Escaping, absconding, unexplained absences lead to death.

The common underlying factor in both cases was ‘timeliness of care’.

A lack of cultural safety is a contributing factor in preventable hospital deaths.

Failure to hear the concerns of those that should be at the centre of every health care interaction is a missed opportunity to prevent harm.

We reflect on the challenges faced by junior doctors engaging in locum work and the chain of communication in medical imaging reports.

This edition examines the premature deaths of residents due to suboptimal management of diabetes mellitus