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.
Welcome to the January 2019 edition of the Future Leaders Communiqué. In this edition, we discuss the concept of ‘medical risk.’ An example of the many situations that arise in the healthcare system that create risk, and the challenges in managing that risk, is illustrated by the case summary presented here where a patient suffered an adverse reaction to intravenous contrast that sadly resulted in death.
Welcome to the October 2018 issue of the Future Leaders Communiqué. In this issue, we will be exploring how difficulties in recognising and communicating abnormal results from laboratory and imaging investigations leads to significant patient harm.
It is my pleasure to welcome you to this issue of the Future Leaders Communiqué. We will reflect on two cases where pressured discharge planning sadly preceded tragic outcomes.