Over a period of six months July – December 2014 during the consolidation phase of treatment for Acute Myeloid Leukaemia five patients at the Royal Adelaide Hospital and five patients at the Flinders Medical Centre received a daily dose of Cytarabine instead of a dose twice a day.
An independent review into the incorrect dosing of Cytarabine to ten patients with acute myeloid leukaemia was completed and a report with an Executive Summary and recommendations was finalised in November 2015. Health Consumers Alliance and Cancer Voices SA were members of the independent review process and panel.
The reports are available below.
SA Chemotherapy Prescribing Governance Committee
Closes Wednesday, 29 June 2016
A state-wide committee on chemotherapy prescribing will be established and report to the SA Medicines Advisory Committee (SAMAC), the most senior medicines committee in SA Health. The role of the committee is to ensure a state-wide process for the review of chemotherapy prescription templates, source protocols and decision support tools. This committee will be an important part of new clinical governance structures for cancer care in South Australia.
You can view the terms of reference for this committee here.
SA Health commissioned an independent review of the incident notification, management and analysis of the incorrect dosing of chemotherapy for acute myeloid leukaemia (AML) at the Royal Adelaide Hospital (RAH) and Flinders Medical Centre (FMC) in 2015. The review was undertaken by the Australian Commission on Safety and Quality in Health Care and is the second review looking at these significant incidents.
The independent review panel found that:
Implementing the Review’s recommendations:
The review panel has made six recommendations, all of which been accepted by SA Health.
A Select Committee of the Legislative Council has been established to inquire into and report on the chemotherapy dosing errors at the Royal Adelaide Hospital and Flinders Medical Centre in 2014 and 2015. The Terms of Reference are available here. HCA has registered interested and Cancer Voices SA will make a submission. We will advise on progress.
Health Consumers Alliance of SA Inc is the state’s peak health consumer body. Our members, partners and consumer advocates have identified priorities for action to ensure consumers are at the centre of health in South Australia. They want health policy based on evidence, research and consumer input at all stages to improve health outcomes and reduce costs. You can find the HCA 2018 Election Platform and Background below.
Beginning soon as a national trial in Australia, the Collaborative Pairs Australia program is bringing together health providers and consumers to develop their teamwork skills, to lead change and improve health and wellbeing outcomes. The program will deliver leadership training to participants who enrol as consumer-clinician pairs in four regions, and support them to implement localised health service improvement and innovation projects. HCA Board Chair Deb Kay is one of the program facilitators. Deb is optimistic about the potential of this project to build the capacity and expertise of consumers and health professionals to work in genuine partnership. You can find more information on the program and Deb’s participation here.
At the HCA Board meeting on 5 February 2018, members discussed a range of topics, including changes to Board membership, progress in recruiting a new HCA Chief Executive, and the HCA 2018 Election Platform. You can read the Board Update here.
Last Tuesday we hosted our first Consumer Advocates Network (CAN) meeting for 2018. At each meeting of the CAN, we include a specific topic for discussion or learning. The topic for the February meeting was the SA Translation Centre, with guest speaker Jenni Carr. All members of the CAN network have completed our Introduction to Consumer Advocacy Training course. You can find out more about the training and scheduled training dates for 2018 here.
The SA Health Oakden Response Plan Oversight Committee was established in June 2017 to provide oversight and guidance to SA Health in implementing the six recommendations outlined in the Oakden Report. Following each meeting, a communique summarising the activities of the committee is published. The February 2018 communique has been published and is available to view here. You can view all available communiques here.
Thursday 1 March 2018
9.30am – 1.30pm
The Adelaide Primary Health Network (PHN) is hosting an Inspiration for Innovation Symposium at the Thebarton Community Centre, with the aim to encourage community members to join their Health Priority Network. The Network provides a platform to share ideas and work together to improve a person’s primary health care journey. The symposium will explore opportunities for improving:
• health promotion and health literacy
• mental health, alcohol and other drugs, and physical
• equity and access for Aboriginal and Torres Strait
You can find out more and register to attend here.
Wednesday 4 April 2018
5.30pm – 7.00pm
The Australian Institute of Project Management is hosting an event on health project management, the first event in a series. Registered participants will explore the challenges in project management in health. Guest Speaker Professor Judith Dwyer, Director of Research in the Department of Health Care Management at the Flinders University School of Medicine, will present ideas formed in the course of her working life in healthcare management. Participants will be encouraged to contribute their perspectives and stories following the presentation. You can view the event flyer to find out more below.
Tuesday 6 March 2018
9.30am – 12.30pm
Monday 26 February 2018
5pm – 6.30pm
North Adelaide Community Centre
The National Disability Insurance Agency is running an information session to help people with disability, their families, and carers to:
gain information about accessing the NDIS
understand what may be included in an NDIS plan
prepare for their first planning conversation.
This session is for people who seek access to the NDIS or who already have gained eligibility for the NDIS. You can find out more and register here.
Thursday 22 March 2018
The Northern Health Network invites you to join them for a celebration of Indigenous culture at Closing the Gap Day, to be held at the Adelaide Showground. The day is a free all-ages event which aims to bring together people from Aboriginal and Torres Strait Islander communities to share information and take meaningful action in support of achieving Indigenous health equality by 2030. You can find out more and register here.