Pressure injury prevention success in a regional hospital.

Background: This paper describes quality improvement strategies implemented following the identification of a significantly high prevalence rate and severity of pressure injuries in a regional health care facility in a large health district in Queensland, Australia.

Aim: The aim of this paper is to inform health professionals of processes employed to reduce the incidence and financial burden of pressure injuries following the detection of rates that were significantly above the State average.

Method: An audit of pressure injury prevalence data was conducted on a single day throughout a regional hospital.

Between principle and compromise: We are all meat in someone else's sandwich.

Clinical leadership and workforce management are high profile topics in many recent healthcare journals and frequently the focus of discussion in this sectors dynamic environment. Emergency physicians, like their cousins in other medical specialties, are required to work collaboratively within an increasingly complex system in order to optimise the clinical outcomes of their patients. This article presents a reflective analysis using a fictional character, Ulysses, who encounters traps and potholes in his journey to clinical leadership and management enlightenment.