I Was Blind But Now I See

In 1778, John Newton, a slave trader, was in a vessel hit by a terrible storm. John Newton had a conversion that lead to his writing of “Amazing Grace”. Despite his spiritual conversion, it took John Newton another eight years to end his slave trading. He wrote,

In 1778, John Newton, a slave trader, was in a vessel hit by a terrible storm. John Newton had a conversion that lead to his writing of “Amazing Grace”. Despite his spiritual conversion, it took John Newton another eight years to end his slave trading. He wrote,

“Amazing grace! (how sweet the sound)
   That sav’d a wretch like me!
I once was lost, but now am found,
   Was blind, but now I see.”

George Floyd was killed in eight minutes and 46 seconds, but his murder carries with it hundreds of years of turning a blind eye to devaluation of black life. For many who have been blind to racial violence, now we are at a moment of seeing. This conversion screams out to the world that a revolution must begin. This revolution is not a revolution of violence, more killing and indiscriminate rage, however.

The revolution must be a revolution that addresses the “triple evils of racism, economic exploitation and militarism.” In 1963, Martin Luther King Jr. said “I am convinced that if we are to get on to the right side of the world revolution, we as a nation must undergo a radical revolution of values. We must rapidly begin … the shift from a thing-oriented society to a person-oriented society. When machines and computers, profit motives and property rights, are considered more important than people, the giant triplets of racism, extreme materialism, and militarism are incapable of being conquered.”

Racism, in the USA, is the manifestation of the enslavement of black people, American Indian genocide, and the occupation of Mexican land. It continued with the subjugation and oppression of Chinese and Japanese people and other people of color in the USA at various times in this country’s history, and continues to this day. The insidious persistence of institutional and structural racism must be eliminated.

In the US, white families have ten times the wealth of black families. The home ownership gap is the widest it has been in 50 years. In health care, disparities have been documented in every disease category, and we can add COVID-19 to the list, as we now know that deaths have been disproportionately greater among blacks, Latinx and other people of color. Disinvestment in black and brown communities continues to ravage marginalized communities to the extent of hopelessness and despair.

As we write this, we have seen two weeks of protests in cities and towns across the US. Protesters have been multi-racial and multi-generational. Educational institutions, non-profits, corporations, and even the NFL have made statements in support of Black Lives Matter and committed to structural change. The transformational change that many people are sensing is possible must happen.

To realize this change, we must identify the structures and processes that are causing disparities and intentionally dismantle them. We must transform the systems and structures that result in wealth inequity, health disparities, mass incarceration, police violence, environmental racism, educational disparities, and every other aspect of society where people of color do not have the same opportunities as white people. Each one of us must look inside ourselves and ask what we can do to be a part of the change that we hope is surely coming.

Racial Healing and Racial Equity is possible. White people need to commit to fighting white supremacy. They must learn about the history of people of color in this country and make themselves aware of the privilege that they have every day, with every breath, and they need to understand how they personally have benefited from this privilege. Intersectionality is real, but even the poorest white person has white privilege and has benefited from it. In fact, those in power have a long history of dividing poor whites and poor people of color from uniting on issues of mutual concern using racism.

Systemic racism is finally being understood in the US with the killing of George Floyd and the subsequent righteous protests; the message has been received by mainstream white America that black people do not feel safe any day they walk outside. Millions of white people in the U.S. have heeded the call and have said they no longer want the knee of white supremacy held to the necks of people of color in their name.

Speaking to white people now, the following actions should be committed to:

  • Share power with people of color and elevate their voices.
  • Educate yourself about racism (interpersonal, institutional, structural); understand it and join in the work to dismantle it.
  • Set out on the personal journey that begins with reflecting on your own privilege and take the next steps
  • Acknowledge that you will never fully understand the lived experiences of people of color, but you can respect and value that experience
  • Acknowledge both the injustice of the past and the present
  • Take action to help repair and heal our systems and communities by using your power in your sphere of influence to advance equity
  • Partner with, support and commit resources to community-based organizations led by people of color
  • Add people of color in significant numbers to boards, executive suites, other leadership bodies and decision-making entities
  • Understand that trust, once lost, takes time and significant effort to rebuild; commit to earning trust every day through action and changed behavior
  • Commit public and private investments to ending racism, poverty, homelessness, hunger, mass incarceration, and other unjust and unacceptable conditions that affect people of color disproportionately.

We are at a moment where people around the world are having an epiphany, as John Newton did. We stand at the crossroads of transformation. We must collectively commit to seeing the world differently and commit to action. Many of us were blind, but now we see. Do you see? And will you act now?

Dr. Wyatt and Ms. Botwinick are co-authors of Achieving Health Equity: A Guide for Health Care Organizations. Their work on Dismantling Institutional Racism To Achieve Health Equity: New Framework, was presented at the ISQua meeting in October 2019 in Cape Town, South Africa.

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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.

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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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