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 583 - When Normal Variability Breaks: The ReDonda Story
This episode previews a small workshop in Santa Fe where Todd Conklin, Ann Lyren
PAPod 582 - Accountability vs. Blame: Who Really Owns Safety?
Todd Conklin breaks down why accountability is an act of clarity, not blame or d
PAPod 581- Measuring the Invisible: When 'Nothing Happened' Breaks Safety Metrics
Todd Conklin explores why its so difficult to measure events that never happen a
PAPod 580 - Start Right, End Safe: Building Better Encounters in 2026
Todd Conklin opens 2026 reflecting on why how we begin interactions and jobs mat
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