People wait outside the entrance of the emergency room at Nanaimo Regional General Hospital

UPDATED: Island Health rejects doctors’ plea to suspend iHealth at ‘hospital in crisis’

Use of electronic record-keeping system to continue in Nanaimo while health authority looks for ways to build trust, reduce fatigue

Island Health listened to doctors deliver a formal non-confidence vote Wednesday in a new system that has created a “hospital in crisis.”

It decided to go with a second opinion.

Vancouver Island’s health authority has rejected a last-ditch plea from Nanaimo doctors to suspend use of the controversial $178-million iHealth paperless record-keeping system until its issues are rectified.

Instead, the system will continue operating while immediate steps are taken to address staff fatigue and boost staff trust.

The decision comes at the recommendation of the Health Authority Medical Advisory Committee, a team of medical professionals that determined current staff distress and fatigue was due to “resource gaps.”

HAMAC advised urgent action to alleviate the workload and find ways to improve how iHealth is being utilized, as well as reviews at least monthly of the effectiveness of those steps.

Ultimately, Island Health decided the issues being experienced are tied to inadequate staff support, rather than the system itself.

That’s not what Nanaimo doctors wanted to hear.

“Our request was to remove the ordering system while they work on it and reintroduce it when certain goals are met,” said Nanaimo Medical Staff Association treasurer Dr. Alison Croome.

“We feel it’s a reasonable request and that the safety concerns are sufficient. They are confident in their safety data and they feel our concerns are unfounded.”

The NMSA stated its case in a June 29 presentation to the board, led by vice-president Dr. Tony Booth. Booth said the implementation of iHealth has created a crisis at NRGH that has gone unrecognized by an Island Health report that concluded the system was working as intended.

“This report lacks face validity, meaning there are inconsistencies in this report compared with the real-life experiences of the physicians using the system,” he said. “Since the iHealth launch (there has) been a multitude of physician-reported major safety issues from every department that deals with acute patient care.

“We do not want a catastrophic event to occur in order to have our concerns heard. We do not feel that it is ethical to put patient at risk using a system that makes it difficult to ‘do the right thing’ and much easier to make a significant error.”

Implemented in March at Nanaimo Regional General Hospital, Nanaimo’s Dufferin extended care facility and the Oceanside Health Centre in Parksville, iHealth is design to eliminate the use of paper in the recording of medical diagnosis and treatment. Island Health plans to implement it Island-wide after any kinks are worked out.

Medical staff concerns have centred on how the system has slowed the pace of treatment in critical areas like the hospital’s emergency room and intensive care unit and resulted in missing or misplaced orders, putting patient health at risk.

Staff at the NRGH ER and ICU have been using paper orders — which are then copied into iHealth — for about a month now as a precautionary measure and a means to expedite treatment.

Booth said doctors are concerned that the administration’s pride in the system is getting in the way of a solution.

“We ask you the board what price is willing to be paid to continue a system whose benefits are as yet theoretical but whose side effects are very real?”

According to Croome the doctors will regroup to discuss what, if any, further steps should be taken.

“We have not decided to take any action, as of yet,” she said. “There are no other steps we can take with the health authority.”

Island Health CEO Dr. Brendan Carr responds to this issue here.

Follow me on Twitter @JohnMcKinleyBP

Just Posted

Oak Bay High student selected for Canada Youth Olympic Team

Barbarians rugby player Lachlan Kratz heads to Las Vegas for Qualifiers

Man charged in suspected Greater Victoria bus assault

The Victoria Police Department has arrested a man for sexual assault aboard… Continue reading

Library’s French collection gets $15,000 boost

Provincial grant adds extra French-language materials to Greater Victoria Public Library collection

Cruise Industry Job Fair on Saturday

Nearly 900 jobs created by the industry

Celebrating the heroic dogs of Saanich past

Cedar Hill exhibit features great dogs of history

President praises nearly 1,800 volunteers at B.C. Games

Ashley Wadhwani sits down with the Kamloops 2018 B.C. Winter Games President Niki Remesz

The way government learn someone has died is getting a digital overhaul

Governments in Canada turned to private consultants 2 years ago to offer blueprint

Bobsleigh team misses Olympic medal finish

Canadian team finishes four-man event 0.84 seconds behind first place, 0.31 seconds from podium

B.C. Games: Athletes talk Team Canada at PyeongChang 2018

From Andi Naudie to Evan McEachran there’s an Olympian for every athlete to look up to

Minor injuries after car veers into Courtenay dance studio

A driver and passenger were taken to hospital after their vehicle crashed… Continue reading

Snowboarders sliding into fresh territory at B.C. Games

Athletes hit the slopes for first appearance as an event at the B.C. Winter Games in Kamloops

Cougars hold upper hand on Westshore in VIJHL South semifinal

Victoria leads series 2-0, games 3 and 4 go tonight and tomorrow

Looking back at the 1979 B.C. Games: Good memories, even better jackets

39 years later, Kamloops is hosting the Winter Games again, with some volunteers returning

OLYMPICS 101: Oldest and youngest Canadians to reach the podium

This year, Canada sent its most athletes in Winter Games history, here’s a look at record breakers

Most Read