Dear Colleagues,
MESSAGES FROM THE 7TH EDITION OF THE CLINICAL GOVERNANCE LECTURE SERIES ON THURSDAY, 13TH JULY 2023 ON VIRTUAL ZOOM
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Thank you to all the invitees whoattended the 7th Edition of the Clinical Governance Lecture Series, yesterday. The Lecturer, Mr Felkix Udogwu, Chief Nursing Officer, Lily Hospitals, Warri lecture was brilliant and very well received, and generated a robust positive discussion. The Lecture was titled, 'Multidisciplinary Risk Management in Practice’ and contained multiple Real-Life practical examples of how Lily Hospitals manages risk, as it delivers care to its patients and their families, and which is why it has achieved and sustained two prestigious Quality Health Accreditations, namely, ISO 9001 and the COHSASA (South Africa).
** Notice that Nigeria still (in 2023) does not have its own National Standard for Quality Healthcare benchmark!
KEY MESSAGES FROMLECTURE 1: Prof Joseph Ana emphasized that:
·The specific objective for creating the Pillar on ‘RISK MANAGEMENT’ is to turn consultation rooms, wards, theatres and other spaces in the health facility into Transparency Centres for building patient/user/public confidence, trust and support for the health professions, and for the health system as a whole.
·The 12-Pillar clinical governance programme (12-PCGP) ensures that healthfacilities are ‘good enough for the Leaders and all other Nigerians to use confidently when they need medical care’. (CRSMOH HealthPlan 2004)
·The 12-PCGP is based on evidence, homegrown and bespoke for Lower, Low, and MiddleIncome Countries (LLMIC) like Nigeria, in view of the countries’ developmental deficits, due to poor prioritization of healthcare in general, including the missing foundational pillars without which Quality Health Care cannot be achieved, namely: Law/Policy/Management, Funding Mix, Infrastructure, Equipment, and
Utilities and WASH/Ambience.
·The definition of 12-PCGP that has made the concept understood and supported in LLMICs,like Nigeria is: ‘an overarching framework for Protecting Patients, Supporting Practitioners In Tandem’. It must be multidisciplinary, multispecialty, multisectoral in practice/implementation!
·The 12-PCGP is Nigeria’s greatest Healthcare exporttoday!
·The Lack of/poor Risk Management has severe andcostly consequences for all: practitioners; patients, the system!!. And hecited an example out of several : https://www.medscape.com/viewarticle/994234ecd=WNL_trdalrt_pos1_ous_2307...
KEY MESSAGES FROM THE LECTURE 2: Mr Felix Udogwu, RN, OHM, BScN, MScN, APGD, Chief Nursing Officer,Lily Hospital, Warri (COHSASA Certified), emphasised:
·Risk management is organisational effort to identify, assess, control, and evaluatethe risk to reduce harm to patient, families / visitors, and staff and protect the organization from adverse consequences including poor outcome of care, bad reputation, financial loss, etc
·Thedifferences and relationship between certain key terminologies in Riskmanagement: hazard; risk; multidisciplinary care team; harm
·The facts stated in the publication by ‘ WHO10 FACT ON PATIENT SAFETY’ From WHO-Media Centre 2018, justifies his lecture for which heappreciated the organisers of the event.
•That implementation of the pillar on Risk Management requires effective communication,care coordination, evaluation and benchmarking. And that effective measurement of these attributes, include: clinical audit that involves all staff (clinical and non clinical).
•He described how Risk is analysed, evaluated, and action taken in Lily Hospitals, with several examples in charts and diagrams.
•In conclusion he stated that: i) Personal accountability is important, as any person in the chain might expose a patient to risk, ii) One way for professionals to help prevent adverse events is to identify areas prone to errors, iii)The proactive intervention of a systems approach for minimizing the opportunities for errors can prevent adverse events, and iv)Individuals should also work to maintain a safe clinical working environment by looking after their own health even as they respond appropriately to concerns from patients and colleagues.
NOTICE: Mark yourdiary: The next (8th Edition) of the lecture series shall hold on 17th August, 2023 by 6pm Nigeria (WAT).
Prepared by –
Centre for Clinical Governance Research & Patient Safety (CCGR&PS) @ HRI Global., Calabar. Visit: www.hri-global.org
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CHIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Joseph is a member of the HIFA Steering Group. Website: www.hriwestafrica.com jneana AT yahoo.co.uk
