Tag Healthcare

Healthcare Improvement Through Lean, Leadership, and Learning

Healthcare improvement isn’t about working harder—it’s about better systems, better leadership, and a culture that supports learning and speaking up. This archive brings together blog posts, podcasts, and reflections on Lean healthcare, patient safety, quality improvement, leadership, and continuous improvement. Many of these posts draw on real hospital experiences and lessons from Deming, Toyota, and frontline healthcare teams, with a consistent emphasis on respect for people and learning from mistakes.

All (6522)3 Strategies (5)30 Rock (5)3P (10)5 Whys (18)5 Whys Survey (10)5S (134)A Lean Guy Reads (13)A.I. (1)A3 (47)A3 management process (1)A3 Open Mic (1)A3 thinking (2)Access (1)Accountability (4)Accounting (13)Ackoff (2)Adam_Zak (8)Admin (1)Adult Education (1)Adult Learning (1)Aerospace (1)Africa (2)Agile (15)AI (38)AI Lean Coach (14)Alaska (3)Alcoa (7)Alfie Kohn (2)Alternate History (1)Amazon (30)AME (6)American Airlines (7)Andon (43)Ankit_Patel (3)Apple (30)April Fool (12)Artificial Intelligence (3)ASQ (8)Auction (2)Audio (197)Audiobook (2)Australia (3)Authentic Conversations (1)Auto Industry (1)Autoliv (1)Automation (6)Automotive (15)Aviation (120)Backlog (10)Bad Systems in the News (8)Bahri (4)Baker (1)Baldrige (7)Balle (10)Banking (3)Bar (2)Bar Rescue (2)Baran (7)Barnas (3)Barnes Jewish (5)Baseball (26)Basketball (3)Batching (2)Batz Foundation (5)Beer Game (1)Being_The_Change (1)Belts (1)Benchmarking (4)Berwick (24)BIDMC (3)Billion Dollar Company (1)biofuels (1)Birth of Lean (2)Blame (160)Bliss (8)Blog Admin (88)Blog_Admin (2)blur (1)BMW (3)Board (1)Bob Emiliani (4)Bodek (76)Boeing (51)Bonini (9)Books (281)Boston (7)Brain (1)Brazil (5)Brophy (1)Buck (2)Burnout (7)business (1)Business Leadership (1)Bussell (1)Byrne (2)C-Suite Leadership (1)Cable (1)Calendar (1)Call Centers (2)Canada (101)Cancer (1)Capacity (1)Cardinal Health (13)Careers (36)Carnival (16)Carrie Schurman (9)Cartoon (7)Castle (5)Catalysis (22)Catchball (2)Cath Lab (1)Cats (1)CEO (184)Certification (1)CFO (1)Challenge (1)Change (57)Change Management (72)Changeover (2)ChangeThis (3)Charity (1)Charts (3)Charts and Graphs (3)ChatGPT (10)Checklist (14)Checklists (61)chemicals (1)Chick-fil-A (3)China (75)China Trip 2016 (6)Chrysler (33)Cincinnati (1)Cleveland Clinic (21)Clinic (1)CMS (1)CNN (1)Coaches (1)Coaching (101)Coffee (7)Collaboration (1)Comedy (5)Command and Control (12)Comments of the Week (1)Communication (2)Communications (8)Community (1)compassion (1)Compliance (1)Condo (4)Conference (1)Conner (1)Construction (6)Consulting (6)Contest (23)Continuous Deployment (1)Continuous Improvement (58)Convis (17)Cooking (3)Corrections (4)Cost (34)cost reduction (1)Costco (1)Countermeasures (1)Covey (7)Covid-19 (54)Covid-19 Pandemic (2)Creative Safety Supply (1)Creative Thinkers (1)Creativity (2)Crisis (1)Critical Strategic Decisions (1)Cross Training (2)Culbert (1)Culture (435)Culture Clash (1)Culture Of Improvement (1)Cunningham (6)Customer (1)Customer Experience (5)Customer Focus (59)Customer Satisfaction (8)Customer Service (12)Cycle Time (1)Dager (2)Daily Management System (5)Dallas (4)Dan Pink (12)Dan_Jones (8)Dan_Pink (13)Danaher (14)Data (1)DC Lean Tour (5)Defect (4)Defects (11)DEI (4)Dell (43)Delphi (13)Demand (1)Deming (491)Denmark (1)Dentist (1)Denver (6)Denver Health (3)Design (11)Design Thinking (5)Detroit (3)Detroit 3 (1)Detroit Three (27)developing solutions (1)DFW (1)Digital (1)DirecTV (3)DMAIC (3)Doctor (180)Don Wheeler (49)Doofus (5)dr (1)Dr. Muda (6)Drucker (2)Dynamic Environment (1)Earthquake (1)Ebola (5)Economics (1)Edmondson (21)Education (34)Efficiency (4)Electric Car (1)Elon Musk (4)Email (2)Emergency (29)Emergency Dept (61)Emil (1)Emiliani (23)Emoji (1)empathy (1)Employee Engagement (17)Employee Voice (1)Empowerment (2)EMR (9)Enabling Bureaucracy (1)Energy (3)Engagement (2)Engand (1)England (46)Entrepreneurship (5)Ephlin (12)Equity (1)Ergonomics (3)Eric Ries (41)Errors (7)Events (6)Everyday Lean (109)Evidence-Based Medicine (1)Excuses (1)Exercise (3)ExperienceChange (7)Experiment (3)Experimentation (3)Eytan (1)Facebook (2)Factory Physics (2)Facts (1)Fail (3)Failure (18)Family (1)Family Guy (1)FastCap (8)Fear (28)Fearless Organization (1)Finland (1)Fire Fighting (5)Fitness (1)Flashback (5)Flexing (2)Flinchbaugh (187)Flow (28)FMEA (4)Fol (1)Food (6)Football (10)Forces Of Destruction (1)Ford (102)Fort Worth (1)FORTUNE (3)Fox News (2)Franciscan (46)Franciscan Videos (8)Fujio Cho (3)Fun (2)Funny (75)Futility (3)Galsworth (10)Gaming the Numbers (43)Garrison Brothers (3)Gas Station (1)Gawande (32)Geisinger (1)Gem (1)Gemba (167)Gemba Academy (9)Genchi Genbutsu (4)General Electric (76)General Motors (10)Germany (3)Gert (2)Gets it Wrong (4)Gilbreth (6)Glover (3)GM (180)Go To Market (1)Goals (1)good jobs (1)Good Jobs Strategy (1)Google (10)Government (139)Green (37)Grey's Anatomy (3)Grocery (2)Group Health (8)Growth Mindset (1)Grunden (16)Gruner (9)Guest (106)Guest Post (29)Guthridge (7)Habit (4)Hajek (1)Hamel (1)Hamilton (3)Hand Hygiene (7)Hanover (7)Hansei (8)Harada (2)Hawaii (1)HBR (2)Health (3)Healthcare (2013)Healthcare Kaien (1)Healthcare Kaizen (99)Healthcare Reform (1)Healthcare Value Network (1)Hebert (1)Heijunka (17)Henry Ford (5)Heparin (3)Hershfield (1)HIMSS (2)hiring (1)Hoeft (1)Honda (6)Honesty (1)Honeywell (2)Honsha Trip (5)Hopkins (1)Hoshin (15)Hoshin Kanri (4)Hospitalist (2)Hotel (5)HP (1)Huddle (13)Huddles (1)Human Error (7)Human Resources (1)Humane (1)Humility (23)Hunmtz (1)Huntzinger (4)Hyundai (1)IBM (2)ICU (1)If Japan Can (3)IHI (6)IIE Blog (1)IKEA (1)Imai (34)Improvement (5)Incentives (7)India (3)Industrial Engineering (1)Industry Week (7)Infections (12)Innovation (46)Inspection (7)Intel (1)Interview Process (1)Interviews (5)Inventory (45)investing in employees (1)Iowa (17)iPad (1)Ireland (2)Irony (1)Israel (1)IT (7)Italy (1)Jaben (4)Jackson (1)Jacobson (5)James (2)Japan (118)Japan Tour (62)Japanese (1)Jidoka (8)Jimmerson (1)Jobs Bank (11)Joiner (2)Joint Commission (3)Jon Miller (5)Jones (2)JPS (4)Just Culture (11)Just in Time (2)Just-In-Time (68)Kach (11)Kaikaku (1)KaiNexus (242)Kaizen (721)Kaizen Event (20)Kaizen Kickoff (1)Kaizen Live (12)Kanban (53)Kaplan (6)Karen Martin (10)Karyn Ross (7)Kata (28)Katie Anderson (26)kind leadership (2)Kindle (2)Kindness (6)Kitchen Nightmares (4)Knowledge Management (1)Kodak (1)Krafcik (2)L.A.M.E. (6)Lab (10)Laboratory (55)Laedership (1)LAME (110)Larry Culp (29)LaSorda (6)Law (4)Layoffs (92)Layout (12)Leader Standard Work (4)Leadershihp (1)Leadership (911)leadership lessons (1)leading with humility (1)Leadreship (1)Leadrship (2)Lean (22)Lean Accounting (1)Lean and Mean (9)Lean Coffee Talk (10)lean community (1)Lean Daily Management (14)Lean Dentist (34)Lean Design (37)Lean Edge (1)Lean Enterprise Institute (1)Lean Hospitals (82)lean leadership (2)Lean Management (14)Lean Management System (4)Lean Memes (6)Lean Mindset (8)Lean Nation (1)Lean Office (3)Lean Pathways (2)Lean Principles (1)lean production (1)Lean Sigma (19)Lean Six Sigma (11)Lean Solutions (15)Lean Startup (90)lean startup principles (1)Lean Startup Week (10)Lean thinking (2)Lean Thoughts (2)Lean toolbox (1)Lean transformation (2)Lean UX (1)Lean Whiskey (61)LeanBuzz Poll (1)LeanPub (10)LeanStartupWeek (1)Leantoon (1)Leape (7)Learning (2)LEI (103)Length of Stay (1)Lessons Learned (1)Levy (1)Library (1)Lifehacker (1)Like Lean (29)Liker (52)Linked (1)LinkedIn (29)Lippold (1)Listening (1)Livonia (9)Locher (1)Logistics (1)Lopez (18)Lucid (1)Management (9)Management by Emoji (1)Management System (1)Manufacturing (215)Manufacturing Business (1)Marketing (2)Markovitz (41)Mary Greeley (6)Materials (2)Matt_May (18)Maurer (3)MBA (1)McDuffee (13)McMahon (1)Measures of Success (75)Medical Mistakes (5)Medicare (1)Medium (11)Meier (26)Meijer (1)Memoriam (8)Menlo Innovations (1)Mental Healthcare (1)Mentoring (1)MEP (7)Merck (2)Metrics (57)Mexico (7)Meyer (2)Michigan (16)Micklewright (10)Microsoft (1)Military (46)Mindset (1)Mistake (4)Mistake-Proofing (185)Mistakes (147)MIT (13)MIxtape (183)Model Cell (1)Model Line (1)Moneyball (1)Montreal (1)Moral Injury (1)Morale (3)Motion (4)Motivation (1)Motivational Interviewing (28)Motorola (1)Move (25)Movies (1)Moving (2)MRI (1)MRP (1)Muda (3)Multitasking (1)Mura (1)Muri (3)Music (6)MVP (1)My Favorite Mistake (35)NASA (1)negative bias (1)Nervous System (1)Netflix (1)Netherlands (13)New Zealand (12)NGO (1)NHS (6)NICU (2)Nissan (8)Noble (2)Non-Profit (2)Nonprofit (1)Norval (2)NPR (13)NUMMI (75)NUMMI Tour (6)Nursing (97)NYT (2)NYTimes (85)O.R. (1)Office (8)Ohba (1)Ohio (1)Oil (1)OKRs (2)ONeill (57)Ontario (2)Operating Room (32)operations management (1)Operations Science (1)Organization Building (1)Organizational Behavior (2)organizational development (1)Oscars (6)Outpatient (1)Overburden (3)Overprocessing (14)Overproduction (20)Packaging (2)Par (1)Park Nicollet (14)Parodies (2)Parody (14)Parry (1)Pascal Dennis (16)Patient (5)patient care (1)Patient Experience (4)Patient Flow (79)Patient Focus (4)Patient Safety (390)Patient Satisfaction (10)Patients First Culture (1)Patrick_Anderson (5)Paul Akers (6)PBC Case Studies (38)PBC-Compare (4)PDCA (23)PDSA (71)People Development (1)Perfection (1)performance driver (1)Performance Measures (5)Performance Review (1)Performance Reviews (6)Pharmacy (41)Phlebotomy (1)Phoenix (1)Physician (17)Physicians (1)pink (1)Pittsburgh (2)Pivot (1)Pizza (4)Pod (1)Podcast (536)Podcast - Bodek (15)Podcast - CEO (45)Podcast - Deming (17)Podcast - Docs (45)Podcast - Healthcare (149)Podcast - Kaizen (12)Podcast - Lean Startup (14)Podcast - LEI (15)Podcast - Toyota (23)Podcast - Womack (6)Podcast 20 Years (5)Poka Yoke (5)Politics (2)Poll (2)Porsche (3)Power Of Kata (1)Practice (2)Practicing (1)Practicing Lean (25)Preventative (1)Primary (1)Primary Care (3)Prius (5)Private Equity (1)Problem (1)Problem Solving (174)Problem-Solving Approach (1)Problems (4)Process (4)Process Behavior Charts (116)Process Design (2)Process Improvement (5)Product Development (7)Product Market Fit (1)Productivity (10)Profit = Price - Cost (40)profitability (1)Pronovost (10)Psychological Safety (114)Psychology (2)Publishing (10)Pull (5)Punishment (3)Quaid (11)Quailty (1)Quality (337)Quality Circle (5)Quality Digest (20)Quebec (1)Quick Hits (1)Quotes (1)Radio (8)Radiology (10)Rapid Improvement Event (4)Reader Questions (55)Reading (23)Recruiting (3)Red Bead (16)Red-Green (6)Reflection (2)Remote Work (1)Research (1)Resilience (1)Resistance (7)resp (1)Respect (6)Respect for Business (1)Respect for People (281)Restaurant (56)Results (1)Retail (34)Retaurant (1)Review (3)Rewards (1)Rhode Island (1)Richardson (1)Rivian (1)ROI (3)Root Cause (4)Root Cause Analysis (3)RootCauseRacism (16)Rother (12)Russia (4)Safe Environment (1)Safety (176)Sales (4)San Antonio (1)Saskatchewan (9)Sayer (2)Scholtes (3)Scientific Thinking (1)Scotland (2)Scott & White (2)Searching (4)Seasonality (1)Seattle (25)Seddon (4)Senge (1)Sensei (3)Servant Leadership (2)Service (4)Services (3)Seth Godin (2)Shannon (7)Shewhart (2)Shingo (58)Shingujitsu (5)Shipping (1)Shook (62)SHS (18)Signs (14)Simmer (1)Simpsons (3)Sin (1)Siren Song (14)Six Sigma (103)Small Tests of Change (1)SMED (10)Software (78)Southwest (3)Soviet (2)Space (4)SpaceX (1)Spaghetti Diagrams (1)Spain (1)Spanish (1)SPC (29)Speaking (10)Spear (36)Spearman (1)Sports (179)SQDC (4)Standardization (2)Standardized Work (222)Starbucks (57)Startup (2)Startups (30)Statistics (2)Strategy (19)Strategy Deployment (32)Strong America (2)Struggles (4)Studer (20)Stuff (1)Stupid (2)Suggestion (2)Suggestion Box (29)Suggestions (7)Supervision (1)Supply Chain (55)Surgeon (3)Surgery (6)Sushi (1)sustainability (1)Sustainable Workplace (1)Sutton (1)Swartz (13)Sweden (8)System Dynamics (2)Tacky Advertising (1)Taiichi Ohno (70)Takt (5)Targets (1)Taylor (5)Taylorism (33)Teaching (1)Team (1)Team Building (1)Teamwork (4)Tech Support (3)Technology (10)TechSolve (2)Telecom (1)Tesla (15)Tetreault (1)Texas (5)The Jerk (1)The Mistakes That Make Us (58)The Office (4)The Resident (1)ThedaCare (206)ThedaCare Center (9)Thelen (5)Throwback (59)Tiered Daily Huddles (1)Time (3)TMMTX (3)Toast (6)Tom Peters (12)Toronto (1)Toussaint (127)Toyota (650)Toyota 1992 Booklet (6)Toyota culture (4)Toyota Kata (19)Toyota leadership (1)Toyota management (3)Toyota mentality (2)Toyota Production System (6)Toyota system (1)Toyota Way (2)Toyotas (1)TQM (10)Training (10)Training Within Industry (66)Transformation (3)Transparency (2)Transportation (2)Trash (1)Travel (62)True North (1)Trump (3)Trust (5)TSSC (8)Turgeon (13)Twitter (19)UAW (1)Uber (3)Understanding Variation (4)Unicorn (1)Union (3)Unions (3)United Technologies (1)UPS (8)USA Today (15)User Experience (1)User Interface (1)VA (15)Vaccination (12)Value (29)Value Capture (31)Value Steam (1)Value Stream (9)Value Stream Mapping (39)ValuMetrix (2)Van Dongen (5)Variation (10)Veterinary (7)VetMed (7)VIBCO (21)Video (262)Virginia Mason (114)Virtual (2)Vision (1)Visual Displays (3)Visual Management (52)Voice of the Customer (3)Volkswagen (1)Wachter (5)Wagner (21)Waiting (7)Walgreens (3)Walmart (12)Walters (5)Warning (6)Washington (2)Waste (149)waste elimination (1)Water (2)Webinar (96)Website (1)Weekend (3)Weekend Fun (21)Weight (1)Welch (7)Wellman (4)Wells Fargo (2)Wetzel (1)Wheeler (1)Whiskey (28)Whisky (3)Whole Foods (3)Wine (12)Wiremold (5)Wisconsin (23)Womack (107)women leaders (1)work culture (2)Work Design (1)Workaround (8)Workarounds (1)WorkOut (1)Workplace Culture (2)Workshop (6)Workshops (1)Wrye (3)WSJ (203)Yahoo (1)Yokoten (1)Zappos (1)Zarbo (1)Zero Defects (1)Zero Harm (6)Zoom (2)

A New Kaizen Event Survey for Hospitals

Survey Results on Event-Style Methodologies

Last year, I conducted a survey in advance of my book, Lean Hospitals. I’ve been a bit lax about sharing some of the results that I didn’t include in the book. One question was about the use of “events.” As…

Lean in Hospitals around Detroit

Hospitals try automakers’ practice of building efficiency in effort to trim costs | The Detroit News | detnews.com Here’s a good overview article about some Lean activity going on in hospitals around the Detroit area. I can understand the bias…

Lean in a New Zealand E.R.

Hospital aims for shorter wait times | Otago Daily Times Online Here’s today’s positive blog post. For cynicism and negativity on a different Lean topic from yesterday afternoon, scroll down or click here. Be warned, the article I blogged about…

Birthday Ramblings on Errors and Work Design

Kevin Meyer, over at Evolving Excellence, recently wrote a good piece on “endorsing” a U.S. presidential candidate. Today, I’m technically Constitution-eligible to be President of the United States, as I’m now 35 years young. However, I’m not nominating myself to…

Emergency Docs Flaunt Standardized Work

Moonlighting county docs raise questions :: CHICAGO SUN-TIMES :: The Watchdogs OK, this isn’t strictly a Lean issue, but this caught my eye in the paper near where I’m working. Regarding county doctors who work in the E.R. (think the…

Words that Matter in Healthcare

Healthcare Intelligence Network » Blog Archive » Eight Steps to a Culture of Safety I think words matter. Action matters, also, but the words we use do matter (not that I always choose them well here). Hospitals often use different…

Lean at a Wisconsin Children’s Hospital

Children’s Hospital is going lean – The Business Journal of Milwaukee: Wisconsin is a state that seems to have a disproportionate amount of Lean activity (as does Iowa). There are many good Lean manufacturers and ThedaCare is often held up…

Laying off Lean People

Mass General cuts 200 jobs – Daily Business Update – The Boston Globe Times are tough, financially, for many organizations — hospitals included. About two weeks back, a Lean specialist at Massachusetts General Hospital in Boston posted on the Yahoo…