Tag Culture

Organizational Culture: Leadership, Behavior, and How Work Really Gets Done

Organizational culture isn’t what leaders say—it’s what people experience every day based on management behaviors, systems, and priorities. This archive brings together blog posts, podcasts, and reflections on culture through a Lean lens, exploring how leadership decisions shape trust, psychological safety, learning, and performance. Many of these posts draw on lessons from Deming, Toyota, healthcare, and real organizations to show that culture is not a program to roll out, but an outcome leaders create—intentionally or not.

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Two Sentences That Don’t Help

I’ve blogged before about the “20 things supervisors shouldn’t say.” I’ll throw out, for discussion, two phrases that are awful to hear in the context of any change management situation, such as Lean in a hospital or a factory. When…

Lean is More than a Toolkit

I had a great conversation with a fellow healthcare lean thinker the other day. She shared my book, Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction, with the CEO and some other executives at a hospital she works with.…

How a Non-Lean Culture Can Harm Patients

Sometimes people ask me, “how does Lean apply in a hospital?” The critical issues in a hospital are more often about culture and environment (although using technical lean methods for improving processes and flow are important also). Many hospitals, unfortunately,…

"Toyota Culture" is Out

Jeffrey Liker’s new book on Toyota Culture: The Heart and Soul of the Toyota Way is out. I’m getting a copy on Tuesday and hope to post a review ASAP. If anyone else is reading it, feel free to share…

L.A.M.E.: Not Involving Key Stakeholders

Got this story during an email exchange, used with express permission: —————————– I saw my doctor yesterday and told him I was doing a lean publication, and he immediately started complaining about well-intended but impractical top-down measures being taken in…

Do you "Embrace your Misses?"

Another great thought from David Mann this week was highlighting how a Lean culture will “embrace it’s misses” rather than try to cover them up. His example was in the context of a production line not making it’s production goal…

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