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Two deaths due to head trauma related to use of a mechanical hoist and a lift chair could happen in any aged care home. The lessons for improving practice go beyond the actual cases as illustrated by the accompanying reflective exercises. Commentaries provide insights into recall bias, quality improvement rounds, cognitive testing and parallels with motorised mobility scooters. Episode Contents
01:08 Editorial
06:00 Case #1 Four tales
13:32 Brainstorming about the case: views from our nursing colleagues (Case #1)
16:05 Commentary #1: A literal approach—recall bias
20:06 Commentary #2: Contemplating care—quality improvement rounds
23:51 Case #2 Falling off the chair
30:06 Brainstorming about the case: views from our nursing colleagues (Case #2)
31:48 Commentary #3: See an aside—cognitive testing
35:09 Commentary #4: Drawing parallels—beyond the case