| Abstract: | There is almost a tradition in Australia for the suspect practices of hospitals to be exposed by whistleblowers rather than official governance or accreditation processes. The Bundaberg, King Edward, Canberra, Campbelltown and Camden hospitals have been investigated as a consequence of whistleblowing, but it seems the lessons learnt fail to travel beyond the subject institution. For five years, a number of senior surgeons at The Alfred Hospital in Melbourne complained about the clinical and billing practices of their colleague, Professor Thomas Kossmann, head of the trauma unit. Amid intense media interest, The Alfred eventually convened a peer review panel to investigate their concerns. Around the same time, two surgeons made disclosures to Ombudsman Victoria. The Ombudsman subsequently released two reports expanding on the findings of the peer review panel. The situation at The Alfred was remarkable for the numerous and diverse issues raised and the involvement of several external agencies. This article provides an overview and analysis of the peer review panel and Ombudsman's reports and the outcomes of the referrals and recommendations. |
