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Public Health Inquiries - 7325MED

8 Pages1685 Words222 Views
   

Griffith University

   

Health Services and Information Systems (7325MED)

   

Added on  2020-03-13

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There have been public health inquiries both nationally and internationally into the failure of the Health System. It ensures the delivery of safe and evidence-based care. The paper deals with the investigation into the Bundaberg Base Hospital/Queensland Health. In response to the Investigation, the paper discusses clinical governance, safety, and quality.

Public Health Inquiries - 7325MED

   

Griffith University

   

Health Services and Information Systems (7325MED)

   Added on 2020-03-13

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0PUBLIC INQUIRYPublic inquiryName of the StudentName of the UniversityAuthor Note
Public Health Inquiries - 7325MED_1
1PUBLIC INQUIRYIntroduction There have been public health inquiries both nationally and internationally into the failureof the health system. It ensures delivery of safe and evidence based care. The paper deals withthe investigation into the Bundaberg Base Hospital/Queensland Health. In response to theinvestigation, the paper discusses about clinical governance, safety, and quality. Clinical GovernanceThe term clinical governance by the “Australian Council on Healthcare Standards” isdefined as the health system where responsibility and accountability is shared among thegoverning body, clinicians, staff and mangers to minimize the risk and ensure patient safety(Jones & Killion, 2017). The components of the clinical governance framework as per theVictorian Clinical Governance Policy framework are identified and two of them are discussed inthis section In the Bundaberg Base Hospital, the clinical governance structure was very complex. Thepaper specifically discusses how the following components led to system failure. Organisation & committee structure, systems and processes- there was a fault in theinternal clinical governance system. There was no incidence of poor clinical outcomes detectedin the organization or any incidence of compromised patient care. It was the most perturbingaspect of the Dr Patel’s case. There was no consistent link found between incident reporting andthe process of compliant management (Terry & Lê, 2015). There was poor management of rangeof clinical risks. The external quality control team (Australian Incident Monitoring System) didnot expose the hospital to the events. The incidents were also not exposed by the hospital
Public Health Inquiries - 7325MED_2
2PUBLIC INQUIRYaccreditation processes. Due to the faulty structure and process of the Australian medical system,the Bundaberg Base organisation was not competent even to carry out the basic monitoring,reporting and management of medical errors (www.phcris.org.au, 2017). Another faulty aspect of the organisation’s structure and processes was lenient OTD(overseas-trained doctors) regulatory factors. Dr Patel joined Bundaberg Base as it was locatedin an AON. The same was defined under Medical Practitioners Registration Act 2001. The AONclassification process was full of shortcoming (Beaupert et al., 2014). The blind acceptance ofthe applications by Queensland Health for AON positions from public hospitals was a bigblunder. Further, there was lack of assessment of the registrants like Dr. Patel. The clinicalcompetence of such doctors was not scrutinised. As a visiting officer, the ability to provide thesurgical services at Bundaberg Base was not established. There was no rationale for promotingDr Patel’s from Staff Medical Officer to the position of Director of Surgery. He did not evenapply for this position (Edwards et al., 2016). Reports review and performance -Dr. Patel’s was trained in US. His practicedisadvantage came from his training and education that took place in different setting. He haspracticed in cultural setting that was different in level of technology, disease patterns, form ofheath care delivery and treatment options, workplace hierarchies and etiquette differ markedlyfrom those in Australia. Based on initial medical qualification of Dr. Patel in India, he wasappointed as OTD in Australia. There was no additional training given for performanceimprovement or reviewed his activities (Terry & Lê, 2015). Although Ms Hoffman raisedconcerns about his practice and competence with management, staff and administration, thecoroner and police but in vain. There was no further review on these complaints on hisperformance. Therefore, the health system failure in the Bundaberg Base Hospital is due to
Public Health Inquiries - 7325MED_3

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