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.
PAPod 576 - From Continuous Improvement to Continuous Capacity: 10 Operational Indicators You Need
This episode shifts the safety conversation from continuous improvement to conti
PAPod 575 - Vancouver Workshop: A Case Study in Failure, Justice, and Resilience
Todd Conklin talks with Brent Sutton and Jeff Lyth about the upcoming HOP Worksh
PAPod 574 - Margin for Safety: Lessons from 50 Years in the Cockpit
This episode explores human performance and aviation safety, contrasting airline
PAPod 573 - The Stability Trap: Why Safe Organizations Still Fail
Jay Allen interviews Todd Conklin about his new book, The Stability Trap, explor
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