The Communiqués
@TheCommuniques
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The Communiqués are narrative case reports and expert reviews of lessons learned from the Coroners’ investigations into preventable deaths.
Melbourne, Australia
Joined September 2019
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"Access block is a patient safety
issue that is occurring every day, in every ED across the country. […] It is a clear and present danger to our patients.”
The latest Clinical Communiqué with expert commentary from
@JudkinsSimon
@acemonline
@caityjane5
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In partnership with First Nations Peoples from clinical, education, design, & advocacy backgrounds, the latest Clinical Communiqué presents two cases where lack of cultural safety in the health care systems led to preventable and tragic consequences:
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Clinical Communiqué Sept 2020 edition out now - a special edition focussing on the vital issue of
#healthcareworker
safety during the
#COVID19
pandemic, with expert commentaries from Dr Jesse Zanker
@rajah_mich
@MyaCubitt
and
@drncunningham
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This edition reviews an inquest into the suicide of a young woman who had presented to her GP and the Emergency Dept to seek help. We reflect on communication, risk assessment, and a flawed and fragmented health system.
#NowhereElseToGo
@acemonline
@johnubonn
@JudkinsSimon
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The latest Clinical Communiqué is out now! We focus on clinical handovers from hospital to primary care settings, with an expert commentary from
@drkatmclean
@KangarooBeach
@M_C_Rice
and
@drnicktellis
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Our latest edition of the Future Leaders Communiqué tackles our flawed mental health system - what lessons can be learned from the coroner’s inquest into a death by suicide?
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The September ’22 Clinical Communiqué is out now - in this edition we review the limits of decision-making tools in situations of alert fatigue and failure-to-escalate.
Link to the edition here, or subscribe for free!
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A huge milestone for us at the Communiqués with the 20th anniversary edition of the Clinical Communiqué!
This special extended edition is filled with insights from a pantheon of international leaders in patient safety.
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Congratulations to
@ProfJoeonline
& the
#COVID19
Aged Care Podcast for
@AusPodAwards
Best Lockdown Podcast 2020 nomination alongside
@NormanSwan
@amantha
@kinderlingradio
&
@TNSCpod
👏🏻👏🏻👏🏻
@ProfJoeonline
RAC Communiqué podcasts:
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The latest edition of the Clinical Communiqué focuses on lessons learned following a tragic outcome from paediatric appendicitis;
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We are very excited to announce that the Communiqués are now available as podcasts! Listen in to every new episode, interviews and more! Listen and subscribe on iTunes, Spotify & Stitcher
#FOAMed
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The latest Clinical Communiqué is out now! Examining two coroner’s inquiries into cases of preventable death following extubation, this is a must-read for any clinician interested in safe airway management.
#FOAMed
#airway
#extubation
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“Patients and their
families know themselves
better than we do; so if
they say that something
or someone’s behaviour is
untoward, we should take
this seriously.”
Futures Leaders Communiqué: July 2019
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“… the coroner stated that the main reason the
prescribing error was not detected was a ‘persistent
failure of critical thinking’”
The latest edition of Clinical Communiqués is out now - free to download and subscribe!
#FOAMed
#patientsafety
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The latest Future Leaders Communiqué is out now! We reflect on lessons junior doctors can learn from a tragic case of paediatric death due to sepsis, focussing on clinical handover & documentation
#Sepsis
#MedTwitter
#MedStudentTwitter
@avantmutual
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The January 2023 edition of the Future Leaders Communiqué is out now!
In this edition we discuss the challenges of locuming for junior doctors, and the chain of communication in medial imaging reports.
#locum
#medicalimaging
#communication
#patientsafety
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Our latest Future Leaders Communiqué podcast is out now!
In this episode, we discuss what clinicians can do to mitigate the risk of error in assessing and managing patients presenting with mental health issues.
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The latest Future Leaders Communiqué podcast is out now! Focussing on how clinicians can better care for patients from culturally or linguistically diverse backgrounds, you can listen to it here:
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A huge THANK YOU to all of our listeners for putting our Communiqués podcast at No. 4 in the 'Apple Podcasts - Medicine' chart!
Our latest podcast is out now - listen to it here:
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The latest Clinical Communiqué is out now!
We focus on consumer-centered healthcare in an edition that explores two cases where the patient's families spoke of not been listened to by the nurses and doctors caring for their loved ones.
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"How do you support your team to take a step back and think, is there something here we’re missing?”
The latest edition of Future Leaders Communiqué is out now!
#patientsafety
#opioids
@Ahpra
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The latest edition of Clinical Communiqué is out now, focussing on epiglottitis;
"Vigilance and awareness of the situation dynamics is required as it can rapidly escalate into a ‘can’t intubate, can’t oxygenate’ (CICO) crisis."
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"As an intern, I felt like
I was being pulled in a
million different directions.
How was I meant to have
the time to communicate
to every member in the
health care team?”
On communication and teamwork: the latest Future Leaders Communiqué is out now!
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Beyond Blue 1300 22 46 36 or
Doctors for Doctors
(2/2)
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The latest Future Leaders Communiqué is out now!
In this edition, we delve into a coroner’s review of a breakdown in communication between teams during a complex patient’s transition from ICU to ward-based care.
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The latest edition of the Clinical Communiqué is out now!
In this edition we explore some of the challenges clinicians face in assessing older patients following a fall where the extent of injury was not fully appreciated until it was too late.
#AgedCare
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The latest edition of the Future Leaders Communiqué is out now, focusing on how health care professionals can provide better care
for individuals of culturally and linguistically diverse (CALD) backgrounds.
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The latest edition of the Residential Aged Care Commmuniqué is out now, covering lessons learned from an accidental chemical agent poisoning at a RAC facility.
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The latest Clinical Communiqué podcast is out now! In this episode we reflect upon the coroner’s review of two deaths occurring in secure settings - a mental health facility and a correctional facility.
Listen & subscribe on Spotify, Stitcher & iTunes
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(1/2) For anyone affected by this edition or in need of support, help can be found with:
Lifeline Australia telephone counselling: 13 11 14 (24 hours)
Suicide Call Back Service: 1300 659 467 (24 hours) or
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1/3 We have a bumper release of our Communiqué podcasts this week:
Clinical Communiqué Episode 7 is an excellent resource for clinicians on paediatric appendicitis
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Residential Aged Care Communiqué Episode 10 reviews the coroner’s case of an inadvertant poisoning in a RAC facility, and what can be learned from it.
…
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A special edition of our Residential Aged Care Communiqué is out now; examining what could be learned from reviewing
#COVID19
outbreaks in RACS, factors that may contribute to RACS being a high-risk setting for outbreaks and more.
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The first edition of Future Leaders Communiqué for 2020 is now out!
‘Despite reservations
about seeking senior
advice after hours, this
course of action must be
followed if required.’
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The latest edition of the Future Leaders Communiqué is out now!
In this edition, we review the coronial investigation into the death of an elderly Aboriginal man in hospital following a surgical procedure.
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Residential Aged Care Communiqué (August 2020) is out now! This edition, our expert commentaries focus on:
- Building our non-technical skills
- Reporting of pain and changing health status of residents
- Off-label therapy and medication management
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Working as a junior doctor (intern - PGY4) and want to learn & write about patient safety?
@TheCommuniques
are seeking 6 guest editors to be mentored by our senior editor group to publish issues of Future Leaders Communiqué in 2021 & 2022!
Apply via:
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“Although pain is easily dismissed in the setting of normal vital signs, pain refractory to analgesia and opiates should ring new alarm bells.”
Future Leaders Communiqué October Edition:
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Future Leaders Communiqué Episode 7 discusses communication between clinicinans and patients & their families, through the lens of a tragic death of an elderly man following an elective surgical procedure.
…
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