Sandoz Drug Supply Shortage – ethics & other resources:

1. Ethics Working Group Materials

The JCB was asked by the Ontario Ministry of Health & Long Term Care (MOHLTC) to provide guidance on ethical principles to guide allocation decisions in two areas: i) drug inventory allocation and ii) modification of services. A small ethics working group was struck to respond to this request. The ethics working group includes: Sally Bean (Sunnybrook Health Sciences Centre), Paula Chidwick (William Osler Health System), Jennifer Gibson (JCB – ethics working group chair), Dianne Godkin (Credit Valley Hospital & Trillium Health Centre), Robert Sibbald (London Health Sciences Centre), and Frank Wagner (Toronto Central Community Care Access Centre). The EWG has produced an ethical framework for resource allocation during a drug supply shortage, which was endorsed the MOHLTC and released across the Ontario health system on March 19th. The EWG`s work is ongoing, so this section will be updated regularly as additional materials and resources become available.

• Recently Published in Healthcare Quarterly: Ethical Framework for Resource Allocation During a Drug Supply Shortage
• Ethical Framework for Resource Allocation During a Drug Supply Shortage
• Trigger Points for Transitioning Between Stages in the Ethical Framework (draft)

 

2. MOHLTC Updates & Memos

This section will be regularly updated with any public broadcast MOHLTC updates and memos.

• Drug Shortages Redistribution Plan (Inventory Management) – April 2, 2012
• MOHLTC Memo: The Drug Redistribution Plan – April 2, 2012
• Ministry Update On Status of Health System Drug Supply – March 23, 2012
• MOHLTC Memo to Health Care Providers – Ministry Update on the Sandoz Canada Inc Drug Shortage Issue - March 20, 2012
• Minister Matthews’ Statement on Sandoz Drug Supply – March 7, 2012

 

3. Health Canada Bulletins & Alerts

This section will be regularly updated with any emerging bulletins or alerts from Health Canada.

• Sandoz Canada recalling partial lot of 2mg/mL (1mL) Morphine Sulfate Injection – March 22, 2012

 

4. Additional Ethical Frameworks

This section will be regularly updated with any additional frameworks adopted by other Canadian provinces.

• Saskatchewan Ministry of Health adopts Ontario’s ethical framework - Ethical Framework for Resource Allocation During Drug Supply Issues Affecting Saskatchewan - June 19, 2012

 

5. Ethics Literature & Other Ethics Resources

If you are aware of any ethics literature or resources that you would recommended posting here, please send them to Jennifer Gibson, jennifer.gibson@utoronto.ca .