose patients don't fall -- and the dashboard that would have looked perfect while the real risks went unmeasured. More on Lean leadership, psychological safety, and continuous improvement at LeanBlog.org. #StrategyDeployment #HoshinKanri #Lean #LeanLeadership #ContinuousImprovement #Leadership #CatchBall #OperationalExcellence #Kaizen #ProcessImprovement
Catch Ball or Dodgeball? How Goals Really Flow in Lean Management
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Split factory scene contrasting top-down Lean compliance—checklists, rigid instructions, and disengaged workers—with a collaborative team using a visual improvement board to test ideas, learn, and improve together.
Larry Culp on Resistance to Lean: Compliance Isn’t Belief
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What I Tell People Who Want to Write a Book About Lean
Medical personnel in blue scrubs and gloves performing surgery, passing a surgical instrument in a sterile environment
Three Weeks to Act on a Nurse’s Patient Safety Concerns
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Ryan McCormack’s Operational Excellence Mixtape: September 4, 2026