• The Communiqués

Clinical Communiqué Volume 1 Issue 1 September 2014

Download PDF:  Clinical Communiqué September 2014 Edition


In this edition

  • Editorial

  • Tell us what you think about NFR

  • Case #1 Measuring pain and sedation

  • Case #2 Knowing what the right hand is doing

  • Case #3 Hard to swallow


Editorial


After a five-year hiatus in publication we are delighted to announce the return of the Clinical Communiqué. This is made possible through VMIA and Monash University who are supporting the return of the Communiqué as an educational resource for medical practitioners and health professionals with a focus on patient safety in acute health care settings.


As expected, over time change occurs.


We have to introduce ourselves once again as five years can be a long time, spanning the transition from student to junior doctor, and registrar to consultant. The graduate nurses are now ANUMs, and the grade one physiotherapists are working at specialist levels. Pharmacists, speech pathologists, and occupational therapists that were once trainees are now supervisors. We are hoping the loyal subscribers from the past will rejoin us as a familiar, but different audience, having gained experience, seniority and perspective. We expect you to have both changed, and been changed by, the safety cultures in which you work. We also look forward to introducing the Clinical Communiqué to a new generation of readers as we endeavour to present cases that identify factors affecting patient safety, and expose preventable errors. Cases that highlight instances of patient care where gaps in clinical systems inadvertently led to adverse patient outcomes. Cases that serve to remind every one of us to look at our own processes and ask ourselves, how do we ensure it will not happen again?


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