Examining a Public Inquiry Into a Health System Failure Research Paper 2022

Examining a public inquiry
into a health system failure
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Table of Contents
Introduction......................................................................................................................................2
Clinical Governance........................................................................................................................2
Quality and Safety...........................................................................................................................3
References........................................................................................................................................6

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Introduction
The fundamental purpose of the paper is to explore prominent inquiry into health system failures
that may undermine public trust in the health system and can be highly visible to the community.
The professional and potential personal impact creates an impact on those engaged in inquiry.
The professional and personal impact may be justifiable if there possess some positive change
within the system that manages the negative impact. The paper will examine the health system
failures that occurred in Bundaberg Base Hospital (BBH) by addressing two modules those are
clinical governance and quality and safety in the Australian context. It will analyze the role of
inquiries into health system failures and strategies that may help in preventing such failures.
Based on the case study, the paper will explore the issues related to Dr Patel at BBH in
Queensland. It will provide by providing recommendation for improving clinical governance
along with healthcare quality and safety in the hospital.
Clinical Governance
Clinical governance is determined to be a framework that helps health services to safeguard
standardized care and improve the quality of services by generating an environment that
flourishes excellence in clinical care. In the developed countries like Australia, most of the health
care organizations possess an array of clinical governance systems like clinical privileging,
credentialing, morbidity and mortality review, clinical audit and incident analysis and reporting.
Based on Dr Patel case in Bundaberg Base Hospital (BBH), it was analyzed that none of the
numerous incidents of poor clinical outcomes and negotiated patient care was investigated by the
internal clinical governance systems of the hospital (Thiele, 2019). On April 2005, under the
guidance of Commissioner Anthony Morris QC, the Bundaberg Hospital Commission of inquiry
was launched. The Interim Report of Morris Inquiry called Dr Patel to be charged for
manslaughter, murder, negligence, fraud and false representation. The inquiry was closed on
September 2005 after inquiry evidence for fifty days in Queensland Supreme Court. The Morris
Inquiry was not allowed to last longer as the court believed that the evidence stained through
unfairness that cannot be detangled from the entire proof. Whereas, as per the final report of
Davies Inquiry, it is declared that Dr Patel was charged with several offences as per the
Queensland Criminal Code. As per Foster's Review, the clinical governance system of the