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{
    "id": 1566956,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1566956/?format=api",
    "text_counter": 373,
    "type": "speech",
    "speaker_name": "Sen. Mandago",
    "speaker_title": "",
    "speaker": {
        "id": 13577,
        "legal_name": "Kiplagat Jackson Mandago",
        "slug": "kiplagat-jackson-mandago"
    },
    "content": "Madam Temporary Speaker, the petitioner filed a complaint with the KMPDC and enumerated particulars in support of an allegation of medical negligence; patience, mismanagement, intimidation and failure to follow up on second admission. However, during the process of lodging the complaint with KMPDC, they felt subjected to humiliation, harassment and intimidation by individuals; some of whom work for KMPDC. This report underscores the importance of accountability, transparency and adherence to the professional standards in healthcare institutions. The committee observes that the untimely death of Ms. Anita Jepkorir, was largely caused by medical negligence by medical personnel at MTRH where she sought medical attention after ingesting a black seed. The failure of medical procedures to locate or remove the ingested foreign body later confirmed at post-mortem reflects a critical diagnostic error and a significant breach of duty of care. This is further compounded by systemic failures and adherence to clinical guidelines and standard operating procedures; a clear contravention of both College of Surgeons of East Africa, Central and Southern Africa (COSECSA) and the KMPDC guidelines. Madam Temporary Speaker, the committee further observes that the misplaced food was a distraction by the medical practitioners from the failure to retrieve the actual foreign body. The failure by the operating medical personnel to revisit the CT scan results to confirm retrieval of the foreign object led to misdiagnosis, delayed outcomes and contributed to the demise of Ms. Anita Jepkorir. The post-operative briefings were done by the medical practitioners who were not the lead surgeon nor an anesthesiologist in violation of good medical practice, professional standards and guidelines. The concerned medical practitioners and the MTRH did not document information shared during the different briefings with the patient. In the patient's records for continuity of care, no other procedures to locate the ingested foreign body recorded to allow for post-operative reviews to identify areas of complication. Madam Temporary Speaker, it is in the finding of the committee that the petitioner was denied a fair hearing and their voice suppressed during dispute resolution. The MTRH and the KMDPC delayed in addressing the concerns raised in the matter as characterized by the extended and inordinate delay between the case when the case was filed and when the decision was rendered. The performance of the MTRH and the KMPDC during the dispute resolution was inefficient and unprofessional. The KMPDC appears to have violated the principles of confidentiality by sharing essential information and data received during investigation with third parties. With the foregoing, the committee recommends that the MTRH and the medical practitioners involved in the medical procedures related to the late Ms. Anita Jepkorir should be held liable for the untimely death of Ms. Jepkorir. Consequently, the family of the late Ms. Jepkorir should be compensated for the damages caused by the negligent acts of both medical practitioners and the MTRH from the medical indemnity insurance. Two, that the MTRH should, within three months of tabling this Report, establish clear protocols for surgical procedures that ensure all operations and critical medical The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate."
}