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 aftermath of a potential sterilisation oversight involving endoscopy equipment. From assessing patient risk to addressing system failures and ensuring transparent communication with patients, Professor O'Reilly explains the steps that need to be taken. The discussion highlights the importance of proactive measures, open disclosure, and fostering a supportive, blame-free culture within healthcare teams. 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.