• 00:00 Guest Editorial by Dr Tiffany Tie
• 05:08 Editorial by Dr Brendan Morrissey
• 08:58 Case #1: Lost in translation by Dr Tiffany Tie
• 21:42 Expert Commentary #1: Fluid & electrolyte management by Associate Professor Bruce Lister
• 28:02 Expert Commentary #2: Handover by Associate Professor Bruce Lister
• 30:24 Expert Commentary #3: Escalating care in the deteriorating patient by Dr Resy Van Beek
• 36:17 Comments from our peers

Welcome to Episode Nine of the Clinical Communiqué podcast, titled ’20 Years of Patient Safety.’ This podcast is split into three parts and is based on the June 2022 edition of the Clinical Communiqué.

This three-part podcast episode showcases a unique collection of expert commentaries about patient safety, featuring some of the most remarkable experts from the fields of medicine, law, ethics, and clinical governance. They all have in common a strong commitment to improving patient safety with extensive careers that have seen many challenges and changes take place in this incredibly complex area of work, and they have very generously shared their insights with us.

Episode Contents

Part 3

• 01:38 Expert Commentary by Professor Ian Freckelton: Death investigations and COVID-19

• 10:56 Expert Commentary by Mr Martin Fletcher and Mr Paul Shinkfield: Patient safety and the role of regulators – current and future challenges

• 18:46 Expert Commentary by Professor Michael Dooley: Twenty-year anniversaries: The Clinical Communiqué and Australia’s National Strategy Quality Use of Medicine

• 25:20 Expert Commentary by Professor John Banja: Some random observations from a systems thinker on patient safety

Welcome to Episode Nine of the Clinical Communiqué podcast, titled ’20 Years of Patient Safety.’ This podcast is split into three parts and is based on the June 2022 edition of the Clinical Communiqué.

This three-part podcast episode showcases a unique collection of expert commentaries about patient safety, featuring some of the most remarkable experts from the fields of medicine, law, ethics, and clinical governance. They all have in common a strong commitment to improving patient safety with extensive careers that have seen many challenges and changes take place in this incredibly complex area of work, and they have very generously shared their insights with us.

Episode Contents

Part 2

• 01:42 Expert Commentary by Emeritus Professor Ron Paterson: Learning from inquiries and experience

• 10:23 Expert Commentary by Distinguished Laureate Professor Nicholas Talley and Ms Angela Magarry: What does the COVID-19 pandemic teach us about patient safety?

• 17:19 Expert Commentary by Deputy State Coroner Harriet Grahame: A coroner’s perspective on the pandemic

Welcome to Episode Nine of the Clinical Communiqué podcast, titled ’20 Years of Patient Safety.’ This podcast is split into three parts and is based on the June 2022 edition of the Clinical Communiqué.

This three-part podcast episode showcases a unique collection of expert commentaries about patient safety, featuring some of the most remarkable experts from the fields of medicine, law, ethics, and clinical governance. They all have in common a strong commitment to improving patient safety with extensive careers that have seen many challenges and changes take place in this incredibly complex area of work, and they have very generously shared their insights with us.

Episode Contents

Part 1

• 01:43 An anthology of patient safety expert commentaries by Associate Professor Nicola Cunningham

• 06:50 Editorial by Associate Professor Nicola Cunningham

• 23:06 Expert Commentary by Dr Annie Moulden: Come so far but still so far to go

• 28:15 Expert Commentary by Associate Professor Caroline Brand: Ensuring we don’t fall short on safety – reflections of a health service researcher and clinician

Based on our October 2018 issue of the Future Leaders Communiqué Volume(3) Issue(4) guest edited by Dr Danielle Panaccio. This podcast is hosted by two medical students, Jacqueline Lim (University of Sydney) and Gweneth Ng (Deakin University), it explores how difficulties in recognising and communicating abnormal results from laboratory and imaging investigations leads to significant patient harm.

Read the print edition which explores in detail the coroner’s inquest into missed red flags, resulting in missed opportunities to diagnose and treat a life-threatening condition. The edition also includes reflections of Dr Danielle Panaccio as a junior doctor herself, as well as expert commentaries about how team hierarchy and the gaps in communication between members of a team impact on clinical care.

Time

• 00:00 Introduction Guest Editors Jacqueline Lim and Gweneth Ng

• 01:00 Case report of coronial inquest into the death of a 65-year-old man

• 04:00 Reflections on case with Dr Danielle Panaccio

• 08:00 Impact of COVID pandemic on clinical work

• 10:00 Tips for medical students to practice now

• 12:15 Views of junior doctors on work culture and managing uncertainty

• 14:05 Wrap-up

Credits

Writer, narrator, producer and director: Jacqueline Lim and Gweneth Ng

Guest interviewee: Dr Danielle Panaccio

Editor: Mia Gvozdic

Producer: Dr Erica Musgrove

Executive Producers: Dr Nicola Cunningham, Prof Joseph Ibrahim, Dr Brendan Morrissey

Based on our October 2016 issue of the Future Leaders Communiqué Volume(1) Issue(1) guest edited by Dr Nick Lonergan. This podcast hosted by medical student, Dalyia Abu-Ghazaleh (Griffith University), explores how unquestioning adherence to medical protocols could lead to patient harm.

Read the print edition for the detailed case report of the death of a patient that occurred in part, due to the strict adherence of local protocols and provides three expert commentaries about the benefits and potential dangers of medical protocols.

Time

• 00:00 Introduction Guest Editor Dalyia Abu-Ghazaleh

• 01:12 Case report

• 05:00 What is a medical protocol? Vox pop

• 06:05 Purpose of medical protocols

• 07:15 Origins of protocols: aviation industry

• 08:20 Protocols are not an absolute

• 09:30 Better use and questioning of protocols

• 10:26 Closing

Credits

Writer, narrator, producer, and director: Dalyia Abu-Ghazaleh

Editor: Mia Gvozdic

Producer: Dr Erica Musgrove

Executive Producers: Dr Nicola Cunningham, Prof Joseph Ibrahim, Dr Brendan Morrissey

Death of a resident from positional asphyxia. Highlights need for better internal emergency incident responses and deploying staff.

Editorial Content

• 01:31 Editorial: Professor Joseph Ibrahim

• 05:03 Case #1 Get me out by Dar Ray Ooi

• 16:40 Commentary #1: Advance Care Planning by Barbara Hayes

• 26:20 Commentary #2: Improving outcomes for residents by Anita Westera

• 31:05 Special article examining Selected Recommendations from the Royal Commission

Welcome to Episode Nine of our Podcast Series. A preventable death of a six-year-old child is a tragedy. We highlight some of the lessons to be learned from this case, to inform and evolve your clinical practice in timely recognition, and management of sepsis in children. Two expert commentaries address post-splenectomy infections and an approach to the asplenic patient.

Editorial Content

• 01:15 Editorial by Brendan Morrissey

• 05:09 Case #1 Asplenia—think sepsis by Dr David Brough

• 18:16 Expert Commentary #1: Overwhelming Post-Splenectomy Infection – Tips and Traps for Junior Doctors by Associate Professor Merrole Cole-Sinclair

• 27:39 Expert Commentary: An Approach to the Asplenic Patient by Professor Clare Nourse

• 31:54 Comments from our peers

Welcome to Episode Eight of the Clinical Communiqué podcast, titled ‘Fall injuries in older adults.’

This podcast is based on the March 2022 edition of the Clinical Communiqué.

In this podcast we look at some of the specific challenges clinicians face in assessing older patients following a fall where the extent of injury was not fully appreciated until it was too late.

The expert commentary by Dr Glenn Arendts provides practical measures to deal with the low signal/high noise scenario of a fall in the older patient, with a key focus on the importance of retiring a commonly used phrase to reduce the risk of anchoring bias in the clinical care of these patients.

Episode Contents

• 02:20 Editorial by Dr Nicola Cunningham

• 06:54 Case # 1: Don’t fall for it: Fall injuries in the older person are serious

• 15:09 Case # 2: Tunnel vision strikes again

• 21:04 More on the Matter: From up high or down low

• 25:06 Expert Commentary by Dr Glenn Arendts: The trips and traps of falls

The first issue of Residential Aged Care Communiqué for 2022 focuses on falls and falls management. Every year, over half of all residents will have a fall and some have grave consequences as highlighted by the two cases. Commentaries by two of Australia’s leading international experts explain the practical interventions available to prevent falls.

Editorial Content

• 01:09 Editorial: Professor Joseph Ibrahim

• 03:34 Case #1 Is this preventable?

• 08:03 Case #2 The last fall

• 11:52 Commentary #1: Tips to reduce risk of falls by Professor Jacqueline Close

• 18:52 Commentary #2: Fall prevention: an ongoing need by Professor Keith Hill