Residential Aged Care Coronial Communiqué

The August 2010 Residential Aged Care Communiqué is out. Well it has been out for a while.
This is a great resource that highlights selected cases that have been reported to the State Coroner’s Office that may interest the Aged Care Community.

You can subscribe by email at the Victorian Institute of Forensic Medicine with the communiqué becoming available online much later.

The Residential Aged Care Coronial Communiqué highlights selected cases that have been reported to the State Coroner’s Office and are of interest to the Aged Care Community. The aims of the Communiqué are:

• To improve the awareness of clinicians, health workers, carers and those in positions of governance about adverse events resulting from systems failures. Lessons from past cases can then be applied to their own institutions.

• To improve residential aged care workers’ understanding of the coronial system and the work performed by the Clinical Liaison Service.

This issue looks at two cases of residents with dementia. One resident wanders and the other repeatedly places objects in his mouth. One thing in common in these cases is how we become acclimatised to abnormal or dangerous behaviour. Initially we worry about the behaviour but over time we start to think of it as normal. This can lead to us not being as aware and also makes us slower to respond to change.

Download (PDF, 187KB)

Residential Aged Care Communiqué: Practice Change

This is the first edition of the Residential Aged Care Practice Change. Rather than looking at deaths in Aged Care facilities brought to the attention of the coroner it is looking at improvements resulting from changes in practice at individual Aged Care Services.

Just a reminder.

The aims of the Communiqué are:
• To improve the awareness of clinicians, health workers, carers and those in positions of governance about adverse events resulting from systems failures. Lessons from past cases can then be applied to their own institutions.
• To improve residential aged care workers’ understanding of the coronial system and the work performed by the Clinical Liaison Service.

You can subscribe by email at the Victorian Institute of Forensic Medicine with the communiqué becoming available online much later.

Download (PDF, 148KB)

Residential Aged Care Coronial Communique

The June Residential Aged Care Communiqué is out. This is a great resource that highlights selected cases that have been reported to the State Coroner’s Office that may interest the Aged Care Community.

You can subscribe by email at the Victorian Institute of Forensic Medicine with the communiqué becoming available online much later. The download is below as it is not yet available on the website.

This issue looks at deaths arising from two commonly used and we would think benign pieces of equipment. A urinary catheter and a hot water bottle. There are many contributing factors all being the usual suspects. Communication, following policy and protocols and training amongst others.

Download (PDF, 138KB)

Residential Aged Care Coronial Communique

The February Residential Aged Care Communiqué is out. This is a great resource that highlights selected cases that have been reported to the State Coroner’s Office that may interest the Aged Care Community.

You can subscribe by email at the Victorian Institute of Forensic Medicine with the communiqué becoming available online much later. The download is below as it is not yet available on the website.

This issue looks at a couple of patient emergencies that resulted in death.

The two cases presented illustrate dramatic differences in teamwork during an emergency response. However, both cases highlight the need for practical “hands-on” training for staff to ensure protocols and procedures are put into action when the need arises. The second case is an excellent example of how a high functioning team improves their practice after the death of a resident.

Download (PDF, 195KB)

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