

Lean Blog Audio
Mark Graban
Lean Blog Audio features Mark Graban reading and expanding on LeanBlog.org posts. Explore real-world lessons on Lean thinking, psychological safety, continuous improvement, and performance metrics like Process Behavior Charts. Learn how leaders in healthcare, manufacturing, and beyond create cultures of learning, reduce fear, and drive better results.
Listen and learn: leanblog.org/audio
Listen and learn: leanblog.org/audio
Episodes
Mentioned books

Apr 11, 2023 • 10min
Reader Question: Why Did I Get Into Lean Healthcare?
Blog post for this episode
Here's another reader question, this one received from The Netherlands, a country I have loved visiting over the past eight years (see my blog posts about the country and Lean healthcare efforts there).
Here is the question, in part:
Your work has been an inspiration here, so I started to research the origin and dissemination of lean in healthcare in the USA. Your first book, can be considered a standard work in this field and won a number of awards. But what I couldn't found in my search, was your motivation to write it. Can you please answer that for me: what triggers made you decide to start practicing lean in healthcare?
In a nutshell, here's the answer...

Apr 5, 2023 • 14min
“The Mistakes That Make Us” — My Manuscript is Done! Some Backstory and What Comes Next
Blog post for the episode
I'm happy to announce that I've finished the manuscript for my upcoming book (a real one, not an April Fool's Joke).
The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation
It's taken about a year from saying, “I'm going to write a book based on the My Favorite Mistake podcast” to completing the book writing.

Mar 31, 2023 • 6min
Measures of Success (Paperback Version) Turns Four Years Old
Blog post including a link to buy the book
Tomorrow is the 4th anniversary of the paperback release of my book Measures of Success: React Less, Lead Better, Improve More.
Long story short, I'm running a limited-time sale to celebrate.
Looking back to the release, I took an odd approach, perhaps, in that the eBook and Kindle version were available first, in August 2018, I think.
I wanted to test my hypothesis about people being willing to buy the book. Once I saw eBook sales start coming in (and getting positive feedback), I made the investment in getting the paperback book created (a professional page design and layout process). By the way, the phrase “self-publishing” is a misnomer. My company is the publisher, but I didn't do it myself!
For my next book, The Mistakes That Make Us, my company will be the publisher again, but the plan is to launch Kindle and paperback versions together at the same time. Probably this summer. But I need to finish the manuscript first! I'm almost there. That's my main focus these days, finishing that up.
Amazon has sold over 5,000 copies to date (a total of both formats). A relatively small number of books have been sold through other channels, including direct sales through me. One advantage of being the publisher is that I can see real-time data from Amazon and IngramSpark. For previous books, I have to ask my former editor to run a report.

Feb 23, 2023 • 9min
Learning from Small Mistakes to Avoid Big Mistakes, Operating Rooms and Patient Harm
Blog post
This article caught my eye today, and it's a change of pace to think about and write about mistakes other than my own (and I made more today — but healthcare mistakes are more important).
Penn Medicine hospital cited over wrong-site surgery
It's a mistake to perform surgery on the wrong leg. Not an “unintended mistake” (which is redundant). All mistakes are unintentional. Intentional harm could be called sabotage or assault....

Dec 1, 2022 • 9min
GE's Larry Culp on Making it Safe for Bad News to Flow to the CEO (or Other Leaders)
Read the post for this episode
Following up on my blog post about GE CEO Larry Culp's AME keynote speech, I wanted to share some of the discussion from his "fireside chat, absent the fire" (as Larry called it) with Katie Anderson (as we discussed in our podcast episode).

Nov 28, 2022 • 15min
Highlights from GE CEO Larry Culp's Remarks at the AME Conference in Dallas
Blog post
It was a real treat to hear Larry Culp, the CEO of General Electric and CEO of GE Aerospace, speak at the AME 2022 annual conference in Dallas. He recently reached the four-year mark of his tenure as GE's first-ever outsider CEO (read the 4-year update that Larry posted on LinkedIn).
Below are some highlights and quotes from his 15-minute remarks, along with some of my commentary and thoughts.

Nov 22, 2022 • 8min
Toyota Was Helped, not Hampered, by TPS During the Pandemic
Blog post
A culture of learning makes the difference, not "low inventory"
Last year, I wrote a post that criticized those, including the Wall St Journal, who claimed that Toyota was "abandoning" the Toyota Production System or that strategically adding some inventory meant they were moving away from "Just in Time" approaches:
Toyota leaders, including my friend Jamie Bonini, were quoted in this new article by HBS professor Willy Shih in HBR:
What Really Makes Toyota's Production System Resilient
Did TPS hurt Toyota during the pandemic?
NO

Nov 10, 2022 • 4min
Does Learning From Mistakes Mean It's OK to Try Any "Dumb Thing" - For Elon Musk or Any of Us?
Blog post - https://leanblog.org/audio321
Elon Musk tweeted this yesterday: "Please note that Twitter will do lots of dumb things in coming months. We will keep what works & change what doesn't."

Nov 10, 2022 • 4min
Psychological Safety as a Pre-Condition for Lean
Blog post: http://www.leanblog.org/audio320
Contact me to talk about psychological safety - measure, learn, improve
“Simply put, we cannot get to zero harm without psychological safety.”
I wrote that as part of this page on the Value Capture website:
Psychological Safety and its Essential Link to Continuous Improvement
I've come to understand that psychological safety is a precondition for “implementing #Lean” or however you might say. Toyota seems to strive for (if not have) a relatively high level of psychological safety.

Jul 3, 2022 • 14min
Isn't It Ironic? Mistakes That Interrupted My Webinar About Mistakes
Episode #319 -- read the blog post that contains video of the webinar
A contractor unplugged my WiFi router.
Or was there more to it than that? Instead of blaming somebody else, what mistakes did I make that led to the Q&A section of my webinar being knocked offline?