This podcast presents a case from rural Australia where a culmination of missed opportunities and systemic issues resulted in a poor patient outcome during an interhospital transfer.

In this episode, we review a coroner’s investigation into the unexpected death in hospital of a complex major trauma patient.

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

This episode puts the spotlight on inter-disciplinary communication and the handover of care.

This preventable death of a six-year-old child highlights lessons about the management of sepsis in an asplenic patient.

This is the second part of a two-part collection featuring material from our January 2022 print edition of the Future Leaders Communiqué.