❓ Question regarding unreported deaths at Fiona Stanley Hospital and the reporting of critical incidents (SAC 1s) to the State Coroner and Department of Health. The Minister's response indicates discrepancies in reporting and awareness.
AnsweredQoN 4192Legislative Council
QuestionView source ↗
(1) Can the Minister confirm that there are at least 11 deaths of patients at Fiona Stanley Hospital (FSH), which were not reported to the State Coroner at the time, that are now subsequently being investigated by the State Coroner? (2) If yes to (1): (a) why weren't these deaths report to the State Coroner at the time; and (b) were all of these deaths notified as critical incidents with the highest severity assessment code (SAC 1s) and, if not, why not? (3) Since FSH was opened to date, how many SAC 1S, which have resulted in the death of a patient: (a) have been notified; and (b) have been confirmed? (4) Of these SAC 1s how many in total have actually be reported to the State Coroner?
AnswerView source ↗
Answered
23 August 2016
Responded by
Minister for Planning representing the Minister for Health
Response time
62 days
(1) I am advised that; without the patient names and details of the 11 deaths referred to, Fiona Stanley Hospital (FSH) is not able to confirm whether these deaths were reported to the Coroner. However, from review of SAC1 incidents involving the death of a patient FSH is not aware of any deaths of patients allegedly not reported to the State Coroner at the time, that are being investigated by the State Coroner.
(2) (a-b) Not applicable.
(3)(a) From FSH opening to date (1 July 2016), 14 incidents relating to patients cared for at FSH that describe a patient outcome of death have been notified into the Department of Health (DOH) Clinical Incident Management System (CIMS) as SAC 1 clinical incidents.
(b) From FSH opening to date (1 July 2016), 11 incidents relating to patients cared for at FSH that describe a patient outcome of death have been confirmed in the CIMS as SAC 1 clinical incidents and notified to DOH.
(4) Of the 11 incidents outlined in 3(b), ten of these deaths have been reported to the State Coroner. The remaining death was reported to the Executive Director Public Health under the Health Act 1911 , in line with WA Health Review of Death Policy.
(2) (a-b) Not applicable.
(3)(a) From FSH opening to date (1 July 2016), 14 incidents relating to patients cared for at FSH that describe a patient outcome of death have been notified into the Department of Health (DOH) Clinical Incident Management System (CIMS) as SAC 1 clinical incidents.
(b) From FSH opening to date (1 July 2016), 11 incidents relating to patients cared for at FSH that describe a patient outcome of death have been confirmed in the CIMS as SAC 1 clinical incidents and notified to DOH.
(4) Of the 11 incidents outlined in 3(b), ten of these deaths have been reported to the State Coroner. The remaining death was reported to the Executive Director Public Health under the Health Act 1911 , in line with WA Health Review of Death Policy.
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