Safeguarding Healthcare
Royal Australasian College of Medical Administrators
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About This Podcast
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.
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Recent Episodes
S1E50 The Open Disclosure Conversation
When a young patient deteriorates from back pain to septic shock and then paraplegia, the questions begin. ‘Safeguarding Healthcare’ host Dr David Rankin and Dr Paul Lane, the Medical Director…
S1E49 Lessons from loss
A patient in ED dies of a catastrophic stroke after what seems like delays in clinical treatment. What should a medical administrator do? Dr Liz Mullins, Director of Medical Services, Bega Valley…
S1E48 A bit of a problem in surgery
A surgical tool breaks mid-operation, and a piece of metal is left inside a patient’s knee bone. What would you do? Safeguarding Healthcare host Dr David Rankin presents this complex real-world…
S1E47 Mistakes that burn
A preventable burn, a missed disclosure, and a patient on the brink of legal action — what happens when clinical governance falls short? Our host Dr David Rankin presents a challenging scenario to…
S1E46 Technology and backs
When a hospital’s financial gain potentially clashes with patient wellbeing, who draws the ethical line? Host Dr David Rankin is joined by experienced medical administrator Dr Emily Kirkpatrick to…
S1E45 Rural ructions – integrating GPs in country care
Providing adequate healthcare in rural areas can be challenging enough, but what happens when local GPs have a toxic relationship with their community hospital? ‘Safeguarding Healthcare’ host Dr…
S1E44 Keeping things straight as a board
How do hospital board members champion patient safety and good governance while dealing with complex information offered up by management? ‘Safeguarding Healthcare’ host Dr David Rankin probes this…
S1E43 A bully in theatre
A surgeon’s outburst in the operating theatre leaves a nurse shaken, disrupting patient care and raising serious questions about workplace culture. How should medical leaders respond when bullying…
S1E42 Incidents by the numbers
A serious patient injury flagged by a surgeon exposes a systemic issue with incident classification. What is a medical administrator to do? ‘Safeguarding Healthcare’ host Dr David Rankin dissects…
S1E41 Mental illness and patient safety
A locum emergency doctor submits a timesheet claiming excessive overtime and a conversation leads you to suspect they are suffering from mania. How can you protect patient safety while, at the same…
S1E40 Continued Professional Development dilemmas
A highly regarded but elderly physician isn’t exactly embracing Continued Professional Development (CPD). Should their administrator try to force the issue and teach an old dog some new tricks? The…
S1E39 A case of Intimidation
Is shouting ever okay in the workplace? What about comments on personal appearance? And when a physician who was raised in a different age becomes the subject of complaints, what stance should a…
S1E38 Politics and the underperforming practitioner
Addressing underperforming practitioners is one of the most difficult and complex problems a medical administrator can face. So, what would you do if patient safety was at risk, but there was…
S1E37 Credentialing conundrums
A surgeon with, for many reasons, a questionable reputation comes up in a hospital’s three-yearly credentialling cycle and serious performance issues need to be addressed. What are the best steps for…
S1E36 Missed test results
Test results that reveal the presence of tuberculosis are missed, and the itinerant patient has been mixing in the community for months. What would you do? In this episode, host Dr David Rankin…
S1E35 The ethics of gifts
What does a doctor do when a company sends them an expensive bottle of wine? Should it just be accepted? And what about being flown overseas to attend a conference? In this episode of 'Safeguarding…
S1E34 Passion and a media revolt
Financial pressures lead to the closure of a hospital unit, angering several doctors. Soon, a journalist calls asking about the loss of a community service. What should an administrator do in such a…
S1E33 The hard trek to new IT Systems
The changing nature of technology and digital transformation of healthcare may promise apparent advantages to medical administrators, but they also present some serious pitfalls. In this episode of…
S1E32 The Infected Doctor
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…
S1E31 Balancing passion and burnout
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…
Frequently Asked Questions
Safeguarding Healthcare has published 51 episodes since October 2023, covering topics in Health & Fitness, Medicine.
Safeguarding Healthcare is currently dormant with new episodes every 2 weeks. Average episode length is 24m.
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