In 2010 Grace Wang was left paralysed after an accidental epidural injection with antiseptic solution (indistinct chlorhexidine – easily mistaken for other colourless solutions). This same error continues to play out again and again throughout the world. 500 frontline staff have signed a petition to have indistinct chlorhexidine banned – […]

This is a letter we wish the TGA will write: The TGA has made the decision to ban indistinct pourable chlorhexidine solutions. This decision is in keeping with recommendations from the root cause analysis (RCA) performed after the accidental epidural injection of chlorhexidine at St George Hospital in 2010. The […]

  Indistinct chlorhexidine (circled) still exists in many hospitals despite almost 500 front line staff signing a petition to have it banned. This completely unnecessary hazard has lead to the death and morbidity of many patients throughout the world (see here). This issue highlights the failure of hierarchical top down […]