In this episode, nurse RaDonda Vaught tells the detailed, context-rich story of a medication error at Vanderbilt that led to criminal charges. She walks through the events, system issues (including a recent EHR rollout and medication-dispensing delays), distractions, and decision points that contributed to the mistake.
RaDonda describes how workarounds, unclear documentation in radiology, drug supply changes, and interruptions combined to produce a tragic outcome, and she explains the immediate clinical response. The episode sets up a follow-up discussion about what was learned and how systems can be improved.
PAPod 617 - OSHA’s New Playbook: From Enforcement to Partnership
In this episode Todd Conklin talks with David Keeling, Assistant Secretary of La
PAPod 615 - Leaders First: Why Safety Starts at the Top
Todd joins James Newman and Ken Madsen on a special excerpt from the Counter-Err
PAPod 614 - Accountability Labs: Learning to Have Each Other’s Back
Todd Conklin hosts Jen Long on the Pre-Accident Investigation Podcast to introdu
PAPod 613 - Don't Shoot the Dog: A Song for Safer Workplaces
Host Todd talks with safety professional and singer-songwriter Toni Vere about h
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