A family is conflicted over how to care for a critical and deteriorating elderly patient who has prepared an Advanced Care Directive. What should you do? In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, Dr David Rankin and Prof George Braitberg AM crunch the complexities of medical administration in this situation. Faced with this challenging scenario, they explore the ethical and practical considerations of end-of-life care. Prof Braitberg discusses the nuances of Advanced Care Directives, the importance of transparent communication, and how to navigate family disharmony while adhering to the patient's wishes.


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.

A family is conflicted over how to care for a critical and deteriorating elderly patient who has prepared an Advanced Care Directive. What should you do? In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, Dr David Rankin and Prof George Braitberg AM crunch the complexities of medical administration in this situation. Faced with this challenging scenario, they explore the ethical and practical considerations of end-of-life care. Prof Braitberg discusses the nuances of Advanced Care Directives, the importance of transparent communication, and how to navigate family disharmony while adhering to the patient's wishes.
 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.

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 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

A difficult decision for a conflicted family

An accident takes place in the Emergency Department and a surgeon contracts Hepatitis B as a result. With so very many possible implications, what is the best course of action? In this episode of ‘Safeguarding Healthcare’ host Dr David Rankin discusses this difficult scenario with one of Australia’s preeminent health administrators, NSWExecutive Director of Health Protection Dr Paul Douglas. Together they tackle the complex ethical and procedural challenges. They discuss the importance of compliance with national guidelines, the ethical dilemmas surrounding patient safety, and the critical need for maintaining confidentiality while ensuring the safety of the community.


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.

An accident takes place in the Emergency Department and a surgeon contracts Hepatitis B as a result. With so very many possible implications, what is the best course of action? In this episode of&nbsp;&lsquo;Safeguarding Healthcare&rsquo; host Dr David Rankin discusses this difficult scenario with one of Australia&rsquo;s preeminent health administrators, NSW Executive Director of Health Protection Dr Paul Douglas. Together they tackle the complex ethical and procedural challenges. They discuss the importance of compliance with national guidelines, the ethical dilemmas surrounding patient safety, and the critical need for maintaining confidentiality while ensuring the safety of the community.
 Disclaimer:
The views, thoughts, and opinions expressed in the following Podcast are the speaker&rsquo;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&rsquo;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.

The Infected Doctor

Doctors can be their own worst enemies. Their long hours, deep commitment, personal involvement in their work and, sometimes, a tendency to martyrdom, can give rise to serious mental and other health issues. In this episode of ‘Safeguarding Healthcare’, host Dr David Rankin presents a challenging scenario to Associate Professor Beth Kotze, the Director of Children and Adolescent Mental Health Services for the Sydney Local Health District. Together they discuss the critical issue of burnout among medical professionals by considering a senior medical registrar struggling with excessive hours and personal stress. They highlight the signs of burnout and the steps required for individual and organisational intervention to ensure both personal well-being and optimal patient care.


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.

Doctors can be their own worst enemies. Their long hours, deep commitment, personal involvement in their work and, sometimes, a tendency to martyrdom, can give rise to serious mental and other health issues. In this episode of ‘Safeguarding Healthcare’, host Dr David Rankin presents a challenging scenario to Associate Professor Beth Kotze, the Director of Children and Adolescent Mental Health Services for the Sydney Local Health District. Together they discuss the critical issue of burnout among medical professionals by considering a senior medical registrar struggling with excessive hours and personal stress. They highlight the signs of burnout and the steps required for individual and organisational intervention to ensure both personal well-being and optimal patient care.
 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.

Balancing passion and burnout

A patient complains, and a second surgeon raises questions about the outcome of an operation, but there’s nothing in the operation notes indicating that there was a theatre mishap or complication. In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, Dr David Rankin and Associate Professor Alastair Mah delve into the complexities of handling unrecorded incidents and patient complaints in medical administration. They discuss strategies for navigating this challenging scenario, ensuring patient safety, and maintaining professional integrity. They provide insights and practical solutions and outline how to implement effective quality improvement initiatives in healthcare settings.


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.

A patient complains, and a second surgeon raises questions about the outcome of an operation, but there’s nothing in the operation notes indicating that there was a theatre mishap or complication. In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, Dr David Rankin and Associate Professor Alastair Mah delve into the complexities of handling unrecorded incidents and patient complaints in medical administration. They discuss strategies for navigating this challenging scenario, ensuring patient safety, and maintaining professional integrity. They provide insights and practical solutions and outline how to implement effective quality improvement initiatives in healthcare settings.
 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.

A difficult decision for a conflicted family

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