PreAccident Investigation Podcast

Latest Episodes:

PAPod 590 - Gird Your Loins: NASA, Risk, and the Return of Recrudescence Mar 21, 2026

Show notes

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 risks (the "messy nine"), and argue for mutual assistance and revitalized resilience practices.

Wood's most recent writing on this is available in the Bulletin of Atomic Scientists called: Cheaper, Faster, and Who Gives a Damn about Anything Else.

The episode connects space, aviation, cloud outages, and AI-driven engineering to show why coordinated foresight and cross-disciplinary cooperation are essential to prevent far-reaching harm in today’s complex systems.

PAPod 589 - Failing Safely: Todd Conklin on Resilience, Recovery, and Real Work Mar 14, 2026

Show notes

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 between work as imagined and work as done, the value of learning from everyday work, and practical steps leaders can take to create safer, more resilient workplaces.

They also cover cultural change, the role of procedures, adaptive behavior, and the potential—and risks—of AI in safety, all delivered with a mix of practical advice and light-hearted rapid-fire questions.

PAPod 588 - Weak Signals, Big Consequences: The RaDonda Story Mar 07, 2026

Show notes

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 storytelling, and the importance of learning and building resilience across complex systems.

The workshop in Santa Fe (March 31–April 1) invites healthcare and high‑risk industry professionals to move from “what” happened to “how” to apply lessons in practice. For more information or to register, contact officetoddconklin@gmail.com.

PAPod 587 - Start in the Black: How Sleep Debt Impacts Safety Feb 28, 2026

Show notes

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 sleep like a bank account (sleep debt), "start in the black" before major schedule changes, the benefits of strategic naps, and systemic ways organizations can reduce fatigue to improve performance, health, and safety.

PAPod 586 - VUCA, Uncertainty, and the Case for Innovation Feb 21, 2026

Show notes

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 travel and Olympics anecdotes, touches on aviation and healthcare examples, and invites listeners to a hands-on workshop to explore these ideas further.

PAPod 585 - When Safety Stalls: Who Will Reinvent the Field? Feb 14, 2026

Show notes

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 barriers like regulatory pressure, the pull of “normal,” and the difference between improving safety and redesigning work.

Using examples from pediatric intensive care and other domains, the conversation highlights pockets of progress, the danger of idea corruption, and the need to embrace experimentation, rethink systems, and find the next generation of thinkers to advance safety practice.

PAPod 584 - How Pediatric Hospitals Cut Fatal Extubations by 60% — 12,500 Lives Saved Feb 07, 2026

Show notes

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 rates by 60% and preventing thousands of deaths.

It covers the data, the frontline-led solutions, the narrowing of racial disparities, and an invitation to a small conference in Santa Fe to learn and share improvement practices.

PAPod 583 - When Normal Variability Breaks: The ReDonda Story Jan 31, 2026

Show notes

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 discuss how to learn from such incidents.

Listeners will hear about the meeting goals (March 31–April 1), opportunities to chart the event, and practical tactics for organizations to identify and respond to accumulating risks, with cross-industry lessons and a focus on improving safety culture.

PAPod 582 - Accountability vs. Blame: Who Really Owns Safety? Jan 24, 2026

Show notes

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 accountability with performance management, and announces a case-study workshop about Redonda’s Vanderbilt story in Santa Fe (March 31–April 1).

PAPod 581- Measuring the Invisible: When 'Nothing Happened' Breaks Safety Metrics Jan 17, 2026

Show notes

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 only counting accidents.

The episode also touches on automation risks, the limits of frequency-based measures, and the need for better leading indicators and verification practices to keep systems safe even when nothing appears to go wrong.

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