• Future Leaders Communiqué Volume 4 Issue 2 April 2019

    Future Leaders Communiqué Volume 4 Issue 2 April 2019

    Welcome to the April edition of the Future Leaders Communiqué. As return readers will know, each edition of the Future Leaders Communiqué presents cases of preventable health care-related deaths and explores the systemic issues and errors identified in the ensuing coronial investigations. All junior medical officers (JMOs) working in a hospital setting will relate to these issues – I’m sure we can all recount a ‘near-miss’ situation that has stuck with us and informed our day-to-day work.

  • Is aged care fixable?

    Is aged care fixable?

    Assault, suicide, malnutrition and preventable deaths: we’re about to find out just how bad aged care in Australia has become. So what are the fixes? And can we afford them?

  • Clinical Communiqué Volume 6 Issue 1 March 2019

    Clinical Communiqué Volume 6 Issue 1 March 2019

    Welcome to the first edition of the Clinical Communiqué for 2019. In this edition, we discuss fixation error, the phenomenon whereby a person or group falls into a pattern of thinking that there is only one possible explanation. This can take on several forms, including task fixation on a procedure, or diagnostic fixation to the exclusion of other possibilities, as unfortunately demonstrated in the two cases presented.

  • Residential Aged Care Communiqué Volume 13 Issue 4 November 2018

    Residential Aged Care Communiqué Volume 13 Issue 4 November 2018

    Welcome to the final issue for 2018. We present the findings of the Coroner’s Inquest into a resident death at an aged care facility in Oakden, South Australia, that occurred in 2008. The finding was delivered in September this year, more than 10 years after the death of the resident.

  • Residential Aged Care Communiqué Volume 14 Issue 2 May 2019

    Residential Aged Care Communiqué Volume 14 Issue 2 May 2019

    Welcome to our 50th edition of the RAC Communiqué. It is a golden landmark we are very proud to have achieved. It is a double bumper issue being almost three times the length of our usual production, so there is enough material here for the next six months!

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Clinical Communiqué 

Hospital-based case studies

The Clinical Communiqué is an electronic publication containing narrative case reports about clinical lessons learned from patient deaths that have been investigated by the Coroners’ Court.

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Residential Aged Care Communiqué

Residential aged care-based case studies

The Residential Aged Care Communiqué is an electronic publication containing narrative case reports about lessons learned from Coroners’ investigations into preventable deaths in Residential Aged Care settings.

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Future Leaders Communiqué

Junior practitioner inspired content

The Future Leaders Communiqué is an electronic publication containing narrative case reports about lessons learned from Coroners’ investigations into preventable deaths. These articles are written by healthcare graduates with a fresh take on current matters.