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.
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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