The Patient Voice – a Key Catalyst for Change

Patients and families have a key role in patient safety and system innovation. 

We need patients and families to share their perspectives, share their experiences and provide insight into what change and improvement might look like.  Patients and families are the teachers we need, the experience we seek and the champions of effective change. Our patients are what will make the medication work by giving the perspective of compliance, the surgery safe, by giving the perspective of what patients need to know and the agents of change by sharing their experiences.

From our local hospitals, to national committees to international opportunities, such as working with ISQUA, myself and others are committed to change on the healthcare front.  We advocate for the patient voice, experience and perspective to shape how health care is delivered.  Not just the way care is delivered at the bedside, but policy development and administration at every level of the healthcare system.

How can we do this?  How do we incorporate the patient voice?

We do this by leading by example. We do this by providing patients/families the opportunities to teach and listen, inform, and advise.  We do this by partnering with patients, and working together until the patient voice is embedded into every healthcare policy and practice, and we do this until we cannot remember a time when we didn’t;  and then we keep doing it.

Patient’s are the actual users of our health care systems and their perspective is essential on how that system is being delivered, what is working, and more importantly, what is not working.

 
I recognize that not everyone will be comfortable with having representation from patients or families.  Objections may range from arguing that many patients would not be well informed enough to be able to contribute meaningfully, to fears that some patients may have a personal bias and be unwilling or unable to represent interests other than their own.  In reality, these exact same arguments could be made for any participant around a boardroom table, be they clinicians or clerks, bureaucrats or barristers; indeed, anywhere that discussions are held and decisions are made.

Change and challenging the way things have always been done can be uncomfortable and progress can be slow.  In some cases, including the patient voice may require a genuine culture shift.  The terrain may be unfamiliar at times and much effort may be required to clear a path. This path will be difficult to walk at times.  However, for patients, for families, and for the medical establishment, we need to learn to walk it together, with grace, negotiation,  mutual respect and collaboration. And side by side.

Hear the patient voice.


Denice is employed as a Patient Representative for the Capital District Health Authority in Nova Scotia.  Denice is past chair of the family faculty for the IWK Women’s and Children’s Hospital in Halifax and a member of Patients for Patient Safety Canada (PFPSC), a program of the Canadian Patient Safety Institute.  As part of PFPSC, Denice was on the working group which developed guidelines for the disclosure of adverse events,  acted as a volunteer consultant to the Queen’s Joanna Briggs Collaboration (QJBC) for Patient Safety Practices in Nursing and Health Care and served a on a pan Canadian committee for patient safety in mental health. Grow your Insagram profile with website buyiglikesfast.com supports you just click here and order promotion now! 

Denice is also a World Health Organization (WHO) patient safety champion, the Canadian representative to the Pan American Health Organization (PAHO), as well as a member of the American Society for Quality (ASQ). In addition to promoting organ and tissue donation with Life: Pass It On, and the David Foster Foundation, Denice also works with bereaved families.

 

Most recently, Denice accepted a one year appointment as an advisor to the board of ISQA, representing the patient experience.

 

Denice has presented and published on topics as diverse as organ donation to quality systems and healthcare issues to humour.

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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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