Gisborne Hospital Report - Health and Disability Commissioner

Gisborne Hospital 1999 – 2000
PSA Testing Procedures
08/07/2000 The following steps followed from events of 7/7/2000:
Further consultation with Dr Duncan and Dr George;
Factor analysis of correlation;
Risk group extended to include patients who were being
monitored for PSA levels;
Patient laboratory test history obtained;
Patient records obtained;
Office set up (Rosey Burns) to accommodate patient records
for correlation of laboratory reports and review by
clinicians;
Identification of patients at dual risk of PSA testing and the
anaesthetist syringe issue;
Draft letters to patients, clinicians, GPs, chairperson,
Ministry of Health (MOH) and media.
09/07/2000 The following steps resulted from the events of 8/7/2000:
Correlation of laboratory reports and patient records;
Lists of patients, GPs, clinicians;
Notification of Clinical Director (Surgery), Dr Kyngdon;
Notification of on-call surgeon Dr Juszkiewicz;
Logistics-support for patients, staff members and
communications;
Review of patient records with a view to reconciling
information.
10/07/2000 The following matters have been addressed following events
of 9/7/2000:
Mr Kyngdon contacted in relation to appraisal of clinical
records;
Barry Edwards, CHL contacted in relation to initiating
technical review as soon as possible-appropriate
technologist identified and awaiting arrangements to be
confirmed 11/7/2000;
Confirmation with Barry Edwards in relation to the
attendance of Dr Peter George from CHL on Wednesday,
12/7/2000, extending his visit to include the evening of
12/7/2000. Confirmation due 11/7/2000;
Review of laboratory records which have identified tests
which have been subsequently conducted by CHL or
Medlab South;
Meeting with laboratory staff to inform them of the current
position, empathising with the knowledge that some of their
friends and relatives may be affected by the current
situation. Emphasis on the patient as the first priority and
the need to be discreet in their knowledge. Staff advised
not to be drawn into answering questions from external
communications and to refer any persons with questions
relative to this incident to Mr Cowper or Mr Grant;
Dr Kyngdon commenced review of patient records and
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