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.
Researchers at the Institute for Health and Ageing at the Australian Catholic University have released their report ‘Older and Wiser: Putting the Consumer’s Voice at the Centre of Residential Aged Care’. The report summarises the results found in a study to explore the impact of Consumer Directed Care on six aged care facilities in Melbourne. The report highlights what more needs to be done to support these changes to aged care services in Australia. You can download and view the report here.
The Medical Board of Australia (MBA) and Australian Health Practitioner Regulation Agency (AHPRA) have released the report ‘Independent review of the use of chaperones to protect patients in Australia’’ and have accepted all its recommendations. The review found the use of chaperones does not meet community expectations and does not always keep patients safe. You can find out more and view the report here.
The Australian Health Practitioner Regulation Agency (AHPRA) releases quarterly performance reports for each state and territory. These reports provide information for the public on the activities and performance of AHPRA and the National Boards in each state and territory. It covers their main areas of activity – managing registration, managing notifications and offences against the National Law, and monitoring health practitioners and students with restrictions on their registration. You can view the reports for each state and territory and find out more here.
HCA member and consumer advocate Judy Smith has been recognised in the Queen’s Birthday Honours, by being admitted as Member of the Order of Australia. Judy has over 50 years experience in health, commencing her career as a nurse and more recently working as a consumer advocate. Judy is an active consumer advocate and HCA member and currently works part time as a Consumer Liaison Officer at the Royal District Nursing Service (RDNS). We congratulate Judy on this recognition of many years of work in community health. You can read more about Judy below.
The first issue of the Country Health SA Mental Health Services Newsletter has been released. Its aim is to share information with consumers and carers that have accessed or are familiar with Country Health SA Mental Health Services. It will also provide information to people in the community who have an interest in rural mental health matters. You can view and download the newsletter below.
Saturday 29 June 2017
Each year on a cold winter’s night in June, a group of like-minded CEOs, senior managers and leaders from all sectors come together to raise funds and awareness on the reality of homelessness in Australia. This year in South Australia, the sleep out will be held on the grounds of Government House and joined by the host for the evening’s proceedings, Kate Ceberano. You don't need to be a CEO to get involved. You can find out more, register and donate here.
Saturday 14 October 2017
The kids and youth disability expo, hosted by KYD-X, is focused on the services and products available for people under 25 with a disability. It aims to inform individuals, families and carers about equipment, therapies and treatments available to them, helping them to maximise the use of their NDIS funding. You can find out more here.
Wednesday 27 – Friday 29 – September 2017
The Annual Australasian college of Health Service Management (ACHSM) in partnership with the Australian Council on Healthcare Standards (ACHS) will host the 2017 Health Leadership conference. The conference will bring together renowned thought-leaders from within and outside the healthcare system, with the central theme of, the winds of Change-adjust your sails’. You can find out more and register here.
Monday 16 – Tuesday 17 October 2017
The 2017 Asthma Australia Connecting Asthma Care Conference will bring together key national and international researchers, practitioners and policy makers. The conference theme, ‘Connecting Asthma Care’, highlights the importance of collaborative care models as critical in ensuring a patient’s interaction with the health system is linked between different levels of care, enabling appropriate case management and systematic follow up. You can find out more and register to attend here.
The Mental Illness Fellowship of South Australia has released its Carer Support Program schedule for the second half of 2017. The program offers different peer educated programs for people who are experiencing mental illness, and for their family and friends. All facilitators have lived experience, either as a carer, or as a person living with a mental illness. You can view the flyer below which outlines more information about the programs and dates. You can book a place online through the MIFSA website here or by phoning 8378 4100.