PAPOd 560 - When Hospitals Criminalize Error: A Patient Safety Reckoning
Episode 923
PreAccident Investigation Podcast
The Pre Accident Podcast is an ongoing discussion of Human Performance, Systems Safety, & Safety Culture.
Show Notes
This episode of the Pre-Accident Investigation Podcast features patient safety leader Lisa Zegan, host of Tales from the Sharp End, in a candid conversation with Todd about the 2017 Vanderbilt medication error and what it reveals about healthcare systems.
They explore why criminalizing mistakes harms learning, how design and billing pressures shape medication cabinets and workflows, the limits of “zero harm,” and the case for recoverability/rescuability, cross-industry learning, and leadership-driven transparency across hospitals.
Also Listen
-
PAPod 622 - When Safety Programs Go Bad: Enshittification and the Iron Law
Todd Conklin explores how safety programs, despite good intentions, often degrad
-
PAPod 621 - March 2015 - Safety Differently: Sidney Decker on Moving Beyond Blame
Dr. Todd Conklin interviews Dr. Sidney Decker about his work on safety, accounta
-
PAPod 620 - From Risk to Mission: Rethinking Safety at Golden Gate
Host Todd Conklin visits Golden Gate National Recreation Area with safety specia
-
PAPod 619 - Normalization of Excellence: Turning Safety into Strength
In this episode, Todd explores the evolution of safety thinking—from blaming hum