Lean Blog by Mark Graban
Lean in Hospitals, Business, and Our World
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Latest posts
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Carlie Irsay-Gordon Goes to the Gemba (Well, the Sideline)
Most NFL owners watch games from a luxury suite. Carlie Irsay-Gordon, the principal owner and CEO of the Indianapolis Colts, watches from the sideline near the bench, with a headset on and a notebook in her hand. She's been doing this for years, going back to when her father,…
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Building an AI Email Filter With ChatGPT: A Kaizen Experiment
Another email arrives about a potential podcast guest. I haven't responded to the first pitch, but the sender wants to make sure it didn't get lost in my inbox. A few days later, there's another reminder. I don't necessarily object to the first pitch. Some publicists introduce…
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The Danaher Business System Page Talks About Speed. Where Did Safety and Quality Go?
Danaher has been one of the most cited Lean success stories in the United States for decades. The story usually starts at Jacobs Manufacturing (Jake Brake) in Connecticut in 1987, with Art Byrne, George Koenigsaecker, and the Shingijutsu consultants who had worked with Taiichi…
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When “I Have a Pulse” Gets Dismissed: A Toddler Found Alive in a Hospital Morgue
On Super Bowl Sunday in February, an 18-month-old boy was pulled from his family's pool in Gilbert, Arizona, and rushed to Mercy Gilbert Medical Center. He was pronounced dead at 6:20 p.m. At 11:52 p.m., staff from the medical examiner's office arrived to transport him. They…
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Ryan McCormack’s Operational Excellence Mixtape: October 23, 2026
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, and videos about how to make the workplace better. Today's Mixtape is about…
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Signals & Levers: Elisabeth Hendrickson and Joel Tosi on Change Theater, Open Loops, and Systems Thinking for Software Teams
Scroll down for how to subscribe, transcript, and more My guests for Episode #550 of the Lean Blog Interviews Podcast are Elisabeth Hendrickson and Joel Tosi, co-authors of the new book Signals & Levers: Systems Thinking Tools to Unblock Software Delivery (IT Revolution, 2026).…
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Why People Stay Silent at Work: My New Psychological Safety Course
Someone in a meeting sees a problem coming. Maybe it's a risk in the plan, an assumption that doesn't hold up, or a direction that doesn't feel right. They don't say anything. The meeting moves on, and the moment passes. Most leaders have seen this happen, and many of us have…
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Creating a Continuous Improvement System in Accounting: Nick Katko on PDCA, Culture, and Psychological Safety
Accounting teams see problems every day. As Nick Katko puts it, they fix them, but they don't necessarily solve them. We talk about what a continuous improvement system looks like inside an accounting department, the three parts of that system, and why culture and psychological…
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Peter Pronovost on Leading with Love: What the Checklist Needed All Along
I recently recorded an upcoming episode of the Lean Blog Interviews podcast with Dr. Peter Pronovost, the Chief Quality and Clinical Transformation Officer at University Hospitals (UH) in Cleveland. Most people know him because of the ICU checklist that cut central line…