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This podcast of the Future Leaders Communiqué presents a case based on an inquest into the death of a six-year-old boy from a readily treatable illness due to inadequate documentation, poor communication, and sub-standard care.The content of the podcast is based on our October 2020 print edition with Dr Samantha Walker as guest editor. In this podcast we explore what the quality of clinical documentation and handover reveals about the treating team, and how improving it will reflect better on our professionalism, in addition to helping our patients.Episode Contents02:46 minutes Guest Editorial with Dr Samantha Walker08:45 minutes Editorial with Dr Brendan Morrissey11:50 minutes Case Report Dr Samantha Walker “Write as though a person's life depends on it”34:38 minutes Expert Commentary by Dr Nick Thies “Medical record writing is an art which can enhance knowledge and experience and contribute to efficient and safe patient care”44:39 minutes Expert Commentary by Rocky Ruperto, “The art of describing the case: Communication and clinical record-keeping”54:04 minutes Comments From Our Peers

This podcast of the Clinical Communiqué presents four expert commentaries that offer guidance to health care workers on establishing and maintaining psychological safety during the pandemic. Dr Jesse Zanker writes a compelling piece about self-care and recognising vicarious trauma during COVID-19, and Dr Michelle Ananda-Rajah astutely outlines the importance of framing personal protective equipment and health care worker safety within an occupational health and safety lens. Dr Mya Cubitt and Dr Carmel Crock present their humanising perspective on leading a profession at the frontline, and Dr Neil Cunningham discusses risk and moral injury with insightful tips on creating a safe environment at work. They bring a wealth of knowledge and their own personal accounts of the pandemic to their commentaries.Episode Contents03:21 minutes Editorial09:46 minutes Expert Commentary by Dr Jesse Zanker “Our safety is our patients’ safety”23:54 minutes Expert Commentary by Dr Michelle Ananda-Rajah “Flattening the hierarchy to keep health care workers safe”35:27 minutes Expert Commentary Dr Neil Cunningham “Risk, moral injury, and decision-making in the time of COVID-19”51:06 minutes Expert Commentary Dr Mya Cubitt and Dr Carmel Crock, “Health care leadership in COVID-19; Getting better at getting better, together”

This podcast of the Residential Aged Care Communiqué presents a complex case where a resident was treated with bleach bath. It has multiple dimensions including pain management, an organisations capability in the use of off-script medication and when good intentions lead to harm. Dr Shelly Jeffcott, an expert in human factors psychology explains the importance of building our non-technical skills. Angela Casey reinforces the importance of pain management especially in persons with dementia and an experienced pharmacist in aged care Dr Natali Jokanovic discuss the merits of off-label therapy and medication management.Episode Contents02:49 minutes Editorial04:43 minutes Case Report Dr Chelsea Baird “Two halves do not equal one”22:10 minutes Expert Commentary by Dr Shelly Jeffcott, “Building our non-technical skills”29:59 minutes Expert Commentary by RN Angela Casey “Recognition and reporting of pain and changing health status of residents”36:34 minutes Expert Commentary by Dr Natali Jokanovic “Off-label therapy and medication management”

The focus of this Podcast is how health care professionals can provide better care for individuals of culturally and linguistically diverse (CALD) backgrounds. We present a sobering example of patient harm due to communication failures - the case of Mr AD, a 71 year old man who did not speak English, who died of post-operative complications following discharge from hospital after elective surgery.

In this Podcast we explore two cases where death occurred in secure settings - a correctional facility and a mental health facility. As the details unfolded at inquest, it became apparent that the usual layers of complexity that exist in providing care to patients with multiple physical and mental health co-morbidities in acute hospital settings were magnified.

This podcast draws on the Residential Aged Care Communiqué published in May 2020 and we again examine the COVID-19 pandemic on aged care.We are at risk of becoming complacent and underestimating the true scale of the pandemic. In this podcast we examine outbreaks of COVID-19 in aged care, debate whether it is preferable to transfer residents to an acute hospital. We also explore why more than the usual infection control techniques are needed.

In this podcast Professor Joseph Ibrahim interviews three guests from the United States of America who provide their perspectives on work and life relevant to health and aged care. We touch on topics examining the role of the individual, the group, and broader society, all with a focus on helping us to deliver better care for patients, residents and the general community.As we produced this podcast during the COVID-19 pandemic in the USA, the interviews all touch on this topic. Our first segment is titled ‘New York, New York or Why people trump money’. Our guest is Priyesh Upreti, a senior executive with KPMG who is living and working in New York City. Our second segment is ‘Normalisation of deviance or Why turning a blind eye is dangerous.’ Our guest is Professor John Banja from the Department of Rehabilitation Medicine and Center for Ethics at Emory University in Atlanta. Our third and final segment is titled ‘Pandemics or The textbook comes alive’. Our guest is Dr Nita Madhav, the Chief Executive Officer at Metabiota who has researched and published about pandemics.In this episode:New York, New York or why people trump moneyNormalisation of deviance or why turning a blind eye is dangerousPandemics or the textbook comes alive

This podcast draws on the Residential Aged Care Communiqué edition published in February 2018 examining the most common cause of resident deaths from injury, that is, falls.The two cases in this edition highlight the need for robust post-falls management practice, greater awareness of circumstances that lead to falls, and the importance of good communication and documentation. The expert commentaries are from clinicians in practice: a senior occupational therapist, a senior physiotherapist, and a geriatrician.In this episode:EditorialCase #1: First impressionsCase #2: Keeping warm in the sunCommentary #1: An occupational therapist’s viewCommentary #2: A physiotherapist’s perspectiveCommentary #3: Cervical-spine injuries in the elderly

This podcast draws on the COVID 2020 special edition of the Clinical Communiqué (released in March 2020) which examined the COVID-19 pandemic and acute health care. Dr Nicola Cunningham has selected six past editions of the Clinical Communiqué that address key themes for improving patient safety. We recall the expert commentaries for each of those themes and reflect on a few practical considerations that are specific to managing COVID-19 patients. We need to utilise lessons already learned to be proactive in our environment, nimble in our response, and adapt quickly in our clinical encounters to keep our patients and ourselves safe.In this episode:EditorialClinical Decision-MakingWorking in TeamsTransferring Critically Unwell PatientsCommunication in the WorkplaceFixation ErrorsLearning from Influenza EpidemicsThe Polygon of Patient Safety

This podcast draws on the COVID 2020 special edition of the Future Leaders Communiqué (released in April 2020) which examined the COVID-19 pandemic and the role of recent graduate health professionals. Dr Brendan Morrissey identifies and reflects upon the wealth of knowledge our experts have shared with us over the years and focusses on those most prescient to the challenges to come. We wish to champion foundations of good practice; such as effective communication, collaborative care, the use of protocols in healthcare organisations, and systems of support for junior health professionals.In this episode:EditorialCommunicationCollaborative CareProtocols in Healthcare OrganisationsSystems of Support for Junior DoctorsComments from Our Peers

This podcast draws on the special edition of the Residential Aged Care Communiqué published in April 2020 examining the COVID-19 pandemic on aged care. COVID-19 has changed the world as we know it and the challenges ahead for nursing homes is profound. We have all seen the distressing pictures from Spain where nursing homes were abandoned, and the military had to move in to provide the support. The devastation and deaths of older people living in nursing homes was evident throughout the world in high income countries with robust health systems such as France, Italy, Spain, United Kingdom, Canada and United States of America.As a sector we are amazingly robust in our capacity to care, problem solve and work together. We need those qualities now more than ever. In this podcast we present a sobering case report from the United States of America, the aspects of aged care that are not so obvious to consider in the COVID-19 pandemic, and four potential scenarios that for many across the world have become a reality to consider in planning a response for nursing homes.In this episode:EditorialCase ReportAspects of COVID-19 that are not so obviousMeeting the challenges ahead requires speculation