
694 – Medication Mistakes, Root Cause Analysis, and the Truth About Healthcare System Flaws – Arnold Mackles
From Legal Nurse Podcast by Pat Iyer MSN RN LNCC
May 12, 2026 · Season 6 · Episode 694
About this episode
The episode discusses medication mistakes and healthcare system flaws with Dr. Arnold Mackles, emphasizing root cause analysis and patient safety.
In this insightful episode of the Legal Nurse Podcast, Pat Iyer welcomes Dr. Arnold Mackles, a seasoned hospital-based neonatologist and distinguished risk manager, to discuss a topic at the heart of healthcare litigation, system errors, and miscommunication. Together, they explore how flaws in hospital systems, rather than individual mistakes, often underlie adverse medical outcomes, medication errors, and malpractice claims. Dr. Mackles details the process of root cause analysis and emphasizes the significance of medication reconciliation, effective communication, and adherence to policies in preventing repeat incidents. Listeners will gain a deeper understanding of how root cause analysis not only reveals what went wrong but also provides actionable solutions to prevent future harm. The conversation delves into the common pitfalls at transition points in care, the dangers of over-relying on computerized systems, and the critical role nurses and other staff play in advocating for patient safety even in the face of interprofessional barriers like bullying and poor communication. This episode is essential for legal nurse consultants, attorneys, and healthcare professionals alike…
People in this episode
Host: Pat Iyer
Guest: Dr. Arnold Mackles
Topics covered
- medication mistakes
- root cause analysis
- healthcare system flaws
- patient safety
- medical errors
- communication in healthcare
Keywords
- medication errors
- root cause analysis
- healthcare litigation
- system errors
- patient safety
- communication
- malpractice claims
Mentioned in this episode
Organizations: Legal Nurse Podcast, hospital, healthcare
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