Phone: 08 8231 4169 | Email: info@hcasa.asn.au | Find HCASA on FacebookFollow HCASA on Twitter

Phone: 08 8231 4169
Email: info@hcasa.asn.au
Find HCASA on FacebookFollow HCASA on Twitter

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Consumers at the centre of health
in South Australia

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.

Executive Summary - Independent review into the incorrect dosing of cytarabine

Full Report - Independent review into the incorrect dosing of cytarabine

 

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.

You can find the review report here and read HCA's media statement on the serious issues involved here.

 The independent review panel found that:

  • There was a serious failure of clinical governance at the RAH.
  • Staff had little or no knowledge of the Incident Management guidelines and did not make an incident report in the Safety Learning System (SLS) within the required time frame.
  •  The health services did not provide sufficient education or explanation of system response or policies.
  • Open disclosure was not well thought out or properly planned, nor was the provision of additional support.
  • There was inadequate documentation of the process or planned follow up.
  • Requests by patients/families for further information were not responded to quickly nor was there a process for reporting back to them about changes that had been implemented.
  •  The issue of compensation was poorly managed.

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.

To express your interest for this position please email This email address is being protected from spambots. You need JavaScript enabled to view it.  by close of business Wednesday, 29 June 2016. 

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.

Latest news

Summary report for the Oakden Response Plan Oversight Committee released

The final Oakden Response Report is now available. It provides a comprehensive record of the work undertaken by the Oakden Report Response Plan Oversight Committee, on which HCA was a member. The committee was established under recommendations outlined in the Oakden Report It is intended to provide a complete reference point for policy documents and guidelines created in response to the Oakden Report recommendations for use by SA Health staff and staff of partner organisations providing services to older people in South Australia. The document contains details of the work of the Committee and its subcommittees and complete copies of all relevant outputs. You can download the document below. 

 Oakden Response Plan Oversight Committee Final Report

NPS MedicineWise

Monday 20 – Sunday 26 August 2018

Next week is Be Medicinewise Week. The theme this year is ''Our Families Matter'', so it’s important to make safe and wise decisions about medicines and health. No matter what type of medicines you or your family take, it’s important to know your medicines. If medicines aren’t used correctly, the results can be serious. You can find out more about being Medicinewise here.

Pelvic Mesh morning tea

HCA’s Chief Executive, Julia Overton was invited to attend a morning tea held in SA Parliament House and hosted by the Pelvic Mesh Awareness Group. The morning brought people with lived experience together with members of parliament, industry experts and SA health. Thank you to the mesh affected women who attended and shared their experiences with us.

There is a SA Health Transvaginal Mesh Strategy in place now which includes:

- a free consumer support line 1800 666 374, staffed 9am to 4pm Monday to Friday
- establishment of The Consumer Advisory Group
- distribution of information via GP newsletters
- commencement of medical record audit
- establishment of The Executive Advisory Group and Clinical Reference Group.

You can find out more here

Carers SA Strategic Plan 2018-2019

Carers SA has released its Strategic Plan 2018-2019. This is an important document which will guide their work over the next 18 months and has been developed with input from the sector and staff. You can view the Plan on their website here.

Rapid Applied Research Translation for Health Impact Grant Scheme

Closes: 5pm Monday 27 August 2018

The South Australian Academic Health Science and Translation Centre is inviting applications for Rapid Applied Research Translation for Health Impact Grants through a funding allocation from the Medical Research Future Fund (MRFF). This funding opportunity is presented in the context of the Medical Research and Innovation Strategy 2016 -2021 and Medical Research and Innovation Priorities 2016-2018, as part of the Medical Research Future Fund. You can find out more in the Terms of Reference and download an application form below. 

TOR: Rapid Applied Research Translation for Health Impact Grant Scheme

Application form: Rapid Applied Research Translation for Health Impact Grant Scheme


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Events

Equity and Access in Health Care Forum

Wednesday 29 August 2018
1.30pm – 3.00pm
HCA, Adelaide

HCA in partnership with SA Health invites consumers to attend an information session to learn about the draft Equity and Access in Health Care Policy Directive for SA Health. Participants will have an opportunity to contribute their ideas and feedback on the Policy.

You can access the draft policy here.

You can register to attend the Forum here.

If you are unable to attend the Forum you can complete an online survey here.

Planning Ahead Seminar

Thursday 13 September 2018
9.15am – 12.30om
COTA Adelaide

COTA SA is hosting a free Reframing Ageing Seminar about the financial, legal and health benefits of early planning for retirement and beyond. To register and find out more call (08) 8232 0422, 1800 182 324 (free for country callers) or email This email address is being protected from spambots. You need JavaScript enabled to view it. . You can view the program and find out more here.

Disability Ageing and Lifestyle Expo, My Life My Choice

Thursday 27 September 2018

10am4pm
Adelaide Showground

The annual Disability, Ageing and Lifestyle Expo will showcase practical ideas, research and initiatives under the ‘My Life, My Choice’ theme. My Life, My Choice, is about empowering individuals, couples and families to ensure that they remain at the centre of decisions related to their needs and provide information about the types of services and supports that are available to them. You can find out more here.

Motor Neurone Disease Australia Conference

Friday 31 August 2018

8.30am - 5.00pm
Adelaide

The 9th National Motor Neurone Disease (MND) Australia Conference is hosted by the MND Association of South Australia and will be held at the Grand Chancellor Hotel. The Conference will promote the sharing of expertise and understanding of MND nationally, with the aim to improve care and support for people living with MND, their carers and families. You can find out more and register here.

Food Security Onkaparinga Forum

Wednesday 12 September 2018

1.00pm – 4.30pm
Noarlunga

Healthy Cities Onkaparinga is hosting a forum with the aim to establish a Food Security Collaborative for Onkaparinga. Participants will have the opportunity to discuss and provide their input on what should be included in the design of the Food Security Collaborative. There will be guest speakers and presentations, information stalls and light refreshments will be served. You can find out more and register here.


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