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The Communiqués Podcasts
40 minutes | Jul 20, 2021
Clinical Communiqué Episode #5: The perils of carbon monoxide—a silent killer.
Welcome to our fifth podcast episode based on the March 2021 edition of the Clinical Communiqué.In this podcast episode we will hear about deaths due to carbon monoxide poisoning – a gas produced by the incomplete combustion of carbon-based compounds. Carbon monoxide is often referred to as the ‘silent killer’ because it is colourless, odourless, tasteless, non-irritating, and extremely toxic. Carbon monoxide poisoning is an entirely preventable illness, and if identified early enough, is wholly reversible.Episode Contents05:28 minutes Editorial10:20 minutes Case #1: A poisonous adventure16:35 minutes Case #2: The paradox of negative pressure23:08 minutes More on the matter: Outing the problem30:21 minutes Expert Commentary: Carbon monoxide toxicity: a concise and practical overview of the pathophysiology, clinical features, and treatment of patients with carbon monoxide toxicity by Dr. Matthew Spotswood
36 minutes | May 11, 2021
Residential Aged Care Communiqué Episode #7: Medication Safety
Welcome to Episode Seven of this podcast series which features material from our February 2021 edition of the Residential Aged Care Communiqué.This podcast focuses on medication safety in aged care homes. We present two cases where the deaths of aged care facility residents were investigated by the Coroners Court. Dr. Huong Nguyen gives us a case precis of a death involving missed doses of anticonvulsant medication. This is followed by Dr. Supriya Rama Krishnan’s case precis of a death involving inadvertent administration of the wrong medication.The podcast concludes with a commentary on a systems approach to improve medication management by two experts from Safer Care Victoria, Dr. Raphaela Schnittker, a Human Factors Specialist, and Ms. Jen Morris.Episode Contents02:29 minutes Editorial04:48 minutes Case #1: The fax of the matter14:51 minutes Case #2: An interrupted drug round22:58 minutes Expert Commentary: Human Factors and Medication Safety
45 minutes | Apr 6, 2021
Future Leaders Communiqué Episode #4: Prevention of suicide.
This podcast of the Future Leaders Communiqué presents a case based on an inquest into the death of a young woman from suicide who had present on multiple occasion to different health services seeking help. All to no avail.The content of the podcast is based on our January 2021 print edition which was with Dr Daniel Grose as guest editor. In this podcast we have a contribution from the family and expert commentaries describing what clinicians could do to mitigate the risk of error in assessing and managing patients presenting with mental health issues.Episode Contents01:29 minutes Introduction04:34 minutes Guest editorial by Dr Daniel Grose, editorial by Dr Brendan Morrissey and guest commentary by Violet Tregonning10:50 minutes Case Report Dr Daniel Grosse “Who cares?”25:42 minutes Expert Commentary by Associate Professor Jonathan Knott “The system is broken”34:29 minutes Expert Commentary by Dr Evan Symons “Care of the acutely suicidal patient”41:50 minutes Comments From Our Peers
42 minutes | Mar 23, 2021
Clinical Communiqué Episode #4: Discharge from hospital and clinical handover.
This podcast of the Clinical Communiqué features the important issue of clinical handover of patients to primary care. We present two cases where the multiple steps required to safely discharge the patient from hospital to home were inadequate or incomplete, leading to fatal consequences.The content of the podcast is based on our December 2020 print edition of the Clinical Communiqué and includes an expert commentary by an Australian group of clinicians leading the way in improving clinical handover to primary care.Episode Contents03:21 minutes Editorial09:46 minutes Case #1: Don’t ask, don’t tell23:54 minutes Case #2: An incomplete picture35:27 minutes Expert Commentary: Clinical handover to primary care – Why reframing ‘discharge summaries’ as ‘clinical handovers’ matters by Dr Katrina McLean, Dr Michael Rice, Dr Tim Leeuwenburg, and Dr Nick Tellis
41 minutes | Jan 26, 2021
Residential Aged Care Communiqué Episode #6: COVID19 pandemic and its continuing impact in aged care homes.
This first part of this podcast of the Residential Aged Care Communiqué Dr Chelsea Baird describes several case reports of COVID19 in older persons highlighting the atypical presentations and challenges of management.The second part of the podcast provides brief summaries of recent important inquiries into the management of COVID-19 outbreaks in aged care.Episode Contents03:21 minutes Editorial06:49 minutes Case #1 “That’s not COVID-19”11:42 minutes Case #2 “Challenges of isolation and environment”17:26 minutes Case #3 “COVID-19 and mental health”19:02 minutes Report into Newmarch House COVID-19 Outbreak27:28 minutes Amnesty International’s report “As If Expendable”33:20 minutes Royal Commission’s “Aged care and COVID-19: a special report”36:12 minutes Ontario’s “Long-Term Care COVID-19 Commission”38:19 minutes Clinical Screening Tool for COVID-19 in Residential Aged Care Facilities
56 minutes | Jan 5, 2021
Future Leaders Communiqué Podcast Episode #3: Clinical documentation and handover.
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
65 minutes | Dec 15, 2020
Clinical Communique Podcast Episode #3: COVID-19 and Psychological Safety for Healthcare Workers.
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”
44 minutes | Dec 15, 2020
Residential Aged Care Communiqué Episode #5: Bleach baths and the dangers of off-label medication use.
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”
45 minutes | Nov 9, 2020
Future Leaders Communiqué Episode #2: Providing better care for diverse backgrounds.
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.
50 minutes | Oct 19, 2020
Clinical Communiqué Episode #2: Twisting of the points
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.
36 minutes | Jul 1, 2020
Residential Aged Care Communiqué Episode #4: COVID-19 follow-up edition
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.
69 minutes | Jun 3, 2020
Residential Aged Care Communiqué Episode #3: Interviews about living in New York City, the psychology and impact of turning a blind eye (normalisation of deviance) and the nature of pandemics
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
34 minutes | Jun 3, 2020
Residential Aged Care Communiqué Episode #2: Falls prevention and management in aged care
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
25 minutes | Jun 3, 2020
Clinical Communiqué Episode #1: Special Edition COVID-19 and improving patient safety in acute health care
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
25 minutes | Jun 3, 2020
Future Leaders Communiqué Episode #1: Special Edition COVID-19 and the role of junior health care staff
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
22 minutes | Jun 3, 2020
Residential Aged Care Communiqué Episode #1: Special Edition COVID-19 and aged care
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
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