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PreAccident Investigation Podcast
Todd Conklin
600 episodes
3 days ago
The Pre Accident Podcast is an ongoing discussion of Human Performance, Systems Safety, & Safety Culture.
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Government
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All content for PreAccident Investigation Podcast is the property of Todd Conklin and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
The Pre Accident Podcast is an ongoing discussion of Human Performance, Systems Safety, & Safety Culture.
Show more...
Government
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PAPod 569 - PART TWO: 11 Seconds: How a System, Not a Nurse, Failed
PreAccident Investigation Podcast
30 minutes
1 week ago
PAPod 569 - PART TWO: 11 Seconds: How a System, Not a Nurse, Failed
Part two of the RaDonda Vaught story examines what emerged after the event: investigation details, system design flaws, communication breakdowns, and the tiny timing error that mattered. RaDonda Vaught recounts how normalized overrides, software defaults, and organizational assumptions created conditions for failure. The episode explores the chilling effects of criminalizing mistakes, the human cost across patients and providers, and the case for shifting from blame to system-focused learning and improvement.
PreAccident Investigation Podcast
The Pre Accident Podcast is an ongoing discussion of Human Performance, Systems Safety, & Safety Culture.