LTR 158: Three Questions To Keep Risk Connected to Decisions
From Let's Talk Risk! with Dr. Naveen Agarwal by Casual and informal conversations about practical aspects of medical device risk management.
June 12, 2026 · 28 min
About this episode
The episode discusses reconnecting risk management with real business decisions through a conversation with Vilma Nasteckiene.
Summary “Tools do not remove uncertainty” In this Let’s Talk Risk! conversation , host Naveen Agarwal speaks with Vilma Nasteckiene, PhD , founder of Holistic Business Risk , about a broader and more human view of risk management. Vilma brings experience from banking, fintech, operational excellence, consulting, research, and business transformation. Her work focuses on reconnecting risk management with the real habits, decisions, tensions, and accountability practices that shape how organizations actually operate. This conversation moves beyond medical device risk management in the narrow technical sense. Instead, it explores risk as a business discipline: how companies grow, how complexity creates silos, how risk becomes disconnected from decision-making, and why mature risk management requires more than procedures, reports, and frameworks. Vilma offers three simple questions for a balanced approach to lifecycle risk management: What are we trying to achieve? What do we rely on to achieve it? How could it fail? The discussion connects directly to medtech, where product lifecycle, organizational lifecycle, regulatory expectations, patient safety, and business sustainability…
People in this episode
Host: Naveen Agarwal
Guest: Vilma Nasteckiene
Topics covered
- risk management
- business decisions
- medtech
- lifecycle risk
- organizational accountability
Keywords
- risk management
- business discipline
- medtech
- lifecycle
- decision-making
- accountability
- complexity
Mentioned in this episode
Organizations: Holistic Business Risk
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