Clinical Communiqué Volume 9 Issue 3 September 2022
In this edition we review the limits of decision-making tools in situations of alert fatigue and failure-to-escalate.
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Clinical, Residential Aged Care & Future Leaders
Residential Aged Care Communiqué Volume 17 Issue 3 August 2022
Two deaths due to head trauma related to use of a mechanical hoist and a lift chair.
Future Leaders Communiqué Volume 7 Issue 3 July 2022
This edition focuses on safe transfer of care when dealing with critically ill patients.
Residential Aged Care Communiqué Episode #12: Positional asphyxia
Death of a resident from positional asphyxia. Highlights need for better internal emergency incident responses and deploying staff.
Future Leaders Communiqué Episode #9: Asplenia
This preventable death of a six-year-old child highlights lessons about the management of sepsis in an asplenic patient.
Clinical Communiqué Volume 9 Issue 2 June 2022
Pre-eminent leaders in health, law, and ethics reflect on the evolution of quality and patient safety in Australia and overseas.
The Communiqués
Residential Aged Care Communiqué Volume 19 Issue 4 November 2024
We present two cases highlighting the poorer outcomes that can occur for older persons following trauma.
The Communiqués
Episode 5: Mental Health Emergencies: suicide
Webinar Recording 1:00pm Wed 13 November 2024
The Communiqués
Future Leaders Communiqué Volume 9 Issue 1 October 2024
A culmination of missed opportunities and systemic issues resulted in a poor patient outcome during an interhospital transfer.
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