Popular Posts
Creating a Continuous Improvement System in Accounting: Nick Katko on PDCA, Culture, and Psychological Safety Signals & Levers: Elisabeth Hendrickson and Joel Tosi on Change Theater, Open Loops, and Systems Thinking for Software Teams How Toyota Turned Around Its Kentucky Plant: Darril Wilburn on Leadership
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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

From Freight Trains to Beauty Pageants: Allison Greco’s Lean Six Sigma Journey

From Freight Trains to Beauty Pageants: Allison Greco’s Lean Six Sigma Journey

ByMark Graban June 22, 2021 1952
Scroll down for video, how to subscribe, transcript, and more My guest for Episode #419 of the Lean Blog Interviews Podcast is Allison Greco, an industrial engineer, a Six Sigma Black Belt, and the...
The Lean Journey (and Mass Vaccination Sites) at Munson Healthcare: Kaleb Foss and Butch Bowlby

The Lean Journey (and Mass Vaccination Sites) at Munson Healthcare: Kaleb Foss and Butch Bowlby

ByMark Graban June 15, 2021 1866
Scroll down for video, how to subscribe, transcript, and more My guests for Episode #418 of the Lean Blog Interviews Podcast both work for Munson Healthcare in northern Michigan. They are Kaleb Foss...
Dr. John Kenagy on Adaptive Design Kata: An Improvement and a Leadership Kata (Lean Healthcare)

Dr. John Kenagy on Adaptive Design Kata: An Improvement and a Leadership Kata (Lean Healthcare)

ByMark Graban June 8, 2021 1866
Scroll down for video, how to subscribe, video, transcript, and more My guest for Episode #417 of the Lean Blog Interviews Podcast is John W. Kenagy, MD, MPA, ScD, FACS, of his firm Kenagy &...
Brad Jeavons on How to Remotely Deploy Lean and Agile (Outside of Manufacturing)

Brad Jeavons on How to Remotely Deploy Lean and Agile (Outside of Manufacturing)

ByMark Graban June 1, 2021 2252
Scroll down for video, how to subscribe, video, transcript, and more My guest for Episode #416 of the Lean Blog Interviews Podcast, joining us from Brisbane, Australia, is Brad Jeavons, a principal...

More Blog Posts

curt-cignetti-lean-six-sigma

Lean Is for Speed, Six Sigma Is for Quality? That’s a False Trade-Off.

Mark GrabanByMark Graban January 15, 2026 1683
TL;DR: “Lean is for speed, Six Sigma is for quality” is a false trade-off. Lean improves flow by removing obstacles like waiting and rework–and when work flows better, quality...
Mark Graban Shingo Workshop 2026

Why Psychological Safety Is the Foundation for Continuous Improvement — and Why I’m Teaching This at Shingo Connect 2026

Mark GrabanByMark Graban January 15, 2026 1855
Gemba Walk leadership behaviors discussed at Kaizen Live healthcare event

Gemba Walks, Daily Improvement, and the Leadership Behaviors That Make Kaizen Possible

Mark GrabanByMark Graban January 14, 2026 3314

Free Safety Cross and SQDC Templates for Lean Daily Management

Mark GrabanByMark Graban January 13, 2026 14570

The Bourbon “Bust” That Wasn’t: What Happens When You Zoom Out

Mark GrabanByMark Graban January 12, 2026 1125

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

Videos: Lean in Daily Work at the University of Michigan Health System

Videos: Lean in Daily Work at the University of Michigan Health System

ByMark Graban August 28, 2012 Comment (0) 1272
If your organization blocks access to YouTube… shame on them. The videos I'm sharing here are...
Slides & Recording of My “Healthcare Kaizen” Webinar – “The Suggestion Box is Dead.”

Slides & Recording of My “Healthcare Kaizen” Webinar – “The Suggestion Box is Dead.”

ByMark Graban August 22, 2012 Comments (2) 1616
Thanks to Karen Martin for hosting yesterday's webinar that I gave based on my book (with Joe...
Paul O’Neill Talks ThedaCare, Lean Healthcare on CNBC

Paul O’Neill Talks ThedaCare, Lean Healthcare on CNBC

ByMark Graban August 22, 2012 Comments (3) 1122
Here is about five minutes of video (no longer available, sadly) of Paul O'Neill (former CEO of...

Mark Graban on YouTube

Do we want to be right, or help others change? This speaker reel connects psychological safety, problem-solving, and continuous improvement. I’m Mark Graban, an author, speaker, and consultant. In these keynote clips, I discuss stories from Toyota and a comparison with Ford to explore how leadership and culture shape people’s willingness to speak up. The clips cover: - Responding constructively when mistakes happen - Combining psychological safety with practical problem-solving - Modeling vulnerability and rewarding people for speaking up Planning a conference, leadership meeting, or workshop? Let’s discuss your audience and goals. Speaking topics: https://www.markgraban.com/speaking/topics/ Booking inquiries: https://www.markgraban.com/speaking/book-mark/
Mark Graban Speaker Reel | Psychological Safety & Leadership
A patient was supposed to undergo surgery for a right-sided inguinal hernia. But the incision was made on the left side. Dr. David Mayer, then a senior anesthesia resident, recalls how the operating room team moved quickly into the procedure while everyone focused on their own responsibilities. About two minutes after the incision, the attending surgeon entered the room, looked at the patient, and asked: “I thought this was a right-sided inguinal hernia?” That was the moment the team realized what had happened. In this clip from *My Favorite Mistake*, Dr. Mayer describes the wrong-site surgery that became a defining experience in his career—and helped shape his commitment to patient safety, transparency, and learning from medical errors. The larger lesson isn’t simply “be more careful.” It’s to understand how systems, communication, time pressure, teamwork, and culture can allow an error to reach a patient. Full episode: **The Surgical Mistake That Changed a Doctor’s Life: Dr. David Mayer on Honesty and Patient Safety** #PatientSafety #MedicalErrors #Healthcare #Leadership #SurgicalSafety #MyFavoriteMistake
Wrong-Site Surgery: The Mistake Discovered Mid-Procedure
How did Toyota’s Georgetown, Kentucky plant go from needing to build almost 90% of its capacity just to break even, to a much healthier 60%? Former Toyota team member Darril Wilburn, co-author with Hiro Yoshiki of Courage, Humility, Kaizen: The Three Disciplines of Toyota Leadership, tells the inside story. We talk about the andon cord myth, “healthy paranoia,” why Toyota never talked about being number one, sending managers back through jishuken, why every VP’s first A3 was sent back by design, and why doing TPS was never the point. Full episode page, links, show notes, and transcript: https://leanblog.org/551 What you’ll learn: 🔵 What really happens when someone pulls the andon cord 🔵 Why psychological safety at Toyota includes being challenged 🔵 How “healthy paranoia” keeps an organization from getting complacent 🔵 How TMMK cut its break-even point from nearly 90% to 60% 🔵 Why Hiro Yoshiki rejected blame and focused on equipping people to succeed 🔵 How Toyota turned its masters’ know-how into teachable curriculum 🔵 Why humility had to be built into how executives were developed Chapters: 00:00 Introducing Darril Wilburn and Courage, Humility, Kaizen 01:47 How Darril met Hiro Yoshiki 05:52 The andon cord myth 07:59 How andon escalation actually works 11:35 Building psychological safety before line-off 13:23 Respect for humanity includes challenge 15:56 Healthy paranoia 18:36 Why Toyota didn’t talk about being number one 20:03 Toyota’s careful entry into the U.S. 22:36 Rapid expansion and a 90% break-even point 24:47 The turnaround: from 90% to 60% 25:39 No blame 27:00 Pulling wisdom out of the masters 30:36 Why expertise had to be dragged out 33:52 Breaking the cycle of rescue teams 35:11 Jishuken and the humility to relearn 37:04 Straight talk instead of spin 40:35 Hiro, not heroes 42:52 Formal and informal communication 46:08 Can you help someone become more humble? 47:42 Every VP sent back on the first A3 51:07 “Doing TPS was never the point” 52:32 Toyota is a business 53:48 Stop counting kaizens when you’re losing money 54:36 Closing Subscribe to Lean Blog Interviews for more conversations on Lean, leadership, continuous improvement, and psychological safety: http://leancast.org/ #Toyota #LeanManagement #ToyotaWay #Kaizen #Leadership #ContinuousImprovement #PsychologicalSafety
Toyota’s Kentucky Turnaround: Courage, Humility, Kaizen | Darril Wilburn
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