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.
HCA attended the State Budget briefing in June. You can find our summary of the health budget here:
Has the biggest overhaul in the history of South Australia's health system worked? In the first of a two-part series on Transforming Health, InDaily explores what SA Health has to show for it. The opening of the new RAH and the closure of Repatriation General Hospital will conclude the service moves and Transforming Health will officially end. The ongoing review and improvement of models of care will continue to ensure that services remain contemporary. See the full article here.
HCA is pleased to release our new brochure, designed to promote awareness of our organisation and our services. The key messages include who we are, which services we provide, and how you can become involved with us. You can view and order the HCA brochure here.
The SA health strategic action plan with carers 2016-2020 has been released. The action plan is designed to examine key issues and identify priorities relevant to partnering with carers and the community. You can view the document here.
Monday 10pm on 101.5 Radio Adelaide
The mental health show is all about demystifying mental health. During the show issues are discussed, concerns are raised and solutions are offered. Each week an expert from the field is invited to the show, to discuss the latest research details about their area of expertise. Inspirational stories will be shared with the aim that struggling listeners may feel hopeful. You can find out more and listen to past episodes here.
Wednesday 30 August 2017
1pm – 4pm
Consultation is open for the draft updated National Palliative Care Strategy. Face to face feedback is invited during a workshop to be held at the Mercure Grosvenor Hotel Adelaide, 125 North Terrace, Adelaide. You can view the draft strategy here. Online feedback is also invited through an online survey, you can take the survey here. Find out more and register here.
Monday 18 – Sunday 24 September 2017
This year’s Balance Awareness Week campaign aims to open the discussion and raise awareness of the issues and challenges people experience with balance and other related disorders, and how they have overcome them. The campaign called ‘Do your best flamingo… share your story’, invites those with lived experience to share their stories about how they rebalanced their lives after being diagnosed with one of these disorders. You can find out more and share your story online here.
Friday 8 September 2017
The Frailty & Healthy Ageing Research Showcase will present the latest research taking place in frailty and healthy ageing. Participants will have a chance to find out about the latest technological advances, and will be given critical insights across a full range of research. Registration is free and lunch will be provided. You can find out more and register here.
Friday 22 September 2017: Melbourne
The Alfred Health General Medicine Unit and The Centre of Research Excellence in Patient Safety invites registrations to their forum: Healthcare in a person-centred era: communicating to improve outcomes. Join a group of transformational speakers, facilitators and local consumers, to discuss the impact, evidence, strategies and practicalities of providing person-centred care. You can find out more and register here.
Want to find out more about the new RAH? Join a community information session in your local area and learn about the new state-of-the-art hospital and how the move is going to work. Midday and evening sessions will be held at each location. Find out more and register here.