This episode examines the growing problem of children accidentally left in hot cars, explains why memory failures can happen to anyone, and argues that punishment is not the solution.
It summarizes practical approaches—accepting the risk, assuming "when, not if," using technology and visual reminders, and responding with understanding rather than judgment—to create system-level changes that improve recoverability and prevent future tragedies.
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: inve
PAPod 568 - PART ONE: Charged for a Mistake: The Nurse, the Error, and a System That Failed
In this episode, nurse RaDonda Vaught tells the detailed, context-rich story of
PAPod 567 - Open Questions 2025: From Metrics to Monitors — Rethinking Safety
Episode: an extended open Q&A from the Pre-Accident Investigation Conference in
PAPod 566 - Blame Stops Improvement: How Blame Silences Learning
Todd Conklin explores how blame shuts down learning and prevents organizational
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