FIONA Stanley Hospital implemented “significant changes” following the death of a 41-year-old man earlier this year, according to a statement made by South Metropolitan Health Service today.
Jared Olsen’s death was investigated by the State Coroner who made two recommendations on September 29.
“We wish to again extend our sincere condolences to Jared Olsen’s family,” the health service’s statement read.
“Fiona Stanley Hospital has implemented significant changes to its clinical systems and processes following Mr Olsen’s death.
“We will review the Coroner’s recommendations in detail to ensure any further areas of improvement are addressed.
“We remain strongly committed to delivering safe and high quality care to our patients.”
Mr Olsen died at Fiona Stanley Hospital March 5, following complications from sepsis brought on by a serious reaction to a medication prescribed to him previously at the hospital.
He was treated for Crohn’s colitis with a immunosuppressant medication called 6-MP but he was unable to metabolise it, which proved fatal.
Significantly abnormal test were received by the hospital with no clinicians becoming aware of them.
The State Coroner concluded Fiona Stanley Hospital missed a number of opportunities to detect and avoid toxicity.
The State Coroner noted since Mr Olsen’s death Fiona Stanley Hospital and PathWest have developed a number of procedures in support of improved communication, and the avoidance of a fragmented system of care.