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 contributed to a patient's avoidable death, emphasising the pivotal role of culture in clinical governance. Dr Eleftheriou highlights the need for structured approaches, diligent diagnosis of problems, and strategic interventions, whether through internal collaboration or external support. By focusing on motives, implementing clear expectations, and leveraging resources, they conclude that it is possible for medical administrators to navigate and transform challenging organisational cultures to safeguard patient care effectively. 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.