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.

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