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Politik & Verwaltung

PreAccident Investigation Podcast

von Todd Conklin

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  1. PAPod 592 - How a Near-Miss Sparked the Learning Team Movement

    Todd Conklin tells the origin story of "learning teams," sparked by a self-reported near-miss at Los Alamos involving a postdoc and an arcing wrench. Rather than pursuing a punitive investigation, a group of workers gathered to identify wha

  2. PAPod 591 - Workers Are the Solution: A Conversation with Corey Pitzer

    Todd Conklin talks with Corey Pitzer about fatality prevention, Human and Organizational Performance (HOP), and how safety thinking has shifted globally. They explore controversial views—treating workers as problem-solvers, tensions between

  3. PAPod 590 - Gird Your Loins: NASA, Risk, and the Return of Recrudescence

    Todd interviews Professor David Woods about recent NASA mishaps and a growing cultural shift toward "cheaper, faster" decision-making that sacrifices safety. They explore how past safety gains have lost vitality, highlight cascading modern

  4. PAPod 589 - Failing Safely: Todd Conklin on Resilience, Recovery, and Real Work

    In this episode, Todd Conklin joins Amir Shahzad to discuss human and organizational performance, resilience, and how to design systems that allow failures to be caught and recovered before they become disasters. They explore the gap betwee

  5. PAPod 588 - Weak Signals, Big Consequences: The RaDonda Story

    Hosts Todd and Brent discuss an upcoming restorative workshop centered on RaDonda Vought's account of the Emory Hospital event. The episode highlights how normal performance variability can combine into serious failures, the value of storyt

  6. PAPod 587 - Start in the Black: How Sleep Debt Impacts Safety

    Host Todd Conklin interviews fatigue expert Mark Rosekind, PhD about his path from sleep research to roles at NASA, the NTSB, and NHTSA, and how sleep science applies across transportation and safety-critical work. Key takeaways: think of s

  7. PAPod 586 - VUCA, Uncertainty, and the Case for Innovation

    Todd Conklin discusses VUCA (Volatility, Uncertainty, Complexity, Adaptation) and argues that innovation and safety improve when organizations embrace uncertainty and gather more diverse information and perspectives. He mixes personal trave

  8. PAPod 585 - When Safety Stalls: Who Will Reinvent the Field?

    In this clip from the Pre‑Accident Investigation Podcast and Punk Rock Safety, Todd joins Ron, Ben, and David to debate why safety innovation is stalling, where new ideas are coming from, and who’s pushing practice forward. They explore bar

  9. PAPod 584 - How Pediatric Hospitals Cut Fatal Extubations by 60% — 12,500 Lives Saved

    This episode tells the real-life story of how the Society for Patient Safety and a network of children’s hospitals used learning teams, proactive safety huddles, and simulations to reduce unplanned extubations in neonatal ICUs — cutting rat

  10. PAPod 583 - When Normal Variability Breaks: The ReDonda Story

    This episode previews a small workshop in Santa Fe where Todd Conklin, Ann Lyren, and guest ReDonda Vaught will explore a tragic patient safety case. They frame accidents as the unexpected combination of normal performance variability and d

  11. PAPod 582 - Accountability vs. Blame: Who Really Owns Safety?

    Todd Conklin breaks down why accountability is an act of clarity, not blame or discipline, and why leaders and workers share responsibility for operational safety. He highlights the need to set roles before incidents occur, contrasts accoun

  12. PAPod 581- Measuring the Invisible: When 'Nothing Happened' Breaks Safety Metrics

    Todd Conklin explores why its so difficult to measure events that never happen and how traditional safety metrics can mislead organizations. He argues for focusing on metrics that validate safeguards and create desired outcomes rather than

  13. PAPod 580 - Start Right, End Safe: Building Better Encounters in 2026

    Todd Conklin opens 2026 reflecting on why how we begin interactions and jobs matters more than we often realize. He uses stories from travel, aviation, and workplace examples to show that the start of an encounter often predicts its outcome

  14. PAPod 579 - Stepping Back Almost 10 Years...Another Trip Around the Sun: 2016 Safety Recap & 2017 Resolve

    10. New Year’s Eve recap reflecting on a busy 2016 and the journey ahead into 2017. 9. Host shares personal travel highlights and experiments in gratitude and generosity. 8. Announces a 2017 focus on seeking and affirming the fundamental go

  15. PAPod 578 - Choose Gratitude: A Thanksgiving 2021 Reminder

    This special Thanksgiving 2021 episode shares one simple piece of advice: be grateful. It highlights the power of gratitude during hard times and encourages you to pause and appreciate what you have. When the world feels difficult, instead

  16. PAPod 577 - Near Misses: The Unexpected Gift That Keeps Workers Safe

    In this episode Todd Conklin uses the season of gift-giving to explain near-miss reporting: why it matters, how it shows whether controls worked or luck saved the day, and how organizations should respond with gratitude and learning—not pun

  17. PAPod 576 - From Continuous Improvement to Continuous Capacity: 10 Operational Indicators You Need

    This episode shifts the safety conversation from continuous improvement to continuous capacity, introducing a practical dashboard of 10 operational indicators—five system capacities (exposure to unforgiving energy, robustness of safeguards,

  18. 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 Workshop in Vancouver (Jan 28–29, 2026), centered on Redonda’s powerful firsthand story of patient safety, complex systems, restorative justice and resilience — lesso

  19. PAPod 574 - Margin for Safety: Lessons from 50 Years in the Cockpit

    This episode explores human performance and aviation safety, contrasting airline procedures with general aviation risks. Guests discuss building safety margins, the importance of planning vs. acting, and how economic pressures can erode res

  20. PAPod 573 - The Stability Trap: Why Safe Organizations Still Fail

    Jay Allen interviews Todd Conklin about his new book, The Stability Trap, exploring why even safe, stable organizations can fail. They discuss the "drive to zero," complacency, pressures on middle management, wearables and data, and lessons

  21. PAPod 572 - The Stability Trap: Why Safety Success Can Lead to Failure

    Host Todd introduces his new book, The Stability Trap, and shares a sneak peek episode created with an AI-generated interview. The episode explores why organizations that appear safe can still experience accidents and how success itself can

  22. PAPod 571 - Fail Fast, Learn Faster: A Conversation on Human Performance and Recovery

    In this episode Todd Conklin joins Jowanza Joseph to explore modern safety thinking: why human error is normal, how context shapes behavior, and why leadership response and system recoverability matter more than blame. They draw on examples

  23. PAPod 570 - Safety Differently Down Under: Todd Conklin in Auckland

    Todd Conklin joins the Brisbane Safety Differently Book Lab in Auckland for a lively discussion about leadership, accountability, and learning from everyday work. The group explores why safety is the presence of control, how leaders should

  24. 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: investigation details, system design flaws, communication breakdowns, and the tiny timing error that mattered. RaDonda Vaught recounts how normalized overrides, sof

  25. 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 a medication error at Vanderbilt that led to criminal charges. She walks through the events, system issues (including a recent EHR rollout and medication-dispen

  26. PAPod 567 - Open Questions 2025: From Metrics to Monitors — Rethinking Safety

    Episode: an extended open Q&A from the Pre-Accident Investigation Conference in Santa Fe covering big-picture safety topics. Speakers discuss the limits of traditional metrics, the power of real-time monitoring, shifting focus from managing

  27. PAPod 566 - Blame Stops Improvement: How Blame Silences Learning

    Todd Conklin explores how blame shuts down learning and prevents organizational improvement, arguing that blaming individuals creates a chilling effect that blocks thousands of future learning opportunities. He connects blame to misundersta

  28. PAPod 565 - Fear, FOMO & Fixing Safety: A Conversation with Brent Sutton

    Todd Conklin and Brent Sutton discuss the short-term future of safety thinking—covering the rise and fall of lean/TQM, how commodification can slow innovation, and why fear, FOMO and complacency shape which ideas stick. They explore leaders

  29. PAPod 564 - Inside Meow Wolf: A Radical Conversation on Safety & Leadership

    Recorded live at Meow Wolf in Santa Fe, this episode features a wide-ranging conversation between Todd and Andy Baker about learning, safety culture, and leadership influence. They dig into HOP and related safety approaches, debate top-down

  30. PAPood 563 - Human Performance, Not Human Error — Todd Conklin on Reframing Safety

    Tiny Todd Conklin joins the No Way Out podcast to explore Human and Organizational Performance (HOP), high-reliability organizing, and how safety emerges from complex systems rather than individual mistakes. They critique traditional invest

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