19 episodes

Safeguarding Healthcare leads you through the intricate corridors of hospitals, taking you behind closed doors on an extraordinary journey. This is the podcast that holds a stethoscope to the beating heart of hospitals to reveal the reasoning behind the clinical governance decision making process.

Join host, Dr David Rankin, a 35-year veteran of medical administration, as he puts some of Australia’s most senior hospital managers in the hot seat to challenge them with major and often complex hypothetical challenges that reflect some of the most contentious issues facing modern medicine. This podcast offers an unfiltered view of the web of patient safety, medical ethics, and healthcare decision-making.

Join us as we explore gripping topics, from the thorny questions surrounding patient consent to the implications of ground-breaking healthcare technologies. Each episode delves into the heart of healthcare, scrutinizing the decisions that impact patient well-being and safety. 

Discover how these passionate professionals navigate medical minefields, striving to ensure the highest standards of care, all while grappling with a broad and ever-evolving healthcare landscape. Whether you're a seasoned healthcare practitioner, a patient seeking insight into the system, or simply curious about the inner workings of hospitals, this podcast offers an enlightening perspective on the complexities of modern medicine.

Safeguarding Healthcare Royal Australasian College of Medical Administrators

    • Health & Fitness

Safeguarding Healthcare leads you through the intricate corridors of hospitals, taking you behind closed doors on an extraordinary journey. This is the podcast that holds a stethoscope to the beating heart of hospitals to reveal the reasoning behind the clinical governance decision making process.

Join host, Dr David Rankin, a 35-year veteran of medical administration, as he puts some of Australia’s most senior hospital managers in the hot seat to challenge them with major and often complex hypothetical challenges that reflect some of the most contentious issues facing modern medicine. This podcast offers an unfiltered view of the web of patient safety, medical ethics, and healthcare decision-making.

Join us as we explore gripping topics, from the thorny questions surrounding patient consent to the implications of ground-breaking healthcare technologies. Each episode delves into the heart of healthcare, scrutinizing the decisions that impact patient well-being and safety. 

Discover how these passionate professionals navigate medical minefields, striving to ensure the highest standards of care, all while grappling with a broad and ever-evolving healthcare landscape. Whether you're a seasoned healthcare practitioner, a patient seeking insight into the system, or simply curious about the inner workings of hospitals, this podcast offers an enlightening perspective on the complexities of modern medicine.

    Compliance Crunch

    Compliance Crunch

    Compliance issues can be fraught. Engaging senior staff can be more like herding cats. In this episode of ‘Safeguarding Healthcare’, Dr David Rankin highlights the challenges faced by medical administrators focusing on the low compliance rates among hospital staff, especially senior medical professionals, with essential training requirements such as hand hygiene, emergency procedures, and cultural awareness. Dr Mainak Majumdar, the Director of Intensive Care Services at Mercy Hospital, provides insights into the root causes and potential solutions for this issue, emphasising the importance of ensuring communication is patient-centric and that medical staff understand their accountability.

    Disclaimer:

    The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.
    See omnystudio.com/listener for privacy information.

    • 25 min
    A shocking sterilisation surprise

    A shocking sterilisation surprise

    What would you do if you found surgical instruments not being sterilised? In this episode of 'Safeguarding Healthcare – the Essentials of Clinical Governance', Dr David Rankin presents such a scenario to Professor Mary O'Reilly, Chief Medical Officer at Austin Health in Melbourne and an infectious disease specialist. Together, they navigate the aftermath of a potential sterilisation oversight involving endoscopy equipment. From assessing patient risk to addressing system failures and ensuring transparent communication with patients, Professor O'Reilly explains the steps that need to be taken. The discussion highlights the importance of proactive measures, open disclosure, and fostering a supportive, blame-free culture within healthcare teams.

    Disclaimer:

    The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.
    See omnystudio.com/listener for privacy information.

    • 28 min
    Clashing clinical cultures

    Clashing clinical cultures

    In this episode of 'Safeguarding Healthcare – the Essentials of Clinical Governance', Dr David Rankin explores the complexities of medical administration with Dr Paul Eleftheriou, Principal at Nous Group and former Chief Medical Officer at Western Health. They discuss a hypothetical scenario where tension between medical and nursing staff has contributed to a patient's avoidable death, emphasising the pivotal role of culture in clinical governance. Dr Eleftheriou highlights the need for structured approaches, diligent diagnosis of problems, and strategic interventions, whether through internal collaboration or external support. By focusing on motives, implementing clear expectations, and leveraging resources, they conclude that it is possible for medical administrators to navigate and transform challenging organisational cultures to safeguard patient care effectively.

    Disclaimer:

    The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.
    See omnystudio.com/listener for privacy information.

    • 24 min
    AI deceptions in healthcare

    AI deceptions in healthcare

    How will artificial intelligence influence healthcare in the near future; what is the potential and what are the pitfalls? In this episode of ‘Safeguarding Healthcare - the Essentials of Clinical Governance’, host Dr David Rankin challenges senior healthcare administrator and healthcare futurist Professor Erwin Loh with a striking scenario. Together they delve into what to do when AI makes a mistake, explores biases, grapple with legal implications, and unravel the potential of AI to revolutionise medical decision-making. And they navigate the ethical and practical concerns that are raised. Listen to gain insights into the evolving landscape of AI in healthcare, and what the near future may hold.

    Disclaimer:

    The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.
    See omnystudio.com/listener for privacy information.

    • 26 min
    Policeman or coach?

    Policeman or coach?

    What would you do if a senior psychiatrist was slacking off, and staff had gone behind management’s back to report the matter? In this episode of Safeguarding Healthcare, Dr David Rankin presents Dr Leigh Haysom, the Clinical Director of Adolescent Health and Director of Medical Services for NSW’s Justice Health and Forensic Mental Health Network, with this difficult scenario. Dr Haysom offers insights into the complexities of managing poor performance and navigating potential legal ramifications. From addressing communication breakdowns to restoring trust among staff and executives, this episode explores essential elements of clinical governance.

    Disclaimer:

    The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.
    See omnystudio.com/listener for privacy information.

    • 23 min
    Improving Quality Improvement

    Improving Quality Improvement

    In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, host Dr David Rankin interviews Professor Andrew Johnson from James Cook University, a veteran medical administrator now working as a consultant. They dissect the importance of measuring improvement effectively and addressing risk tolerance within the hospital system. Prof. Johnson suggests a shift in focus towards understanding and managing complexity in healthcare systems. The conversation offers practical strategies for enhancing compliance, monitoring care processes, and building resilience to tackle unexpected events.

    Disclaimer:

    The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.
    See omnystudio.com/listener for privacy information.

    • 35 min

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