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  • Writer's pictureThe Communiqués

Residential Aged Care Communiqué Volume 16 Issue 1 February 2021

In this edition

  • Editorial

  • Case #1 The fax of the matter

  • Case #2 An interrupted drug round

  • Expert Commentary: Human Factors and Medication Safety

  • List of Resources

In this edition we present two cases investigated by the coroner’s court because of medication errors a common and dangerous aspect of aged care.

In one case the resident did not receive their regular anticonvulsant medication which lead to seizures and aspiration. In the other case a resident was inadvertently administered medication prescribed for another resident.

Our expert commentary offers an approach on how to apply systems thinking to medication safety explaining why urging staff to ‘be more careful’ is not enough.

Register for course in preventing unwanted sexual behaviour in RACS

Register now for our short course designed to prevent and manage incidents of unwanted sexual behaviour. The is online with School of Nursing, Monash University. The Department of Health and Human Services (Victoria) support allows a reduced registration fee of $440incl GST placed limited. Register here:


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