Steve Montague flew F-14s in the Navy and spent 37 years at American Airlines, the last four as a check airman. Early in his airline career, after a month of flying with a captain who shut him down …
Twenty Years Inside Healthcare Didn’t Protect Her Husband: Tiffany Auvil on Caregiving and System Failure
Tiffany Auvil spent more than twenty years inside the U.S. healthcare system, starting as a volunteer firefighter and eventually serving as System Director of Outpatient Clinics for a three-hospital …
Releasing the Wrong Body Is Not Just “Human Error”: Mistake of the Week
A devastating hospital mistake in Glasgow was described as “human error,” even as leaders acknowledged that “very rigorous processes” were not followed. In this Mistake of the Week, I examine why …
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From Medicare Fraud to Military Leadership: Learning Accountability After a Career-Defining Mistake
A conversation with Dr. Josh McConkey about mistakes, moral courage, and accountability in high-stakes leadership. Listen: Check out all episodes on the My Favorite Mistake main …
How a Lab Error Led to an Unnecessary Surgery—and What Healthcare Teams Can Learn
A single lab error led to an unnecessary surgery—and revealed how easily systems can fail patients when learning stops. Listen: Check out all episodes on the My Favorite Mistake main …
How 531 Living Patients Were Mistakenly Declared Dead—and What This Reveals About System Failures
A single mistake affected 531 patients—not because people didn’t care, but because the system made it easy to fail silently. Listen: Check out all episodes on the My Favorite Mistake main …