Clinical Communiqué Download PDF: Clinical Communiqué March 2015 Edition In this edition Editorial Case #1: Lost in translation Case #2: A catastrophic cascade Case #3: Clinical picture or digital pictures? Expert Commentary: Novices and experts – Bridging the gap List of resources Editorial Welcome to the first edition of the Clinical Communiqué for 2015. The three cases in this edition […]
In this Clinical Communiqué case study, a coronial investigation was required to determine whether there had been systems and communication issues during handover that delayed the identification of the previously diagnosed oesophageal pouch which contributed to the death of an elderly patient under hospital care.
This Clinical Communiqué case study discusses the death of a patient who was at a significantly increased risk of medication harm. Recently discharged from hospital, the patient had been prescribed a new medication and treated with a medication requiring therapeutic monitoring (warfarin), all with the involvement of a number of different healthcare providers. The coroner’s finding highlighted the importance of a framework for safe medication prescribing, and the dispensing, administering and monitoring of medications.
Download PDF: RAC Communique 2014-01 In this edition: Editorial Case #1: Welcome back commentary: Communications Case #2: I am so surprised! List of resources. Case #3: Medication as required. Editorial: Welcome to the first issue of RAC Communiqué for 2014. As we explained in our previous issue we are conducting a comprehensive survey of our […]