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)

Podcast #253 – Ash Maurya, “Scaling #Lean” and #LeanStartup

ByMark Graban June 14, 2016 2198

Joining me for Episode #253 is Ash Maurya, author of the book Running Lean: Iterate from Plan A to a Plan That Works and his latest, being released this week, called Scaling...

Podcast #252 – Jordan Peck, from MIT to the VA to Maine Health

ByMark Graban June 7, 2016 2102

This episode is sponsored by StoreSMART. My guest for episode #252 is Jordan Peck, a Senior Director in the Center for Performance Improvement at MaineHealth and Maine Medical Center. Jordan and I...

Podcast #251 – Jim Huntzinger & Russ Scaffede on Lean Leadership

ByMark Graban May 27, 2016 1273

Episode #251 is a bit different in that it's audio shared by the good folks at Lean Frontiers. They recently hosted a webinar where Jim Huntzinger, founder and president of Lean Frontiers asked...

Podcast #250 – Dr. Jack Billi & Mark Graban on #Lean in Healthcare

ByMark Graban May 23, 2016 1498

Episode #250… a big round number. 250 podcasts in just under 10 years. Thanks again to Norman Bodek (my first guest and frequent guest) for the idea back in 2006. My goal with the podcasts has...

Ryan McCormack’s Operational Excellence Mixtape: October 18, 2024

ByRyan McCormack October 18, 2024 5329

Thanks, as always, to Ryan McCormack for this. He always shares so much good reading, listening, and viewing here! Subscribe to get these directly from Ryan via email. News, articles, books, podcasts...

Lean Failure Explained: How Command-and-Control Leadership Undermines Lean

ByMark Graban October 17, 2024 4972

Jacob Stoller on Productivity Reimagined, Lean Thinking, and Sustainable Growth

ByMark Graban October 16, 2024 4588

Yes! Another Lean Book Emphasizes Psychological Safety’s Importance

ByMark Graban October 15, 2024 2370

Whoa! A.I. Podcast Hosts Discuss “The Mistakes That Make Us”

ByMark Graban October 9, 2024 2354

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...

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

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

April 28, 2025

Recently, I had the pleasure of moderating a webinar titled “Driving a Culture of Transforming...

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)

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

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

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

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

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

August 20, 2024

Psychological safety is often described as “feeling safe to speak up.” In Lean...

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...

CNN Video on Lean Methods and Infection Control

ByMark Graban August 7, 2009 Comments (5) 810

Health care's infectious loss – Video – Business News Short post for today – but...

LeanBlog Video Podcast #7 – Norman Bodek, Part 2

ByMark Graban July 27, 2009 Comment (1) 1150

Video #7 is a continuation of Episode #3 with Norman Bodek recounting his early trips to Japan and...

Yo! Continuous Flow Sushi

ByMark Graban July 25, 2009 Comments (5) 1501

Here's a fun video for a Saturday. In England, I love the Yo! Sushi chain of restaurants. It's...

Mark Graban on YouTube

Fear is a real reason people stay quiet at work, but it is not the top one. When I poll audiences and groups I work with, futility comes out ahead of fear.

People do not always say they are afraid. Plenty of them say some version of "What's the point? Nothing changes anyway." That is a different problem than fear, and it calls for a different response from leaders.

If someone fears getting in trouble, and especially if they have watched it happen to someone else, staying quiet to protect yourself is a rational calculation. I would not tell anyone to speak up no matter what.

I also take a practical question in this clip: what do you do when you work for a difficult boss and cannot leave right away? One option is to test the waters. Raise a small, specific, fact-based concern rather than a sweeping statement about how nobody here listens, then see what the response tells you.

🔵 Why silence is often a rational cost-benefit decision
🔵 Futility versus fear as the top driver of silence
🔵 What leaders can do about each
🔵 How to test the waters with a tough boss

Watch the full interview: https://youtu.be/b4Z9RdjgTp8

Fear vs Futility: The Real Reason People Stay Silent at Work

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"