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PODCAST

PreAccident Investigation Podcast

The Pre Accident Podcast is an ongoing safety podcast conversation of Human Performance, Systems Safety, & Safety Culture.

government & organizations

All Episodes

2:50

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

PreAccident Investigation Podcast ·

2025/12/27

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 of meeting pain with pain, reflect on the people, support, and good things in your life. Gratitude helps you move forward with strength and perspective. Learn something every day, have fun, and be good to each other.

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23:23

PAPod 577 - Near Misses: The Unexpected Gift That...

PreAccident Investigation Podcast ·

2025/12/20

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 punishment.

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27:33

PAPod 576 - From Continuous Improvement to Continuous...

PreAccident Investigation Podcast ·

2025/12/13

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, error tolerance/recoverability, detectability of variance, and recovery capacity) and five human capacities (sensitivity to variation, frontline insight, quality of learning, psychological safety, and supervisor load).Host Todd Conklin explains how these

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27:27

PAPod 575 - Vancouver Workshop: A Case Study in...

PreAccident Investigation Podcast ·

2025/12/06

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 — lessons that translate across industries.Day one features Redonda’s narrative and panel discussion; day two focuses on hands‑on learning and innovation. Please attend, this workshop will be amazingly good for the soul! For tickets and details visit

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38:00

PAPod 574 - Margin for Safety: Lessons from 50 Years...

PreAccident Investigation Podcast ·

2025/11/29

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 resilience.Highlights include treating near-misses as learning opportunities, practical tips for pilots to increase recoverability, and real-world examples from naval operations and long-term flying experience.

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30:55

PAPod 573 - The Stability Trap: Why Safe...

PreAccident Investigation Podcast ·

2025/11/22

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 from aviation and the pandemic.The episode also covers how AI was used to reorganize the book’s ideas and help craft its ending, and offers practical reframes: treat safety as a capacity, see workers as system monitors, and retool systems to match capacity with

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29:08

PAPud 572 - The Stability Trap: Why Safety Success...

PreAccident Investigation Podcast ·

2025/11/15

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 erode safety capacity.The discussion outlines the core ideas: safety as the presence of capacity, the three R's (redefine safety, reframe the worker, relearn investigation), and a five-stage practical blueprint for leaders, safety professionals, frontline

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29:38

PAPod 571 - Fail Fast, Learn Faster: A Conversation...

PreAccident Investigation Podcast ·

2025/11/08

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 from Los Alamos, AWS outages, SpaceX and everyday technology to show how organizations can design systems that tolerate failure and learn from it. Listeners will get practical insights into the five principles of human performance and how to build resilient

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38:33

PAPod 570 - Safety Differently Down Under: Todd...

PreAccident Investigation Podcast ·

2025/11/01

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 respond after incidents, and why learning is the new currency of safety.Todd shares stories about writing his books, engaging with workers, and practical steps leaders can take to build confidence and capacity while fostering a learning culture.

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30:31

PAPod 569 - PART TWO: 11 Seconds: How a System, Not a...

PreAccident Investigation Podcast ·

2025/10/25

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

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44:31

PAPod 568 - PART ONE: Charged for a Mistake: The...

PreAccident Investigation Podcast ·

2025/10/18

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

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51:18

PAPod 567 - Open Questions 2025: From Metrics to...

PreAccident Investigation Podcast ·

2025/10/11

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 risk to maintaining control, validating controls in the field, learning teams, contractor relationships, and prioritizing high-information events. Anecdotes and practical guidance illustrate how organizations can learn without blame.

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22:46

PAPod 566 - Blame Stops Improvement: How Blame...

PreAccident Investigation Podcast ·

2025/10/04

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 misunderstandings about human error, emphasizes psychological safety, and urges leaders to ask "what failed" before asking "who failed," while sharing personal anecdotes and reflections.

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29:12

PAPod 565 - Fear, FOMO & Fixing Safety: A...

PreAccident Investigation Podcast ·

2025/09/27

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' responsibility, weak signals, and the need for small 'safe-to-fail' experiments to keep systems resilient.Set in Santa Fe with lighthearted moments (including breakfast burritos and a cheese debate), the episode blends history, practical insight and a call to

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24:19

PAPod 564 - Inside Meow Wolf: A Radical Conversation...

PreAccident Investigation Podcast ·

2025/09/20

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 versus middle-out change, discuss the importance of language and unlearning, and explore how to turn belief into practical skill and behavior. The episode offers real-world insights on piloting change, engaging leaders and middle managers, and learning from

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46:34

PAPood 563 - Human Performance, Not Human Error —...

PreAccident Investigation Podcast ·

2025/09/13

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 investigations, surveys, and risk matrices, and discuss practical ideas for building capacity, worker agency, psychological safety, and resilient operations.

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25:09

PAPod 562 - When 'I Forgot' Becomes Fatal: Preventing...

PreAccident Investigation Podcast ·

2025/09/06

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.

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29:13

PAPod 561 - High Reliability in Action — Turning...

PreAccident Investigation Podcast ·

2025/08/30

Todd talks with Lauren Mooney about her book High Reliability in Action and how to translate HRO concepts into practical behaviors. They cover the rise of HRO, the 'Speaking In' approach, nine guiding questions, and the animal avatars that represent attitudes like humility, courage, and curiosity.The episode emphasizes leadership’s role, DIY team practices for recognizing risk, responding early, and adapting effectively across industries—from frontline staff to executives.

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01:00:11

PAPOd 560 - When Hospitals Criminalize Error: A...

PreAccident Investigation Podcast ·

2025/08/23

This episode of the Pre-Accident Investigation Podcast features patient safety leader Lisa Zegan, host of Tales from the Sharp End, in a candid conversation with Todd about the 2017 Vanderbilt medication error and what it reveals about healthcare systems.They explore why criminalizing mistakes harms learning, how design and billing pressures shape medication cabinets and workflows, the limits of “zero harm,” and the case for recoverability/rescuability, cross-industry learning, and

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31:16

PAPod 559 - Exploring the Evolution of Safety...

PreAccident Investigation Podcast ·

2025/08/16

Join Todd as he delves into a captivating discussion with Tom Krause, founder of Behavioral Science Technology, on the Pre-Accident Investigation Podcast. This episode unravels the evolution of safety protocols from traditional behavioral-based approaches to modern leadership-driven strategies.Krause shares his journey from pioneering behavioral-based safety techniques to exploring the pivotal role leaders play in mitigating catastrophic events. The conversation highlights the significance of

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737 results

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