Where do you draw the line when assessing if a surgeon is qualified to undertake specific surgery? How do you determine their scope of clinical practice, and what happens if you have doubts? In this episode of 'Safeguarding Healthcare’, host Dr David Rankin and Dr Leah Barrett-Beck explore a challenging scenario. Learn about the importance of credentialing, ongoing training, and ensuring patient safety in complex medical procedures, and gain insights into the evolving landscape of healthcare delivery while maintaining professional standards and fostering innovation.

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.

A registrar is found asleep with his phone turned off during a serious emergency. In this episode of ‘Safeguarding Healthcare’, host Dr David Rankin poses a scenario involving a senior obstetric registrar who fails to respond to urgent calls during what has been a quiet shift. Dr. Rachel Cheong, the Director of Medical Services at Barwon Health in Geelong, responds to the hypothetical, offering insights into the key issues of clinical safety, professional behaviour, and wider organizational implications. The discussion delves into immediate actions, investigations, and support for the staff involved. Dr. Cheong emphasizes the importance of maintaining a speaking-up culture and balancing confidentiality with public safety.

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.

How do you deal with an anaesthetist who may have been sampling leftover fentanyl? In this episode of “Safeguarding Healthcare - the Essentials of Clinical Governance,” Dr David Rankin explores a complex scenario involving suspected drug misuse, unravelling the intricate threads of patient safety, staff well-being, and organisational culture. Dr Sue Nightingale, a seasoned psychiatrist and former Executive Director Clinical Governance, Education and Research at Sunshine Coast Hospital and Health Service, offers insights into the challenges facing medical administrators when confronted with such issues. From ensuring patient safety and conducting thorough investigations to supporting staff and facilitating rehabilitation, this episode navigates the delicate balance between vigilance and compassion in medical administration.

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.

In this episode of ‘Safeguarding Healthcare’, Dr David Rankin delves into the complexities of medical administration with guest Dr Bahare Moradi, the Acting Director of Medical Services at the Royal North Shore Hospital in northern Sydney. Together, they dissect a common scenario involving a surgical registrar facing a challenging appendectomy. Dr Moradi highlights the delicate balance between patient safety and providing learning experiences for trainees, emphasising the need for structured support systems within hospitals. They discuss strategies for ensuring young doctors seek help when needed and navigating the dynamics between junior and senior staff.

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.

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.

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.

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.

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.