A Patients Experience at ISQua2018

“Welcome, welcome, welcome, you’re an engineer with experience in safety and quality systems and continuous improvement. We need people like you!”

That was three years ago.

“Welcome, welcome, welcome, you’re an engineer with experience in safety and quality systems and continuous improvement. We need people like you!”

That was three years ago.

However, fitting into the healthcare culture as a consumer representative turned out to be more challenging than first imagined, and offering to share my insights and experience in “High-Reliability Organisations” felt like I was offering to share the plague.

My experience of the health system to date is that the status quo is viewed as the lowest risk option and hence is favoured by the majority of the people in charge. They seem too overwhelmed with managing existing budgets, staffing and KPIs to be able to sit back and think about change and improvement. Hence, life as a consumer rep can be quite disheartening.

Somehow I managed to win one of ISQua’s inaugural patient inclusion scholarships, enabling me to attend the 35th annual conference in Kuala Lumpur.

Not expecting to be included, let alone contribute, I adopted a voyeuristic strategy to watch, listen and learn, then eat, drink and meet a few people. This rapidly went awry, apparently, I was expected to participate. The scholarship winners were to present our experiences in patient centred care. Oh! and they wanted me to chair a session, and participate in a debate “Should patients own patient’s data?” with people who have ‘Director’ and ‘Professor’ on their business cards. Calm voyeurism turned to anxious trepidation.

My first session, “Massive Ageing and the Tsunami of Consequences for Safety and Quality in Healthcare” totally changed my outlook. Maybe it was that their thoughts aligned with mine and that I was able to actively contribute to the discussion, and that my viewpoints were respected. My voyeuristic strategy and level of trepidation was utterly replaced by a sense that I was a valued part of a larger vision:

  • The near future represents a massive challenge for healthcare systems on many fronts including population growth, ageing, chronic lifestyle diseases and the increasing rate of technology development that is out accelerating healthcare.
  • These current thought leaders in our health systems openly admit that they do not know the answer to these problems.
  • They emphasized that we all need to work together to find solutions.
  • The resolution of these issues lies in working on and trying to improve the culture of healthcare.


I had never really experienced this tone and attitude before, but that sense, established in the first session, continued through the entire conference and was inspiring.

Similarly, the same sense and passion were evident in the many people I encountered. Irrespective of nationality, culture, religion, language or our chosen professions or challenges, the “ISQua family” and those present were an absolute inspiration as to what humanity truly should be about – working together to help improve the lives of others. I truly thank ISQua for this amazing opportunity.

As evidenced by the result of the debate, (we were robbed), there is still an enormous amount of work to do in the patient centred care space, but it is truly encouraging to know that some big leaders and lots of individuals are listening.

Once again, thank you!

P.S. Did you hear that the winner of the 90 seconds “Dragon’s Den” innovation pitch, judged and awarded by the amazing Cliff Hughes, was an engineer!

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Nourhan Kawtharani


Nourhan, a quality and safety coordinator with eight years of experience in ambulatory healthcare in Lebanon, aims to deepen her understanding of the systemic and holistic approach to healthcare through this fellowship.

She aims to identify gaps and develop tailored interventions that address specific contexts rather than applying general solutions. Engaging with diverse professionals and perspectives during this educational journey will expand the application of these concepts across different cultural settings.

Nourhan emphasizes the importance of promoting a culture of continuous learning and improvement within healthcare institutions, considering it a vital leadership responsibility to integrate quality and safety initiatives into the organizational culture.

Nourhan's commitment to patient safety and quality management includes sourcing practical resources and transforming insights into actionable knowledge to drive continued progress in healthcare practices and outcomes.

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Elom Otchi


Elom is passionate about improving quality of care and patient safety outcomes.

In view of this, he has had the opportunity to work in various capacities with various organisations including AfIHQSA, WHO, UNICEF and others undertaking research, supporting the development of national quality policies and strategies, facilitating the establishment of quality governance systems across all the levels of the health sector and building capacity of national and sub-national quality leads/teams to institutionalize the practice of quality and patient safety across the continent.

He has also worked extensively across all levels of care in the health sector of Ghana, including leading the Quality & Patient Safety program in its largest teaching hospital.

I would like to use this Fellowship as a learning platform and an opportunity to acquire the requisite knowledge, skills and competencies to complement ongoing efforts by like-minded individuals and organizations to continuously advance improve the quality and patient safety in Ghana and the continent.

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Stephen Taiye Balogun


Stephen is a Senior Programme Officer at the Institute of Human Virology in Nigeria as well as Country Representative for Health Information for All (HIFA).

Stephen plans to use this opportunity to maximise his impact by championing the cause of patient safety and quality in Nigeria and across Africa.

Stephen says "Quality and safety is a major wheel through which universal healthcare coverage can be achieved. The goal is to be a bridge in the gap between the International Quality Improvement and Patient Safety community and my country to ensure rapid spread, adoption, implementation and practice."

We are looking forward to working with both Stephen and our 2020 winner Rhoda Kalondu over the next year.

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Dr Rhoda Kalondu


Rhoda is the Head of the Patient Safety Unit at Kenyatta Hospital in Nairobi and wants to use this Fellowship to learn how to establish a culture of safety and develop systems for assessment and analysis at her institution, and more widely. As well as this, Rhoda intends to develop and execute an intervention to improve patient safety in Kenyatta National Hospital.

It is one thing to institute measures and processes for improvement, but quite another to change the culture of an environment. Rhoda's ambition to lead others in this change inspired the panel.

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Dr Subhrojyoti Bhowmick


I am an MBBS graduate from Calcutta University with a Gold Medal in Gynecology & Obstetrics.

I have completed M.D in Pharmacology from IPGME& R, Kolkata and have over 12 years of experience in the field of Clinical Research, Pharmacovigilance and Medication management in Hospitals.

I have completed certification in Clinical Research Administration & Project Management from Stanford University, USA and in Patient Safety from Johns Hopkins University, USA.

I am an Assessor for National Accreditation Board for Hospitals & Health care providers (NABH), India assessing hospitals for medication safety and clinical quality standards and NABH Assessor for Ethics Committee Accreditation program in India as well.

I serve as the Chairperson, Institutional Ethics Committee of Health Point Hospital, Kolkata and am associated with 2 other Hospital ethics committees as a member.

I finished my Fellowship in Healthcare Quality from the International Society of Quality in Healthcare (ISQua) from Ireland in 2017.

I have published several research articles and have also authored a chapter on “Regulations governing Clinical Trial” in the book “Fundamentals of Clinical Trial & Research”.

I am a peer reviewer for prestigious international journals like the British Journal of Clinical Pharmacology, CNS Drugs and Drug Safety case reports.

I am the recipient of the UK Seth Oration Award for Best Clinical Pharmacology paper by the Indian Pharmacological Society in 2009 and the “Most promising Healthcare professional in Patient Safety in India” award by the Asian African Chamber of Commerce and Industry in October 2018.

Recently in April 2019, I received the Young Quality Achiever award by Consortium of Accredited Healthcare Organizations (CAHO), India for 2019 for my work in the field of medication safety and clinical research.

I have a keen interest in teaching and am visiting adjunct faculty of Pharmacology at KMC, Mangalore, India and for Healthcare technology at MAKAUT, Kolkata, India.

I was associated with Stanford University School of Medicine, in the USA as a Senior Clinical Research Associate from 2015 to 2017 and have certification in Biostatistics, Evidence-based Medicine and Medical Writing from Stanford University.

Currently, I am working as the Clinical Director of Academics, Medical Quality and Clinical Research at Peerless Hospital and B K Roy Research Centre, Kolkata.

I am very happy and thrilled to receive the prestigious ISQua Lucian Leape Patient safety Fellowship Award for 2019 and I look forward to honing my skills further in the field of healthcare quality and patient safety through my experiences during this fellowship.

I sincerely believe that successful completion of this fellowship will help me evolve as a more confident Patient safety leader in India who in turn can provide significant inputs on policy changes through NABH for the Indian healthcare system.

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