Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, 3rd Edition

Author: Mark Graban
Publisher: CRC Press
Date Published: 2016
Pages: 312
Cover Type: Soft Cover
Expiration Date: 12/31/2020

This program is pre-approved by the Commission for Case Manager Certification (CCMC) to provide continuing education credit to Certified Case Managers (CCMs).

CCRNs: This course is eligible for new synergy model Category C.

This course satisfies the Florida Board of Nursing requirement to earn 2 contact hours in Prevention of Medical Errors each renewal cycle.

If you’d like to learn more about Lean methods, this is a great place to start.

Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. This updated, expanded edition explains how Lean practices can help reduce frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization.

This edition includes new sections on structured Lean problem-solving methods (including Toyota kata), Lean Design, and other topics used by leading edge health systems. Additional examples, case studies, and explanations are also included throughout the book.

Some comments from pilot study nurses from the second edition:

  • "Thank you for...this book. It is a topic I probably would not have chosen to pursue, but (I) actually found it to be quite informative and (it) helped me to see things from a different perspective."
  • "Although the media is putting pressure on healthcare to decrease costs, this is not really applicable for nurses. Nursing does not START this kind of change. However, maybe nursing SHOULD be more involved in making changes. I LOVED the Lean philosophy that everyone is involved! Despite the "heavy" reading this course should be required for hospital and clinic nurses. I read the book cover-to-cover, re-read a LOT of it and did a LOT of highlighting."
  • "I initially approached this study with some skepticism. Every quality improvement plan in the past has been focused on blame. I actually reread the text as I think many applications can easily translate to the critical care area. As long as the management does not fully embrace Lean, it will not occur without a culture of blame." 
  • "I highly recommend this text for nursing as well as management. The principles of Lean must flow from the top down to ensure full participation."


  1. The Need for Lean Hospitals
  2. Overview of Lean for Hospitals and Health Systems
  3. Value and Waste
  4. Observing the Process and Value Streams
  5. Standardized Work as a Foundation of Lean
  6. Lean Methods: Visual Management, 5S, and Kanban
  7. Proactive Root Cause Problem Solving
  8. Preventing Errors and Harm
  9. Improving Flow
  10. Lean Design
  11. Engaging and Leading Employees
  12. Getting Started with Lean
  13. A Vision for a Lean Hospital and Health System

NameDeliveryCourse CodeHoursPrice 
Book and quizShippedLEAN1625.0$72.00
Quiz onlyShippedLEAN16 QZ25.0$29.00
Quiz onlyOnlineLEAN16 QZ25.0$29.00
Book only LEAN160.0$56.00
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Quiz only
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