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 ...
…
continue reading
Nick Schildberger Podcasts
Audiences are increasingly tuning in to podcasts. Is it any wonder? Podcasts are easier to access, the quality is better than ever, and more podcasts are available on a range of topics and interests. The number of consumers who regularly listen to on-demand ‘talk’ audio is in the millions in Australia and steadily growing. Research continues to show that podcasting provides a deeper level of engagement than many other forms of media – podcast audiences are actively listening to their favouri ...
…
continue reading
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…
…
continue reading
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…
…
continue reading
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 D…
…
continue reading

1
Continued Professional Development dilemmas
23:21
23:21
Play later
Play later
Lists
Like
Liked
23:21A 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…
…
continue reading
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 Of…
…
continue reading

1
Politics and the underperforming practitioner
27:31
27:31
Play later
Play later
Lists
Like
Liked
27:31Addressing 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 i…
…
continue reading
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 Vi…
…
continue reading
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,…
…
continue reading
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 Di…
…
continue reading
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 Direc…
…
continue reading
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. …
…
continue reading
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 D…
…
continue reading
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 Dire…
…
continue reading
A patient complains, and a second surgeon raises questions about the outcome of an operation, but there’s nothing in the operation notes indicating that there was a theatre mishap or complication. In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, Dr David Rankin and Associate Professor Alastair Mah delve into the…
…
continue reading

1
A difficult decision for a conflicted family
26:54
26:54
Play later
Play later
Lists
Like
Liked
26:54A family is conflicted over how to care for a critical and deteriorating elderly patient who has prepared an Advanced Care Directive. What should you do? In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, Dr David Rankin and Prof George Braitberg AM crunch the complexities of medical administration in this situati…
…
continue reading
What do you do if your hospital CEO questions the value of clinical quality registries? In this episode of ‘Safeguarding Healthcare’, Dr David Rankin tackles the complexities of clinical quality registries with Professor Susannah Ahern from Monash University. Professor Ahern’s work informs national registry policy and practice, including the develo…
…
continue reading
Surgical staff are highly intelligent but may not intuitively understand numbers and graphs. So what do you do if you find the reports you’ve been producing aren’t actually understood by their intended audience? In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, host Dr David Rankin is joined by medical administra…
…
continue reading
What actions should a medical administrator take if confidential patient notes are sent to the wrong person? In this episode of 'Safeguarding Healthcare - the Essentials of Clinical Governance’, host Dr David Rankin presents this challenging hypothetical to Dr Colin Feekery, a former Acting Director of Medical Services at Alfred Health. The pair un…
…
continue reading
You are troubled by what may be an increased incidence of a normally routine surgical side effect. Where do you even begin to start troubleshooting? In this episode of ‘Safeguarding Healthcare - the Essentials of Clinical Governance’, host Dr David Rankin guides Dr Paul Tridgell through this challenging scenario. Together they explore the complexit…
…
continue reading
What is Clinical Governance and what is the role of the Director of a healthcare organisation in ensuring the care that is provided is safe? In this episode, Dr David Rankin takes an unfortunate scenario that is not uncommon in the modern hospital. He explores the meaning of clinical governance with a range of senior medical administrators and then…
…
continue reading
What would you do if you discovered that one of your gynecologists had lied about their credentials? What are the implications for patients, staff, and the hospital at large? In this episode of ‘Safeguarding Healthcare’, Dr David Rankin discusses this challenging scenario with Dr Simon Fraser, Senior Medical Advisor at Medibank, and a Board member …
…
continue reading
Where do you draw the line when assessing if a surgeon is qualified to undertake specific surgery? How do you determine their scope of clinical practice, and what happens if you have doubts? In this episode of 'Safeguarding Healthcare’, host Dr David Rankin and Dr Leah Barrett-Beck explore a challenging scenario. Learn about the importance of crede…
…
continue reading
A registrar is found asleep with his phone turned off during a serious emergency. In this episode of ‘Safeguarding Healthcare’, host Dr David Rankin poses a scenario involving a senior obstetric registrar who fails to respond to urgent calls during what has been a quiet shift. Dr. Rachel Cheong, the Director of Medical Services at Barwon Health in …
…
continue reading
How do you deal with an anaesthetist who may have been sampling leftover fentanyl? In this episode of “Safeguarding Healthcare - the Essentials of Clinical Governance,” Dr David Rankin explores a complex scenario involving suspected drug misuse, unravelling the intricate threads of patient safety, staff well-being, and organisational culture. Dr Su…
…
continue reading
In this episode of ‘Safeguarding Healthcare’, Dr David Rankin delves into the complexities of medical administration with guest Dr Bahare Moradi, the Acting Director of Medical Services at the Royal North Shore Hospital in northern Sydney. Together, they dissect a common scenario involving a surgical registrar facing a challenging appendectomy. Dr …
…
continue reading
Compliance issues can be fraught. Engaging senior staff can be more like herding cats. In this episode of ‘Safeguarding Healthcare’, Dr David Rankin highlights the challenges faced by medical administrators focusing on the low compliance rates among hospital staff, especially senior medical professionals, with essential training requirements such a…
…
continue reading
What would you do if you found surgical instruments not being sterilised? In this episode of 'Safeguarding Healthcare – the Essentials of Clinical Governance', Dr David Rankin presents such a scenario to Professor Mary O'Reilly, Chief Medical Officer at Austin Health in Melbourne and an infectious disease specialist. Together, they navigate the aft…
…
continue reading
In this episode of 'Safeguarding Healthcare – the Essentials of Clinical Governance', Dr David Rankin explores the complexities of medical administration with Dr Paul Eleftheriou, Principal at Nous Group and former Chief Medical Officer at Western Health. They discuss a hypothetical scenario where tension between medical and nursing staff has contr…
…
continue reading
How will artificial intelligence influence healthcare in the near future; what is the potential and what are the pitfalls? In this episode of ‘Safeguarding Healthcare - the Essentials of Clinical Governance’, host Dr David Rankin challenges senior healthcare administrator and healthcare futurist Professor Erwin Loh with a striking scenario. Togethe…
…
continue reading
What would you do if a senior psychiatrist was slacking off, and staff had gone behind management’s back to report the matter? In this episode of Safeguarding Healthcare, Dr David Rankin presents Dr Leigh Haysom, the Clinical Director of Adolescent Health and Director of Medical Services for NSW’s Justice Health and Forensic Mental Health Network, …
…
continue reading
In this episode of ‘Safeguarding Healthcare – the Essentials of Clinical Governance’, host Dr David Rankin interviews Professor Andrew Johnson from James Cook University, a veteran medical administrator now working as a consultant. They dissect the importance of measuring improvement effectively and addressing risk tolerance within the hospital sys…
…
continue reading
In this episode of "Safeguarding Healthcare – the Essentials of Clinical Governance," Dr. Liz Mullins, the Director of Medical Services for Bega Valley Health Service, discusses engaging surgical staff in quarterly specialist craft group meetings with host Dr David Rankin. They address issues of relevance, consultation and the importance of mutual …
…
continue reading
What does a medical administrator do when a patient who suffers complications from surgery complains that they weren’t warned? In this episode of Safeguarding Healthcare, Dr David Rankin delves into the intricate world of informed consent with Dr Tony Sara, who is a Medical Advisor at South Eastern Sydney Local Health District, President of the Aus…
…
continue reading
What does a medical administrator do when an aging, small town local doctor, in a region with medical staff shortage, starts to get too tired and makes mistakes? In this episode of Safeguarding Healthcare, host Dr David Rankin is in discussion with Associate Professor Kathleen Atkinson. Kath is a very senior clinician and medical administrator with…
…
continue reading
What are the best approaches to being an effective medical department manager — even if you come to the job reluctantly? In this episode of Safeguarding Healthcare, host Dr David Rankin speaks with Dr Simon Collins about the challenges faced by medical department heads, focusing on a hypothetical scenario involving tensions between emergency and an…
…
continue reading

1
Treating Tragedy with Restorative Justice
26:14
26:14
Play later
Play later
Lists
Like
Liked
26:14When an inpatient takes his own life, it sparks myriad issues and concerns for any medical administrator. In this episode, Dr David Rankin and Dr Nick O'Connor explore the challenges of medical administration in this tragic scenario, through the lens of the restorative justice approach. Dr O’Connor is the Clinical Lead of the Mental Health Patient …
…
continue reading
How would a seasoned medical administrator handle a doctor whose eyesight is failing? In this episode of Safeguarding Healthcare Dr David Rankin delves into the complex world of medical administration with the Deputy Chief Medical Officer and Acting Director of Obstetrics & Gynaecology at Western Health, Dr Rupert Sherwood. Dr Sherwood is presented…
…
continue reading

1
An infant lost: navigating ethical quandaries
25:55
25:55
Play later
Play later
Lists
Like
Liked
25:55In this episode of Safeguarding Healthcare, we look at what would happen in a hospital when a newborn dies after a mother and midwife choose to ignore hospital protocols. Host and veteran medical administrator Dr David Rankin presents a senior NSW Health Ministry medical advisor, Dr Paul Douglas, with this hot-button scenario, in a medical landscap…
…
continue reading
In this episode of Safeguarding Healthcare, seasoned medical administrator Professor Gavin Frost and host Dr David Rankin discuss the complex scenario of a young, enthusiastic surgeon who is proposing a novel technique for pediatric diabetes management. They discuss the challenges, considerations, and stakeholder involvement necessary for such a ve…
…
continue reading

1
Contagious insights – managing worsening infection rates
21:16
21:16
Play later
Play later
Lists
Like
Liked
21:16In this episode, another senior medical administrator is confronted with a challenging scenario: how to address high hospital-acquired infection rates. Clinical governance veteran Dr David Rankin speaks with Dr Peter Lowthian, who has worked as a Director of Medical Services and who currently serves on the boards of a large private hospital and the…
…
continue reading
In this episode of Safeguarding Healthcare, we take a deep dive into the world of healthcare audits, their benefits, and pitfalls. Clinical governance veteran Dr David Rankin speaks with Brigadier Dr Darrell Duncan, a highly experienced administrator who is currently responsible for reviewing the standards of care provided to members of the Austral…
…
continue reading
Let veteran medical administrator Dr David Rankin be your guide through another minefield, as he challenges a senior hospital medical administrator with a staffing situation that threatens to impact patient safety. Dr Rankin explores a complex scenario involving an aging senior surgeon with Professor Alan Sandford AM, the Director of Medical Academ…
…
continue reading

1
Navigating the nightmare of wrong site surgery
20:05
20:05
Play later
Play later
Lists
Like
Liked
20:05What should administrators do and what’s best for the patient and the hospital when a terrible mistake takes place? In this episode of "Safeguarding Healthcare”, Dr. David Rankin hosts Dr. Helen Parsons, the District Director Medical Services for the Nepean Blue Mountains Local Health District, as they delve into a nightmare scenario – a wrong-site…
…
continue reading

1
Introducing: Safeguarding Healthcare - the essentials of clinical governance
2:45
2:45
Play later
Play later
Lists
Like
Liked
2:45Step behind hospital doors and explore the intricate world of patient safety with “Safeguarding Healthcare – the Essentials of Clinical Governance”. In each episode, veteran hospital administrator Dr David Rankin puts senior hospital officials in the hot seat, challenging them with difficult hypotheticals. Delve into the most contentious issues in …
…
continue reading

1
S5E24 Summer Series: Why podcasts are an essential marketing tool
28:42
28:42
Play later
Play later
Lists
Like
Liked
28:42SUMMER SERIES: For brands still on the fence about creating a podcast, Fatima Zaidi, CEO of Quill Inc, has the stats to back up their effectiveness. Are branded podcasts effective? Absolutely, if done right, says Fatima Zaidi, CEO of Quill Inc - and she has the stats to back it up. Fatima joins co-hosts Nick Schildberger and Nicole Goodman to discu…
…
continue reading

1
S5E23 Summer Series: Narrative podcasting with a master producer
32:07
32:07
Play later
Play later
Lists
Like
Liked
32:07SUMMER SERIES: We spoke to Ian Walker, one of Australia's leading Podcast Executive Producers, about how the ABC produces its high-end narrative podcasts. And it's an episode packed with lessons for brands. Just a note that, since recording this episode and after 7 years at the ABC, Ian is now Senior Executive Producer, factual and scripted podcast…
…
continue reading

1
S5E22 Summer Series: Correctly clearing copyrighted music for podcasts
24:32
24:32
Play later
Play later
Lists
Like
Liked
24:32SUMMER SERIES: Questions around music licensing for podcasts are so frequent that we sought definitive clarification from a leading expert in the space, and that's Deborah Mannis Gardner, President of DMG Clearances. This is an outstanding reference episode for any time music is on the table. Navigating copyrighted music for podcasts can be a trick…
…
continue reading