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Clinical Communiqué Episode #9: 20 Years of Patient Safety Part One

Featuring some of the most remarkable experts from the fields of medicine, law, ethics, and clinical governance.

This podcast explores how difficulties in recognising and communicating abnormal results leads to significant patient harm.

This podcast explores how unquestioning adherence to medical protocols could lead to patient harm.

Two residents die prematurely due to choking on food.

In this edition we review the limits of decision-making tools in situations of alert fatigue and failure-to-escalate.

Two deaths due to head trauma related to use of a mechanical hoist and a lift chair.

Thunderstorm asthma events can trigger severe asthma symptoms in susceptible individuals and potentially rapidly overwhelm health services.

The Communiqués

A resident is administered medication to which he has a known allergy leading to death prompting a review of practice and systems of care.

The Communiqués

This edition examines how the workforce issues impact resident safety and quality of care through three separate cases.

The Communiqués