Findings suggest the Aboriginal Community Antenatal Program and partner agencies areincreasing provision of community based pre-conception and antenatal health services and enhancingcollaboration between a range of health provider agencies, with partnerships between Aboriginal andnon-Aboriginal program staff contributing to an emerging model of community antenatal care.

Patients requiring inter-hospital air transport across large geographical spaces areat significant risk of adverse outcomes. The aims of this study were to examine the charac-teristics of clinical handover conducted by telephone and subsequently transcribed in medicalrecords during the inter-hospital transfer of rural patients, and to identify any deficits of thistelephone clinical handover. A retrospective audit was conducted of transcribed telephone han-dovers ('patient expect' calls) occurring with inter-hospital transfers from two rural hospitalsto a metropolitan tertiary hospital of all rural patients (n = 127) between January and June2012. Patient transport between various sites occurred through the Royal Flying Doctor Service.For these hospitals, patient expect calls constituted the only handover record for cliniciansduring the time of patient transport. Information on patient identification stickers relating to patients' age or gender did not always correspond with details collected during patient expectcalls. The name of a clinician at the receiving hospital authorising the transfer was provided in14 calls (11.1%). It was difficult to determine who made and received calls, and who acceptedresponsibility for patients at the receiving site. Deterioration in a patient's condition was madein three calls. Actions to be taken after patients' arrival were included in 24 (19%) calls. Planningwas restricted to identifying who to contact to review instructions. Inconsistent and overuse ofabbreviations was likely to have affected the ability to accurately read back patient informa-tion. Crucial information was missing from calls, which may have contributed to delayed andinappropriate delivery of care.

An Australian hospital-based student training ward delivering safe, client-centred care while developing students' interprofessional practice capabilities.

Royal Perth Hospital, in partnership with Curtin University, established the first interprofessional student training ward in Australia, based on best practice from Europe. Evaluation of the student and client experience was undertaken. Feedback from all stakeholders was obtained regularly as a key element of the quality improvement process. An interprofessional practice program was established with six beds within a general medical ward. This provided the setting for 2- to 3-week clinical placements for students from medicine, nursing, physiotherapy, occupational therapy, social work, pharmacy, dietetics and medical imaging. Following an initial trial, the training ward began with 79 students completing a placement. An interprofessional capability framework focused on the delivery of high quality client care and effective teamwork underpins this learning experience. Quantitative outcome data showed not only an improvement in students' attitudes towards interprofessional collaboration but also acquisition of a high level of interprofessional practice capabilities. Qualitative outcome data from students and clients was overwhelmingly positive. Suggestions for improvement were identified. This innovative learning environment facilitated the development of the students' knowledge, skills and attitudes required for interprofessional, client centred collaborative practice. Staff reported a high level of compliance with clinical safety and quality.

A 22-year-old Australian woman with atypical subacute sclerosing panencephalitis diagnosed at postmortem.

Measles remains a significant global health problem. Despite the decline in measles prevalence in Australia following the implementation of a national vaccination program, challenges surrounding this disease remain. This report describes a 22-year-old woman who presented with coordination loss, tremor, choreiform movements and marked visual blurring, and her condition rapidly deteriorated to coma and death. Antemortem investigations did not yield a unifying diagnosis. Postmortem examination provided a diagnosis of subacute sclerosing panencephalitis. This patient had a rare neurological complication of measles infection, and her condition is remarkable for the atypical clinical presentation.

iSoBAR--a concept and handover checklist: the National Clinical Handover Initiative.

Effective communication at clinical handover is important for improving patient safety and reducing adverse outcomes. In consultation with doctors, nurses and allied health staff in the Western Australian Country Health Service, we developed a clinical handover checklist, adapted from an existing tool for standardising communication. The acronym "iSoBAR" (identify-situation-observations-background-agreed plan-read back) summarises the components of the checklist. We designed a comprehensive iSoBAR handover form to reduce the number of existing clinical handover forms. The new form, with an accompanying toolkit, was initially trialled in the Kimberley region, but is now being adopted more widely. Early adoption of the new form has been attributed to extensive clinician involvement and leadership. There is a need for further research to assess whether the use of handover checklists improves patient outcomes.