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.
HCA are reviewing the way we use social media and how to make sure you get the most out of the information we share and so we can gather your feedback and opinions. We want to know what you want to see on our social media and what engages you the most. Social media is a great way to inform and engage with the community and we think we could be using it better! We would really appreciate your feedback.
Please complete our one minute survey here to help us improve our social media engagement.
The March HCASA Board meeting recently confirmed our capacity to continue our work well into 2020. HCASA is here to stay. We had expected to call a Special General Meeting at about this time to ask our members to consider the organisation’s future. After careful consideration of our financial position, our capacity and the importance of our work we are instead scheduling the launch of our new business prospectus. This is planned for Monday 17 June, Save the date.
You will have read in eNews that we have moved our offices upstairs from level 1 to 3 at 12 Pirie Street. Our team continues to do an amazing job building a viable and sustainable business future. You’ll hear more about this on/after 17 June. We would not have been able to consider such an optimistic future without the pragmatic and moral support of our members, partners and supporters. Thank you.
We encourage organisations and individuals who believe in our vision of ‘consumers at the centre of health’ to make sure they have current membership of HCASA. As you know, we are a state-wide, member-based incorporated association with no political affiliations. We provide the information, training and services people, services and policy makers need to ensure consumers have a powerful influence on the health services that they pay for, use and expect to support the health and wellbeing of all South Australians. This work must and will continue.
Debra Kay PSM
Board Chair HCASA
On behalf of the HCASA Board and Staff Team
There have been some changes at the Health and Community Service Complaints Commissioner (HCSCC). On 18 March 2019, South Australia implemented the Code of Conduct for Certain Health Care Workers which replaced the Code of Conduct for Unregistered Health Practitioners. This change aligns South Australia with the National Code of Conduct for Health Care Workers approved by the COAG Health Council. Unregistered health care workers who do not fall within the jurisdiction of the Australian Health Practitioner Regulation Agency (AHPRA) will have to comply with the code and display certain information where they practise.
The code establishes:
• A range of minimum standards for unregistered health care workers.
• Additional powers to the HCSCC if an unregistered health care worker is found to have breached the Code.
Law changes also came into effect that allow the Health and Community Services Complaints Commissioner to:
• Adopt prohibition orders imposed on individuals from across Australia.
• Investigate individual volunteers providing a health service.
• Restrict people who are subject to a prohibition order from advertising and promoting themselves as a health service.
• Issue a public statement to identify a person or warn the public when interim action has been taken.
You’ll also notice that the HCSCC has a new website, which the Health Consumer’s Alliance was consulted on. The new website is easier to navigate, provides clearer information and is consumer tested. Go check it out!
Cancer Voices SA - Raising a Voice for People Affected by Cancer Annual Report 2018.
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
The Bleeding Edge Screening
When: Wednesday 1 May 2019 1.30pm to 4.30pm
Where: The Science Exchange, 55 Exchange Place, Adelaide
HCA are proud to host a screening of the award winning documentary, The Bleeding Edge.
The film looks at the $400 billion medical device industry and the profit-driven mind-set that rushes implanted devices into the marketplace without proper clinical trials. The screening will be followed by a panel and question and answer session. Afternoon tea will also be provided.
You can register for the event 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 30 May 2019
The annual 2019 Choosing Wisely National Meeting will bring together policymakers, 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. You can find out more about the meeting and the Choosing Wisely initiative here.