Failure to hear the concerns of those that should be at the centre of every health care interaction is a missed opportunity to prevent harm.

We reflect on the challenges faced by junior doctors engaging in locum work and the chain of communication in medical imaging reports.

This edition examines the premature deaths of residents due to suboptimal management of diabetes mellitus

Two residents die from choking on food.

Two deaths due to head trauma related to use of a mechanical hoist and a lift chair.

We present two cases of extubation crises in post-operative patients who had upper airway signs and symptoms from dental pathology.