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"Communication problems between hospitals"

About: Kalgoorlie Health Campus Perth Children's Hospital / Emergency Department

(as a parent/guardian),

After having been observed and treated at the Kalgoorlie Regional Hospital for a period of two weeks, my little toddler was transferred to Perth Children's Hospital (PCH) for an MRI as the paediatricians in Kalgoorlie had concerns that our child was presenting with a relatively uncommon illness!

On arrival at PCH we had to report to ED, despite being transferred we had a 4hr wait before getting into a ward and it was well after midnight that we finally got some rest - with a sick toddler I find this completely unacceptable!

The team at PCH did some bloods and an ultrasound and prescribed an anti-inflammatory drug, making a diagnosis, however, no communication was entered into with the team in Kalgoorlie to advise reasons for not doing the ultrasound.  We were discharged, asked to stay in Perth for a few days for a follow up three days later! At the follow up we discussed with the doctor that we still had concerns with our little baby's mobility and that we were still relying on anti-inflammatory to get them walking in the morning and that they were still in a significant amount of pain!

We were advised that they were happy with our child's progress and would arrange a follow up with Kalgoorlie a week later! Our little child's mobility was once again going downhill and we began taking video’s of all the things they could no longer do!

When presenting to Kalgoorlie it seemed to me that the paediatricians were shocked to find out that PCH had not conducted the requested MRI as they had no communication with PCH and given they had refused it once they ran some additional bloods and asked us to take more video footage so they were able to send us back to PCH for the MRI.

We were transferred back to PCH a week later and admitted after spending more than 6hrs in ED! An XRay of the back was done, which indicated the illness and we were finally given the requested MRI but not without having to fight for it and get the Kalgoorlie team to really push for it! The result was the diagnosis the Kalgoorlie team originally suggested!

I am extremely disappointed that there was no communication with Kalgoorlie and PCH on our first visit as I feel the team in Kalgoorlie would’ve helped push through the MRI and we would’ve had a diagnosis sooner! Considering we were transferred by Kalgoorlie I find it arrogant, extremely rude and am shocked that a “so called” world class hospital (PCH) can fail so miserably in terms of their communication policies and administration! Whilst I accept doctors can make mistakes I feel in this case both teams should’ve consulted and had this occurred we would’ve had the diagnosis sooner!

Even when we were transferred the 2nd time around and myself and my husband stressing the importance of the PCH team communicating with Kalgoorlie I was the one that was speaking to and updating the team in Kalgoorlie!

There are a multitude of gripes I have with the general care at PCH and considering I am in my third trimester I find the lack of compassion, the disregard for my health by trying to minimise stress levels, completely unacceptable!

Regional hospitals are often given a bad reputation and based on my experience I can only hope that the Children’s ward in Kalgoorlie gets a facility update as honestly I feel the care and team we dealt with there are far superior to the team at PCH! 

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Responses

Response from Aresh Anwar, Chief Executive, Child and Adolescent Health Service 4 years ago
Aresh Anwar
Chief Executive,
Child and Adolescent Health Service
Submitted on 29/04/2019 at 10:47 AM
Published on Care Opinion at 10:49 AM


picture of Aresh Anwar

Dear Unimpressed Mom

Thank you for taking the time to provide this feedback. I would like to apologise for this situation, and acknowledge there are things we can do to improve the experience for patients and their families who are transferred to Perth Children’s Hospital from other hospitals. While it is important in order to ensure patient safety that patients requiring review first present to the emergency department, I agree that, where appropriate, patients should be able to go directly to the ward. I have asked the team to review the patient journey so we can make the transfer process smoother for our patients and their families. I will report back to you on the outcome of this. Can I please also ask if you could contact me so that I can review your child’s case to identify any other improvements we can make based on your experience. My email is Aresh.Anwar@health.wa.gov.au and my phone number is (08) 6456 5408. At PCH and the Child and Adolescent Health Service more broadly, we continually strive to improve the service we provide to our patients and families, and your feedback is invaluable in assisting us to achieve this goal. Thank you again for sharing your story.

Kind regards

Dr Aresh Anwar
Chief Executive
Child and Adolescent Health Service

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Update posted by Unimpressed Mom (a parent/guardian)

Hello Dr Anwar,

The wait in the Emergency Department was a minor issue the biggest issue was the complete disregard the PCH Team had for the report sent in by the Kalgoorlie Team and not communicating back to the Kalgoorlie team the reason for not conducting the requested MRI! An MRI at the time would’ve resulted in the correct diagnosis, a lot less stress and far less suffering to a young child!

So whilst I appreciate the response to the ED issue I feel that your response has sadly completely ignored the real issue of communication which was highlighted in the topic of my story!

I will give you a call in the next day or two!

Response from Peter Tredinnick, Executive Director, Regional Office, WACHS Goldfields 4 years ago
Peter Tredinnick
Executive Director, Regional Office,
WACHS Goldfields

Executive Director WACHS Goldfields

Submitted on 1/05/2019 at 6:12 PM
Published on Care Opinion on 2/05/2019 at 9:57 AM


picture of Peter Tredinnick

Dear Unimpressed Mum,

I am sorry to hear of your experience with the system and the impact this had on reaching a diagnosis for your child.

From our perspective, Kalgoorlie Hospital will work closely with Perth Children's Hospital to reduce the chance that such situations happen again.

Thank you for raising this serious issue, and now a diagnosis has been determined, our thoughts and wishes are for your child’s treatment and recovery.

Kind Regards

Peter Tredinnick

A/Regional Director

WACHS Goldfields

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