Friday, October 16, 2015

Bulletin: SickKids apologizes for drug-test failings of its Motherisk lab; Hospital says it “deeply” regrets harm to families caused by “unacceptable” practices by lab whose tests were relied on in court. "Among the changes stemming from the review is the implementation of a program “to ensure that our staff testifying in court understand their professional responsibilities and their role in the judicial system,” Apkon said. He told the Star that while Motherisk never “held themselves out” as a forensic lab — Motherisk was actually accredited as a clinical lab — the lab’s staff “may not have routinely identified the limitations in their approach or processes in a way that would allow the judicial system to appropriately gauge the credibility of the results.” Toronto Star;

"The Hospital for Sick Children is apologizing for “unacceptable” practices in its Motherisk drug testing laboratory, its chief executive officer told the Star in an exclusive interview on Thursday. “We deeply regret that the practices in the Motherisk drug testing laboratory didn’t meet the high standard of excellence that we have here at Sick Kids, and we extend our sincere apologies to children, families and organizations who feel that they may have been impacted in some negative way,” said Dr. Michael Apkon, speaking in his office at the hospital. “We remain resolved in our efforts to ensure that we have the highest standards of quality and safety in all of our programs so that unacceptable events like this never happen again.” Sick Kids permanently halted drug and alcohol hair testing at Motherisk last spring in the midst of an internal review, which showed a laboratory operating at times without appropriate oversight or rigorous quality assurance processes, yet relied upon in many child protection and criminal cases across the country. Apkon said the hospital has no plans to resume drug and alcohol hair tests.... The Star’s investigation showed that prior to 2010, Motherisk was testing hair using a methodology described by experts as falling short of the “gold-standard test.” And while Motherisk did switch to the gold standard after 2010 for most drugs, the internal review found it was still using the less definitive test for some drugs, including cannabinoids, until the lab was closed in April. The hospital has never provided the number of cases that relied upon Motherisk testing prior to 2010. Apkon said it would be impossible to give an accurate number without “collaborating” with other partners in the judicial system. The Sick Kids’ investigation also uncovered that for several years, Motherisk had been misleading the hospital about its testing process. The lab was a participant in the Society of Hair Testing’s “proficiency testing” program, in which hair samples with known quantities of drugs were sent by the SoHT to organizations for testing so that they could compare their results with other participating groups to ensure their processes were reliable. Unbeknownst to Sick Kids, “results from another laboratory used to confirm results from (Motherisk) were submitted to the SoHT as (Motherisk)’s results,” according to the summary of findings...Among the changes stemming from the review is the implementation of a program “to ensure that our staff testifying in court understand their professional responsibilities and their role in the judicial system,” Apkon said. He told the Star that while Motherisk never “held themselves out” as a forensic lab — Motherisk was actually accredited as a clinical lab — the lab’s staff “may not have routinely identified the limitations in their approach or processes in a way that would allow the judicial system to appropriately gauge the credibility of the results.”