Dear Colleagues,
MESSAGES FROM THE 7TH EDITION OF THE CLINICAL GOVERNANCE LECTURE SERIES ON THURSDAY, 13TH JULY 2023 ON VIRTUAL ZOOM
Thank you to all the invitees who attended 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 FROM LECTURE 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 health facilities are ‘good enough for the Leaders and all other Nigerians to use confidently when they need medical care’. (CRSMOH Health Plan 2004)
· The 12-PCGP is based on evidence, homegrown and bespoke for Lower, Low, and Middle Income 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 export today!
· The Lack of / poor Risk Management has severe and costly consequences for all: practitioners; patients, the system!!. And he cited an example out of several : https://www.medscape.com/viewarticle/994234?ecd=WNL_trdalrt_pos1_ous_230...
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 evaluate the 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
· The differences and relationship between certain key terminologies in Risk management: hazard; risk; multidisciplinary care team; harm
· The facts stated in the publication by ‘ WHO 10 FACT ON PATIENT SAFETY’ From WHO-Media Centre 2018,justifies his lecture for which he appreciated 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 your diary: 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
Prof Joseph Ana
Lead Senior Fellow/ medical consultant.
Center for Clinical Governance Research &
Patient Safety (ACCGR&PS) @ HRI GLOBAL
P: +234 (0) 8063600642
E: info@hri-global.org
8 Amaku Street, State Housing, Calabar, Nigeria.
www.hri-global.org
HIFA Profile: Joseph Ana is the Lead Senior Fellow/Medical Consultant at the Centre for Clinical Governance Research and Patient Safety (CCGR&PS) with Headquarters in Calabar, Nigeria, established by HRI Global (former HRIWA). He is the Country Coordinator for PACK Nigeria (Practical Approach to Care Kit) which is specifically designed to improve clinical competence (improving accuracy of diagnosis and treatment) in primary health care. He is also a Member of the World Health Organisation’s Technical Advisory Group on Integrated Care in primary, emergency, operative, and critical care (TAG-IC2). As the Cross River State Commissioner for Health (2004-2008), Joseph Ana led the introduction of the evidence based, homegrown quality tool, the 12-Pillar Clinical Governance Programme (12-PCGP) in Nigeria, which also suitable for lower-, low-, and middle income countries (LLMIC) with similar weak health sector and system. To ensure sustainability of 12-PCGP, the ‘Department of Clinical Governance, Servicom & e-health’ was established in Cross River State Ministry of Health in 2007. His main interest is in ‘Whole health sector and system strengthening in LLMICs’. He has written six books on the 12-Pillar Clinical Governance Programme, including the TOOLS manual for its Implementation, currently in its 2nd Edition. He served as Chairman of the Nigerian Medical Association’s Standing Committee on Clinical Governance (2012-2022), and he won the Association’s ‘Award of Excellence’ on three consecutive occasions for the innovation of 12-PCGP in Nigeria. He served as Chairman, Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act 2014. He was Member, National Tertiary Health Institutions Standards Committee (NTISC) of the Federal Ministry of Health, 2017-2022. He is the pioneer Secretary General/Trustee-Director of the Charity, NMF (Nigerian Medical Forum UK) which took the BMJ to West Africa in 1995. Joseph is a member of the HIFA Steering Group; the HIFA working group on Community Health Workers, and the Working Group on HIFA-WHO Collaboration (http://www.hifa.org/support/members/joseph-0 http://www.hifa.org/people/steering-group). Email: info AT hri-global.org and jneana AT yahoo.co.uk
