Popular Posts
GE Aerospace’s Greenville Plant Proves Larry Culp’s “Safety First” Wasn’t Just Talk An Insulin Error Killed a Hospital Patient. How Does Every Other Hospital Learn From It? “Most People Wouldn’t”: Fear, Gratitude, and Reporting Medical Errors Larry Culp on Success Theater, Embracing Red, and the GE Turnaround What If Every Hospital Learned From Every Other Hospital’s Safety Incidents? Four Patients Got the Wrong Drug in Nashville. Ask a Better Question. Toyota Doesn’t Call It Lean? Its Own Websites Say Otherwise Ten Psychological Safety Outcomes, and What They Do and Don’t Prove The Independent Double Check and the Risk of Human Error Somebody Pulled the Cord and the Chairman of Radiology Showed Up
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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

Quint Studer on Hardwiring Excellence, Humble Leadership, and The Busy Leader’s Handbook

Quint Studer on Hardwiring Excellence, Humble Leadership, and The Busy Leader’s Handbook

ByMark Graban December 1, 2019 3620
My guest for Episode #353 of the podcast is somebody whose work I've appreciated for a long time — Quint Studer. I was first introduced to his book Hardwiring Excellence back in 2005 and I've...
Podcast #352 — Dr. Fred Southwick, Teaching Quality, Patient Safety & Lean

Podcast #352 — Dr. Fred Southwick, Teaching Quality, Patient Safety & Lean

ByMark Graban November 18, 2019 1527
Joining me for Episode #352 of the podcast is Frederick Southwick, M.D. He is a Professor of Medicine and is also Director of Patient Care Quality and Safety in the Division of Hospitalist Medicine at...
Podcast #351 — Joel Tosi and Dion Stewart, “Creating Your Dojo”

Podcast #351 — Joel Tosi and Dion Stewart, “Creating Your Dojo”

ByMark Graban November 12, 2019 2118
Joining me for Episode #351 of the podcast are my friends Joel Tosi and Dion Stewart, co-founders of the company Dojo & Co. They're the authors of the new book (to be released on November 19) called...
Podcast #350 — Tim Turner – Building Lexus, Leaving Toyota, and Helping Elsewhere

Podcast #350 — Tim Turner – Building Lexus, Leaving Toyota, and Helping Elsewhere

ByMark Graban November 4, 2019 1857
My guest today is Tim Turner, who joined us previously in 2010 for episode #90. Tim was the lead author for a book called One Team on All Levels: Stories from Toyota Team Members that was...

More Blog Posts

Two Years of Learning from Mistakes — Celebrate with the Book for Just $10.99

Two Years of Learning from Mistakes — Celebrate with the Book for Just $10.99

Mark GrabanByMark Graban July 6, 2025 849
It's hard to believe it's been two years since my Shingo Award-winning book, The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, was published. What started as a...

Medical Mistakes and Patient Safety: Asking “Why?” Instead of “Who?”

Mark GrabanByMark Graban July 3, 2025 1509

When Was the Last Time a Leader Around You Admitted They Were Wrong? [Poll]

Mark GrabanByMark Graban July 1, 2025 910

From Cost Cutting to Real Continuous Improvement: A Lesson from My GM Days

Mark GrabanByMark Graban July 1, 2025 1897

LeanBlog.org 2025 Mid-Year Top 10: Most-Read Articles on Lean, Leadership, and Improvement

Mark GrabanByMark Graban June 30, 2025 3442

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

Mark Graban Speaking Highlights Video; Story that Previews my 2nd Edition Book

Mark Graban Speaking Highlights Video; Story that Previews my 2nd Edition Book

ByMark Graban July 8, 2011 Comment (0) 756
I've posted a new video on YouTube, about 5 minutes of sections of a presentation I gave at the 2010...
Denver Health’s Lean Patient Safety Improvements on PBS’ NewsHour

Denver Health’s Lean Patient Safety Improvements on PBS’ NewsHour

ByMark Graban July 5, 2011 Comment (1) 1061
On June 30, the PBS NewsHour program did a 7-minute story on healthcare improvement (featuring Lean...

Preventing Brain Surgery Errors… Not Exactly Rocket Science

ByMark Graban June 24, 2011 Comments (16) 1514
Thanks to those of you who sent me the link to this Washington Post article called “The Pain...

Mark Graban on YouTube

The silence tax is what an organization pays when people stop speaking candidly. It never appears as a line on the financial statements, which is exactly what makes it dangerous. In this clip I explain how the cost compounds. A quality problem nobody mentions gets past the process and reaches a customer. An issue nobody raises while it is small grows into an expensive one. The spending is real even though nothing on the P&L is labeled "silence." I also reference survey research estimating that poor management costs the U.S. economy more than $500 billion a year through turnover and lost productivity. That is a gut feeling on my part, but I suspect the estimate is low, since most organizations are paying some version of the silence tax right now. Watch the full interview: https://youtu.be/b4Z9RdjgTp8 🔵 What the silence tax is 🔵 Why it stays invisible to leaders 🔵 How small unspoken problems become costly ones 🔵 What poor management is estimated to cost the U.S. economy More on psychological safety and Lean leadership: https://www.leanblog.org
The Silence Tax: The Hidden Cost of People Not Speaking Up
Michael Chaleff spent his first week as a restaurant magician learning that things go wrong constantly in that job. Then a stranger said four words that took away his ability to speak for the first time in his adult life. 🔵 The line that stopped him cold 🔵 What actually happened next 🔵 Why he still remembers the shame decades later 🔵 The rule he built from that year: the sin isn't the mistake, it's what you do after Full episode: https://youtu.be/aHY6w449NZs
"I Don't Have Hands"
Is the "nice boss era" over? I joined Chris and Amy on KMOX in St. Louis to talk about tough bosses, why employees stay quiet, and what that silence costs. What we covered: - The difference between demanding and cruel, and why "kind" beats "nice" - Why the pendulum swings with the job market, and why both extremes backfire - Two kinds of bad boss: people promoted for the wrong reasons with no leadership training, and founders who never learn to ask - Why futility, not fear, is the most common reason people keep quiet - How to test the waters with one small, fact-based concern instead of a sweeping complaint - Whether it is safe to go to HR - The silence tax: a real cost that never appears on the financial statements 0:00 A bad boss bit, courtesy of Chris and Amy 0:57 Demanding versus cruel: a false trade-off 2:07 Is the nice boss era over? The pendulum and the job market 3:55 How common are cruel managers? 4:39 Two categories of bad boss 6:26 Fear versus futility 7:49 What to do when you cannot leave yet 8:34 Testing the waters with a small, specific issue 9:39 Can you trust HR? 13:06 What the silence tax is and what it costs 14:26 Setting goals without blaming people My next book, The Silence Tax: How Lean Leaders Can Drive Out Fear and Futility, is coming in early 2027. https://thesilencetaxbook.com/ Blog: https://www.leanblog.org Speaking and books: https://www.markgraban.com Podcast: My Favorite Mistake https://myfavoritemistakepodcast.com/
Is the Nice Boss Era Over? Fear, Futility, and the Silence Tax
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