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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

Beyond Heroes in Healthcare: Kim Barnas on Lean Leadership and Management Systems

Beyond Heroes in Healthcare: Kim Barnas on Lean Leadership and Management Systems

ByMark Graban April 29, 2014 3916
Why healthcare organizations need fewer heroes–and better systems–according to former ThedaCare leader Kim Barnas. In memoriam: Kim Barnas (1956-2026)I always valued my interactions with...
Podcast #196 – Jim Huntzinger, What is TWI (Training Within Industry)?

Podcast #196 – Jim Huntzinger, What is TWI (Training Within Industry)?

ByMark Graban March 18, 2014 1645
Listen My guest for episode 196 is Jim Huntzinger, founder of Lean Frontiers. Today, we're talking about the Training Within Industry methodology and his new website WhatIsTWI.com. We are discussing...
Crew Resource Management in Healthcare: Lessons from the Cockpit, with Steve Montague

Crew Resource Management in Healthcare: Lessons from the Cockpit, with Steve Montague

ByMark Graban March 3, 2014 2755
Retired Navy F-14 pilot and airline captain Steve “Monty” Montague spends his non-flying days helping hospitals adopt the safety culture that made commercial aviation the safest way to...
Podcast #194 – Paul Piechota, Lean at the University of Dayton

Podcast #194 – Paul Piechota, Lean at the University of Dayton

ByMark Graban February 21, 2014 1694
My guest for episode #194 is Paul Piechota, Director for the Center for Competitive Change at the University of Dayton School of Engineering. Piechota has authored over 30 publications with such...

More Blog Posts

Join Me at the Michigan Lean Consortium Annual Conference in August!

Join Me at the Michigan Lean Consortium Annual Conference in August!

Mark GrabanByMark Graban June 18, 2024 1811
I'm excited to share my breakout session at the Michigan Lean Consortium Annual Conference! In this session, I dive into the critical role of Psychological Safety as a Foundation for Continuous...

Celebrating 13 Years with KaiNexus and Its Improvement Platform!

Mark GrabanByMark Graban June 17, 2024 1682

Ryan McCormack’s Operational Excellence Mixtape: June 13, 2024

Ryan McCormackByRyan McCormack June 14, 2024 5568

Psychological Safety vs. Psychological Comfort: Understanding the Distinction

Mark GrabanByMark Graban June 13, 2024 3623

Embracing Creative Tensions: Wendy K. Smith on Both/And Thinking and Lean Leadership

Mark GrabanByMark Graban June 12, 2024 3963

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...

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Mark Graban on YouTube

An ICU nurse was asked to run a hospital laboratory she knew nothing about, right as consultants arrived to cut costs. Four months in, she was sure saying yes had been a mistake. Stephanie Mitchell explains what changed her mind, and what she learned about leading people whose work you could never do yourself. 🔵 Why leading experts starts with admitting you are not one 🔵 What separates real cost reduction from an across-the-board 10 percent cut 🔵 Why a written no-layoff commitment was a condition of the consulting contract 🔵 How faster lab turnaround times helped the hospital avoid building an ER expansion 🔵 The five separate checks that stop one human error from reaching a patient 🔵 What David Mann meant by embracing a mistake instead of looking away from it 🔵 Why the people who never ask questions were the ones she worried about Chapters (approximate, pending verification against the published video): 00:00 Meeting again 20 years later 01:43 The favorite mistake: saying yes to the lab 05:01 Leading people who know more than you 09:48 Cutting costs the right way 13:54 The no-layoff promise 16:52 Turnaround times and the ER expansion they skipped 21:15 Convincing a skeptical CEO 24:35 Building the lean team 28:34 Five checks in the blood bank 33:18 Embracing the mistake Stephanie Mitchell, RN, BSN, MBA, retired as Director of Lean Process Improvement and Laboratory Services at Riverside Medical Center in Kankakee, Illinois, where she led the laboratory for 20 years. Full episode page: https://markgraban.com/mistake367 Host Mark Graban is a consultant, speaker, and the author of The Mistakes That Make Us. Subscribe for new episodes of My Favorite Mistake every week. #MyFavoriteMistake #Leadership #Healthcare #Lean #ContinuousImprovement #PsychologicalSafety
They Asked a Nurse to Run the Hospital Lab | Stephanie Mitchell
The Toyota andon cord allows a team member to signal a problem and request help without immediately stopping the production line. Pulling the cord activates a light and calls the team leader to the workstation. If the problem can be resolved before the vehicle reaches a fixed stopping point, production continues. If it cannot, that section of the line stops. This animation was AI-generated from still images taken from a Toyota video. It is a reconstructed demonstration, not original footage of the action or an official Toyota production. The andon system gives team members both the ability and the obligation to call attention to problems so the team can respond before defects continue downstream. #Andon #ToyotaProductionSystem #Lean #Kaizen #ContinuousImprovement #AIGenerated Read more about andon: https://www.leanblog.org/2012/11/andon-cords-toyota-takaota-speaking-up/
Toyota Andon Cord Explained: How It Works
When someone makes a mistake, most managers say the same thing: be more careful next time. There's a Japanese term for why that almost never works. Poka-yoke means mistake-proofing. It rests on one uncomfortable truth -- telling people to be more careful isn't a countermeasure. It's just asking them to try harder at something they were already trying at. So poka-yoke changes the question. Not "how do we get people to stop making this mistake," but "how do we design the work so this mistake is hard, or impossible, to make in the first place?" In this short: the part that only fits one way, the loom Sakichi Toyoda built before Toyota made cars, and why mistake-proofing is a more respectful idea than it first appears. More on Lean leadership, psychological safety, and continuous improvement at LeanBlog.org. #PokaYoke #MistakeProofing #Lean #ContinuousImprovement #LeanManufacturing #Leadership #Quality #OperationalExcellence #Kaizen #ProcessImprovement
"Be More Careful" Is Not a Real Countermeasure
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