The report of the panel set up by the Lagos State Government to probe the death of a House Officer, Dr. Diaso Vwaere, at the Lagos State General Hospital, Odan, has submitted its report.
This was confirmed by the Permanent Secretary, Ministry of Information and Strategy, Olumide Sogunle, on Sunday.
In a statement, Sogunle confirmed that some initial sanctions had been applied to those found to have been culpable in the death of Vwaere.
The statement said: “The Lagos State Government would like to, once again, acknowledge with deep regrets the unfortunate elevator accident of Tuesday 1st August 2023 at the House Officer’s residence of the General Hospital, Odan, which resulted in the death of Dr. Vwaere Diaso, a vibrant young house officer.
“We commiserate with her family and her colleagues and pray for the repose of her soul.
As a Government, we feel the pain of this irreparable loss. May The Almighty console them and give them the strength to go through this difficult time.
“The Lagos State Government, in recognition of the importance of providing functional and comfortable accommodation for health workers, outsourced the management of the House Officers Quarters to a facility management company. The Lagos State.
The infrastructure and Asset Management Agency oversees the activities of the facility management company.
“Following the incident, we immediately set up a panel to look into its likely causes, identify persons who might be culpable, and suggest ways of preventing any future occurrence.
“For transparency, the membership of the panel included representatives of the Medical Guild and six representatives of House Officers.
“The panel has now concluded its deliberations and submitted its report.
“According to its findings, the incident happened around 6.50 pm. Due to the impact, the elevator doors were damaged and needed to be forced open to rescue the trapped house officer. She was extracted at about 7.50 pm and resuscitation commenced immediately.
She was wheeled to the emergency room and was immediately attended to by a medical team led by a highly experienced consultant orthopedic and trauma surgeon. The team was assisted by all house officers who were present at the time.
The initial objectives were to ensure a clear airway, maintain breathing, and establish circulation. The team was also joined by two consultant anesthetists, including the Medical Director, who intubated the patient. Despite all the efforts, she stopped breathing around 8.13pm and Cardio Pulmonary Resuscitation (CPR) commenced. This went on until 8.59pm when she was pronounced dead.
“It is important to state that blood samples for cross-matching had not been taken and there had not been a request for blood at the time CPR commenced; it is not true that blood was not available. The State has a strong network of screening centres where blood is available. Besides, there is a register of voluntary donors who can be mobilized at very short notice.
“It is also important to state that the elevator that crashed was installed brand new in 2021. Elevator experts working with the Lagos Safety Commission have carried out an initial inspection and will be removing the elevator for further mechanical examination to determine why the safety features, that should prevent this kind of accident did not work. Their findings will determine if we have a case with the elevator installer.
“Based on our initial findings the Lagos State Government has taken the following actions:
We have sacked and blacklisted the facility Managers
The GM of Lagos State Infrastructure and Asset Management Agency is to immediately proceed on suspension
The operations and line of reporting of the facility managers have been restructured to involve the hospital management directly.
We have handed the installation and maintenance contractors to the police for further investigation and likely prosecution if they are found culpable. The police will also investigate anyone else that might have been found to be negligent
Engineers are working to unravel why all the safety devices of the elevator failed at the same time.
All our staff are fully insured, We have informed our life insurance providers about this incident.
The Lagos Safety Commission has been directed to immediately carry out an audit of all elevators in public offices. This is besides the usual safety arrangements that have always existed.”
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