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Safeguarding Healthcare

Author: Royal Australasian College of Medical Administrators

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Safeguarding Healthcare leads you through the intricate corridors of hospitals, taking you behind closed doors on an extraordinary journey. This is the podcast that holds a stethoscope to the beating heart of hospitals to reveal the reasoning behind the clinical governance decision making process.


Join host, Dr David Rankin, a 35-year veteran of medical administration, as he puts some of Australia’s most senior hospital managers in the hot seat to challenge them with major and often complex hypothetical challenges that reflect some of the most contentious issues facing modern medicine. This podcast offers an unfiltered view of the web of patient safety, medical ethics, and healthcare decision-making.


Join us as we explore gripping topics, from the thorny questions surrounding patient consent to the implications of ground-breaking healthcare technologies. Each episode delves into the heart of healthcare, scrutinizing the decisions that impact patient well-being and safety. 


Discover how these passionate professionals navigate medical minefields, striving to ensure the highest standards of care, all while grappling with a broad and ever-evolving healthcare landscape. Whether you're a seasoned healthcare practitioner, a patient seeking insight into the system, or simply curious about the inner workings of hospitals, this podcast offers an enlightening perspective on the complexities of modern medicine.

51 Episodes
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When a young patient deteriorates from back pain to septic shock and then paraplegia, the questions begin. ‘Safeguarding Healthcare’ host Dr David Rankin and Dr Paul Lane, the Medical Director Safety, Quality and Innovation at The Prince Charles Hospital in Brisbane, dissect this intriguing scenario. Together they discuss delayed diagnosis, open disclosure, and clinical accountability. They explore how to support distraught families, communicate with care teams, and lead through crisis while upholding safety and transparency. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Lessons from loss

Lessons from loss

2025-08-2626:01

A patient in ED dies of a catastrophic stroke after what seems like delays in clinical treatment. What should a medical administrator do? Dr Liz Mullins, Director of Medical Services, Bega Valley Health Service at Southern NSW Local Health District, joins our host, Dr David Rankin, to explore the complexities of medical administration following a patient death. Through the lens of a delayed TIA review, they examine how structured reviews can drive learning and system improvement. The discussion highlights the importance of timely internal investigations, open disclosure, supporting grieving families and staff, and improving communication with clinicians – especially in regional settings. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A surgical tool breaks mid-operation, and a piece of metal is left inside a patient’s knee bone. What would you do? Safeguarding Healthcare host Dr David Rankin presents this complex real-world scenario to seasoned medical administrator Dr Brett Gardiner for his views on how this problem could be solved. Together, they look at the medico-legal, patient safety and organisational implications of such an incident, offering insight into responsibilities, risk mitigation, and the systems that underpin safe surgical practice. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Mistakes that burn

Mistakes that burn

2025-07-2922:35

A preventable burn, a missed disclosure, and a patient on the brink of legal action — what happens when clinical governance falls short? Our host Dr David Rankin presents a challenging scenario to Professor Mary O’Reily, Chief Medical Officer at Austin Health. Together, they unravel the clinical, systemic, and communication failures behind a surgical mishap, and offer insights into how healthcare leaders should respond when mistakes threaten trust and safety. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Technology and backs

Technology and backs

2025-07-1524:41

When a hospital’s financial gain potentially clashes with patient wellbeing, who draws the ethical line? Host Dr David Rankin is joined by experienced medical administrator Dr Emily Kirkpatrick to explore a complex ethical dilemma facing hospital executives: should a private hospital invest in an expensive spinal surgery robot with questionable clinical benefits? Together, they unpack issues of clinical variation, financial incentives, marketing pressures, and the importance of patient-reported outcomes in delivering truly value-based healthcare. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Providing adequate healthcare in rural areas can be challenging enough, but what happens when local GPs have a toxic relationship with their community hospital? ‘Safeguarding Healthcare’ host Dr David Rankin discusses such a scenario with Associate Professor Rex Prahbu, the Executive Medical Director at Swan Hill District Health in rural Victoria. Together they discuss how to repair relationships and maintain patient trust in small communities. They explore potential solutions through integration, rural generalist models, and innovative training pathways. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
How do hospital board members champion patient safety and good governance while dealing with complex information offered up by management? ‘Safeguarding Healthcare’ host Dr David Rankin probes this issue by presenting a difficult and thought-provoking scenario to Dr Peter Lowthian, an experienced medical administrator and board director. Together they discuss the role of the board in addressing worrying clinical trends, effective oversight, and maintaining the delicate balance between governance and management. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A bully in theatre

A bully in theatre

2025-06-0323:06

A surgeon’s outburst in the operating theatre leaves a nurse shaken, disrupting patient care and raising serious questions about workplace culture. How should medical leaders respond when bullying behaviors persist despite previous warnings? In this episode, Professor Matt Sabin, Group Director of Medical Services and Clinical Governance at Cabrini Health, joins Dr David Rankin to explore the challenges of addressing disruptive doctors, setting behavioral standards, and ensuring accountability in high-pressure environments. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A serious patient injury flagged by a surgeon exposes a systemic issue with incident classification. What is a medical administrator to do? ‘Safeguarding Healthcare’ host Dr David Rankin dissects this scenario with Dr Lynette Knowles, the Medical Lead for Patient Safety and Quality at Clinical Excellence Queensland. Together they unravel the issues raised by this a preventable patient injury. They explore the challenges of incident reporting and classification, the critical role of organisational culture, the importance of accurate reporting, and the steps needed to ensure patient safety, staff support, and system improvements. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A locum emergency doctor submits a timesheet claiming excessive overtime and a conversation leads you to suspect they are suffering from mania. How can you protect patient safety while, at the same time, being compassionate and fair? In this episode, host Dr David Rankin presents this difficult scenario to Dr David Fenn, a psychiatrist who is the Deputy Chief Medical Officer at Royal Melbourne Hospital and the Director of Quality and Reform for Royal Melbourne’s Mental Health Services. Together they discuss the critical balance between patient safety, staff well-being, and supporting a struggling doctor. And Dr Fenn offers insights and practical strategies for dealing with this sensitive and high-stakes situation. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A highly regarded but elderly physician isn’t exactly embracing Continued Professional Development (CPD). Should their administrator try to force the issue and teach an old dog some new tricks? The evolving requirements of CPD and the challenges faced by practitioners at the end of their careers is the focus of this discussion between ‘Safeguarding Healthcare’ host Dr David Rankin, and RACMA’s Continuing Professional Development Coordinator, Dr Greg Watters. Together they discuss the importance of CPD, strategies for fostering compliance, and the role of hospitals in supporting professional development, ensuring high quality patient care. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A case of Intimidation

A case of Intimidation

2025-04-0827:12

Is shouting ever okay in the workplace? What about comments on personal appearance? And when a physician who was raised in a different age becomes the subject of complaints, what stance should a medical administrator take? ‘Safeguarding Healthcare’ host Dr David Rankin discusses this difficult scenario with Dr Jillann Farmer, the Chief Executive Officer of A Better Culture, the coalition of health professionals working to eliminate bullying, harassment and discrimination in the healthcare workplace. Together they discuss issues surrounding unprofessional conduct, and explore strategies for addressing impaired judgment, creating safe reporting environments, and enforcing organizational norms to ensure accountability. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Addressing underperforming practitioners is one of the most difficult and complex problems a medical administrator can face. So, what would you do if patient safety was at risk, but there was political pressure involved? In this episode of ‘Safeguarding Healthcare’, host Dr David Rankin discuss this very scenario with Professor Alan Sandford, who is the Director of Medical Academic Development – Regional Medical Pathway, at Central Queensland & Wide Bay Hospital and Health Services. Together they traverse the tensions between medical leadership, patient safety, and administrative pressures. They discuss difficult decisions around credentialing and dealing with an underperforming medic, revealing how medical leaders can navigate these challenges while upholding the principles of clinical governance. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
A surgeon with, for many reasons, a questionable reputation comes up in a hospital’s three-yearly credentialling cycle and serious performance issues need to be addressed. What are the best steps for an administrator to follow? In this episode of “Safeguarding Healthcare,” host Dr David Rankin is joined by the Chief Medical Officer at Safer Care Victoria, Professor Andrew Wilson, to delve into the complexities of medical credentialing and performance management. They explore a hypothetical scenario involving a surgeon whose credentials raise concerns about patient safety and team culture. The discussion highlights the challenges in balancing credentialing with ongoing performance evaluations and the importance of transparent, defendable processes in medical administration. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Missed test results

Missed test results

2025-02-2622:37

Test results that reveal the presence of tuberculosis are missed, and the itinerant patient has been mixing in the community for months. What would you do? In this episode, host Dr David Rankin discusses such a scenario just like this with Dr Margaret Wilsher, a respiratory physician who spent 13 years as the Chief Medical Officer at Te Toka Tumai, or Auckland City Hospital. Together they traverse the complex issue of missed test results in a hospital setting, explore the challenges healthcare professionals face when crucial test results are overlooked, the implications for patient safety, and the system breakdowns that contribute to such incidents. Dr Wilsher offers insights into the importance of a just culture, clinician welfare, and creating resilient systems. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
The ethics of gifts

The ethics of gifts

2025-02-1123:03

What does a doctor do when a company sends them an expensive bottle of wine? Should it just be accepted? And what about being flown overseas to attend a conference? In this episode of 'Safeguarding Healthcare', host Dr David Rankin explores the complex ethics surrounding gifts and conflicts of interest in healthcare with Dr Luis Prado, the Group Director of Medical Services at St John of God Healthcare in Melbourne. From prosthetics to sponsorships, they discuss a scenario that challenges transparency and trust in the medical profession, and how clear declarations and good governance are crucial for maintaining integrity in clinical practice and protecting patient trust. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Financial pressures lead to the closure of a hospital unit, angering several doctors. Soon, a journalist calls asking about the loss of a community service. What should an administrator do in such a confronting situation? In this episode of Safeguarding Healthcare, host Dr David Rankin poses this conundrum to Dr Angela Williams, the Executive Director of Medical Services, Gippsland Southern Health Service in Leongatha, Victoria. Together they explore how to maintain open communication, foster trust, and find solutions that balance patient care with financial realities. And they discuss how to manage this with a group of extremely passionate physicians. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
The changing nature of technology and digital transformation of healthcare may promise apparent advantages to medical administrators, but they also present some serious pitfalls. In this episode of ‘Safeguarding Healthcare’ host Dr David Rankin explores IT system issues with Dr Oliver Daly, a consultant urogynaecologist and clinical informatician. Together they discuss the complexities of implementing an electronic medication management system. They delve into the challenges of change management, the importance of engaging clinicians early in the process, and strategies to ensure the successful adoption of new systems while maintaining patient safety. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
The Infected Doctor

The Infected Doctor

2024-12-1726:26

An accident takes place in the Emergency Department and a surgeon contracts Hepatitis B as a result. With so very many possible implications, what is the best course of action? In this episode of ‘Safeguarding Healthcare’ host Dr David Rankin discusses this difficult scenario with one of Australia’s preeminent health administrators, NSW Executive Director of Health Protection Dr Paul Douglas. Together they tackle the complex ethical and procedural challenges. They discuss the importance of compliance with national guidelines, the ethical dilemmas surrounding patient safety, and the critical need for maintaining confidentiality while ensuring the safety of the community. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
Doctors can be their own worst enemies. Their long hours, deep commitment, personal involvement in their work and, sometimes, a tendency to martyrdom, can give rise to serious mental and other health issues. In this episode of ‘Safeguarding Healthcare’, host Dr David Rankin presents a challenging scenario to Associate Professor Beth Kotze, the Director of Children and Adolescent Mental Health Services for the Sydney Local Health District. Together they discuss the critical issue of burnout among medical professionals by considering a senior medical registrar struggling with excessive hours and personal stress. They highlight the signs of burnout and the steps required for individual and organisational intervention to ensure both personal well-being and optimal patient care. Disclaimer: The views, thoughts, and opinions expressed in the following Podcast are the speaker’s own and do not represent the views, thoughts, and opinions of the Royal Australasian College of Medical Administrators (RACMA). The material and information presented here is for general information purposes only, and should not be considered health, legal or financial advice. The cases discussed in the Podcast may be specific to the speaker’s organisation or location, and may not be applicable to other organisations, states, territories or countries. RACMA does not endorse, approve, recommend, or certify any information, product, process, service, or organisation presented or mentioned in this Podcast, and information from this Podcast should not be referenced in any way to imply such approval or endorsement. RACMA will not be held responsible for any losses, damages, or liabilities that may arise from the use of this Podcast. The Podcast may contain descriptions of health incidents that may be graphic and triggering for some people, so listener discretion is advised.See omnystudio.com/listener for privacy information.
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