The Nocturnists
The Nocturnists
Uncertainty in Medicine: Root Causes with Ronald Wyatt, MD
0:00
-21:17

Uncertainty in Medicine: Root Causes with Ronald Wyatt, MD

What does uncertainty in medicine have to do with Chernobyl? Patient safety officer Dr. Ron Wyatt reveals how fear, silence, and bias drive many of healthcare’s most tragic and preventable errors.

The Nocturnists is now on Substack. Subscribe to receive new posts in your inbox.


Black-and-white portrait of a man wearing a suit, tie, and glasses, with a slight smile and neatly trimmed hair and mustache. He is framed in a circular border against a blue and pink textured background, with a blurred leafy plant in the background.
Dr. Ronald Wyatt

Hi friends,

When we think of catastrophic failures like the Chernobyl nuclear disaster, we often imagine technical malfunctions or single-point errors. But patient safety officer Dr. Ron Wyatt sees a deeper, more unsettling parallel between that infamous explosion and the kinds of preventable tragedies that happen in hospitals every day.

Over decades investigating sentinel events—the most serious and avoidable medical errors—Dr. Wyatt has uncovered a common thread: these failures don’t usually stem from a lack of knowledge or skill. They happen in environments where fear overrides curiosity, where hierarchies suppress questions, and where speaking up can feel impossible. And in far too many cases, racism and bias add another layer of silence and harm.

In this week’s episode, Dr. Wyatt shares the stories, data, and lessons he’s learned from his time at The Joint Commission, where he helped set national safety standards for hospitals. From wrong-site surgeries to overlooked diagnoses, he explains what truly drives medical errors—and how we can build systems that are both safer and more just.

Listen Now

With Care,
Emily and The Nocturnists Team

Photo of Dr. Emily Silverman, and a button linking to subscribe to the podcast

Resources for this episode

Quick note: In this episode, Dr. Wyatt mentions his time at The Joint Commission. The correct length of his tenure is 5 years.

Uncertainty in Medicine Resources


Join Emily and Alexa in exploring Uncertainty

Each month, the ABIM Foundation’s Trust Conversations explore both the challenges and opportunities inherent in establishing trust within health care settings. Join us for their next live event "Managing Uncertainty: A Path to Better Patient Care” on Monday, May 5, 2025 from 1:30-2:30PM ET.

Register Today


From Friends of The Nocturnists: A New Podcast About Clinician-Led Innovation on the Front Lines

Unleashed: Redesigning Health Care is a new podcast that fans of the Nocturnists are sure to love. Featured guests are clinician-innovators who have changed care on the front lines. Their stories, their voices, their ingenuity. Learn more at unleashedpodcast.org.

Listen to Unleashed


Join The Satellites Program

The Nocturnists Satellites is an opportunity for clinicians to access support from The Nocturnists in producing their own live storytelling shows. By partnering with people across the country to foster community-based storytelling, we amplify the movement we’ve been building over the last eight years: to support wellbeing through connection and creative expression.

Create your own storytelling event


Featured Episodes


Thank You to Our Sponsors


Want to get in touch?

Recommend a guest, become a sponsor, or give us feedback.

Contact Us


Thanks for reading! Please share this post with your network and tag #uncertaintyinmedicine

Share