Explore the Pomegranate Health Podcast library
Browse all episodes below, starting with the most recent releases.
Latest episodes
Ep34: Diagnostic Error Part 2—Systems
In Episode 32 of Pomegranate Health, we discussed cognitive error in diagnostic reasoning. On this episode, we take a look at systems pressures that increase the likelihood of medical error, crystallised by the recent prosecution of U.K. National Health Service (NHS) paediatrician Dr Hadiza Bawa-Garba. Almost half of diagnostic errors are due to a combination of systems errors and individual cognitive error. Obvious systems effects come into play in understaffed acute care units; if a clinician is forced to see too many patients without enough time to make careful examinations or reasoned decisions, errors become more likely. The stepping stones of ordering, receiving and reviewing diagnostic tests and scans also allow much opportunity for error and delay. Guests on this episode discuss mechanisms to improve efficiency.
Ep29: Drug Interactions and Deprescribing
Drug-drug interactions might be responsible for a million hospitalisations in Australia every year. They have become more frequent over the decades, as more medications reach the market. More than half of people over the age of 75 are on five or more prescriptions—a state referred to as polypharmacy. This episode examines some of the systems that have led to current rates of polypharmacy, and some strategies for deprescribing. We also discuss a review from the Internal Medicine Journal on the common drug interactions physicians should be most concerned about.
Ep17: Better Practice in Paeds
EVOLVE is the RACP’s initiative to minimise clinical practices not supported by the current evidence base. This episode takes a look at the recently published list of low-value practices in general paediatrics and some alternatives that can be adopted.
Ep10: Evolving Your Practice
Costly or prolonged treatment doesn’t always translate into better outcomes for patients. In response, the College has launched EVOLVE.
Ep6: Antibiotic Resistance – Are We All Doomed?
In a new article on antibiotic resistance, Prof Peter Collignon says he is actually optimistic about the future. This episode is presented in partnership with the Internal Medicine Journal.