Welcome to The Communiqués Podcasts.
The objectives of The Communiqués are to develop, produce and distribute electronic educational publications that encourage clinical practice changes for the benefit of patients, residents, health and aged care services and the whole community.
Over half of our subscribers attribute a change in their clinical practice due to The Communiqués. The print versions and these podcasts present cases of premature and preventable deaths that occur in health and aged care settings. We explore 1) What happened? 2) Why did it happen? 3) What action can we take to prevent it from happening again?
The cases are the accounts from completed medico-legal death investigations of the Coroners Courts, and our team of senior medical and nursing practitioners present the coronial information in a manner and format that is familiar to clinicians.
Our three publications are the Clinical Communiqué focussing on acute care, the Future Leaders Communiqué designed for recent health graduates, and the Residential Aged Care Communiqué which examines preventable deaths in aged care or nursing homes.
The print versions and links to our podcasts are available at our website at https://www.thecommuniques.com/, which also features the resources recommended for each edition.
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
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
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
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
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
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
Great idea!!!! Thank you.
Thank you very much for making yourselves into a podcast! I find it much easier to listen as I am on the road than to make the time to read 😂