PreAccident Investigation Podcast

This episode recounts a medical emergency that occurred during a large conference and explains how a quick critical incident stress debrief helped restore the group and the organization. Todd outlines a simple restoration framework—who's hurt, what they need, and who will help—and walks through a seven-step debrief process that turns trauma into learning, supports people emotionally, and improves...

Host Todd Conklin interviews Red Bull athlete Will Gadd about adventure sports, recent tragic incidents (a parachute crash in Butler, Mo., a Moab base-jump, and a bungee failure), and how the outdoor world approaches risk. The episode explores the difference between being robust and being resilient, the limits of individual skill, and how controls, recoverability, and community learning can reduce...

In this episode Todd Conklin explores the paradox of procedures: they keep work stable but also limit flexibility. He explains how procedures can be both necessary and constraining in high-risk, high-consequence environments. Todd highlights the value of incremental safety—making small, thoughtful changes over time—while building communities of practice to better prepare organizations for an uncer...

Todd Conklin talks with Gilval Menezes about Brazil’s growing movement to adopt the New View of safety: translating resources into Portuguese, building community, publishing a field guide, and running learning teams to shift culture away from blame. They discuss practical work on HOP implementation, the cultural challenges of translation, the urgency driven by workplace fatality rates, and the pus...

Todd chats with Ron Gantt about the future of safety — from AI-driven pre-task tools to the limits of rote checklists — and why listening to frontline workers matters more than ever. They explore leadership’s role in shaping responses to incidents, bridging power gaps with contractors, and designing systems that actually support real work. Through examples from healthcare to construction and candi...

In this part two conversation, Todd Conklin and Bob Edwards explore what the future holds for operational learning and safety. They discuss learning teams, storytelling, the power of curiosity and not-knowing, and how the people closest to the work provide the best solutions. The episode highlights successes from pediatric patient safety, the Navy, and industry examples, and emphasizes cultural sh...

Todd Conklin and Bob Edwards discuss Solutions for Patient Safety (SPS), a grassroots movement of learning teams that used operational learning to dramatically reduce harm in pediatric care. The episode covers emotional stories from the SPS meetings, practical methods like soak time and learning teams, the power of continuous improvement, and the real-world impact of saving thousands of young live...

In this episode, Todd Conklin questions whether risk can ever truly be removed or if it simply moves around. He distinguishes between hazards and risk, discusses how organizations shift risk through contracting and worker practices, and argues that while hazards can be managed, risk remains dynamic and persistent. Todd also highlights the role of controls, barriers, and margin in starting work saf...

Todd Conklin interviews Martha Acosta, a pioneer in human performance and instructional design, about using organizational "pain points" and paradoxes as early indicators of system failures. They discuss why near misses and workplace frustrations are valuable signals and how leaders can turn those tensions into opportunities for learning and improvement. The episode offers practical advice for man...

Todd Conklin reviews Erik Hollnagel’s new book "Incremental Safety Practices" and explains the core idea that safety efforts fall into two approaches: reductive (removing hazards) and inductive (building resilient systems). He urges listeners to view safety as an ongoing capacity managed in everyday work rather than a static goal achieved after eliminating risks. The episode invites organizations...

Host Todd Conklin talks with Daniel Hummerdahl about his new book, An Invitation to Safety Conversation, exploring how everyday safety talks can move beyond scripted checklists to become learning moments that bridge leaders and workers. The episode shares practical stories and techniques for asking better questions, listening more, and scaling conversational practices across organizations to impro...

Coming into this episode, Todd Conklin welcomes Al Thomson to discuss safety in the primary sector, focusing on migrant Pacific workers and a human-centered approach. Al shares how Monarch Platform blends pastoral care, cultural understanding, and contemporary safety (HOP) to support a diverse workforce across New Zealand’s agriculture and horticulture industries. The conversation covers cultural...

Host Todd chats with Mousa Yassin about shifting safety culture from blaming individuals to designing systems that tolerate failure and recover quickly. They cover life-saving rules, the concept of recoverability, lessons from software engineering like chaos testing, and the importance of learning over punishment. The episode emphasizes practical ways to build resilient systems, nurture learning t...

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 what needed to be learned, uncovering broader gaps in postdoc training and safety planning. The episode explains how learning teams prioritize asking better questi...

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 engineering/energy-based approaches and systemic/new-view thinking—and use real examples to show why designing systems that absorb variation matters more than...

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...

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....

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‑r...

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 r...

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.

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...

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...

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...

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).

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 ve...