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 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.
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.
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.
The Parliamentary Committee on Occupational Safety, Rehabilitation and Compensation is conducting an inquiry into Workplace Fatigue and Bullying in South Australian Hospitals and Health Services. HCA was invited to make a submission in contribution to the inquiry. Studies have shown that health services working effectively and using a person-centred care approach can lead to improved workforce attitudes and job satisfaction, decreased emotional stress, decreased workforce turnover, and absenteeism and improved overall workforce wellbeing.
Read our submission here
In 2019 HCA will work with consumers, partner agencies and other stakeholders to develop more focused training modules for consumers on topics such as:
One of the changes of not having a core funding base is that we will now be charging for our training, including consumer training. Fees will be kept as low as possible, and opportunities for subsidised training will be made available to consumers who do not have the capacity to pay.
Back to eNews here
An international team of researchers led by SAHMRI-based epidemiologist Dr Azmeraw Amare has opened the door to more rapid mapping of the genetic foundations of mental health disorders. The global collaboration, that included SAHMRI and the University of Adelaide, found eight never-before-identified gene variants related to increased risk of depressive disorder, and more importantly, strengthened the evidence for genetic links between major depressive disorder (MDD), bipolar disorder and schizophrenia. Find out more here.
The South Australian Health Commission offers online resources aimed at helping maintain a mentally health workplace. One of the important roles of the Commission is to work with South Australian communities and leaders to strengthen mental health and wellbeing in the workplace. Investing in mentally healthy workplaces is a win-win for employers, workers, the economy and the State. Find out more here.
Wednesday 6 March 2019
11.30am - 2:30 pm
The Australian Commission on Safety and Quality in Health Care invites consumers to attend a workshop to provide input on the draft Second Edition of the Australian Charter of Healthcare Rights (the Charter). A consultation was undertaken in 2018 which sought feedback on how user-friendly and easy to understand the existing Charter is, and how it could be improved. This feedback has informed the draft Second Edition, which will be discussed in detail at the workshop. Feedback will also be sought on the types of resources participants would find helpful when using the Charter. Participants will be provided with introductory information and will be required to complete a short survey prior to the event. Lunch will be provided.
Find out more and register here.
Wednesday 27 March
11.00am - 3.00pm
Sonder, in partnership with the Adelaide Primary Health Network, is hosting the Closing the Gap Day at the Adelaide Showground. Admission is free for all ages. It aims to bring together people from the Aboriginal and Torres Strait Islander community to share information and take meaningful action in support of achieving Indigenous health equality by 2030. The event will also feature plenty of free activities for children, including a petting zoo, jumping castle, face painting and much more.
Find out more here.
Thursday 30 May 2019
The 2019 annual Choosing Wisely National Meeting will bring together policy makers, consumers and other health care stakeholders for an interactive discussion on the opportunities, challenges, and highlights of the Choosing Wisely initiative as it continues to grow. Early bird registration is open until Thursday 18 April.
Find out more and register here.
Wednesday 30 January 2019
10am – 12pm
HCA is hosting a focus group for the South Australian Health and Community Services Complaints Commissioner (HCSCC). The focus group aims to gain consumer feedback on their current website to ensure it is user-friendly.
You can find out more and register here.
Back to eNews here.
Thursday 21 February 2019
1.00pm – 4.00pm
As part of the Community Mental Health Re-design Project, a Community Mental Health Consumer and Carer workshop is being held for consumers and carers who are or have received care from CALHN mental health services.
The aim of the workshop is to identify:
Who are our consumers, carers and community?
What are our guiding principles?
Service description – what works well and what we could do better?
Future service – how would it work?
Find out more and Register here