Wednesday, May 30, 2018 • 10:30 - 12:00
Track Chair: Dr. Drew Digney
Room: TELUS Glen 209

Reality and Illusions in Medication Safety - Dr. Mary-Lyn Fyfe

Description: This presentation will summarize the Island Health experience in implementing computerized provider order entry and a closed loop medication management system. The criticality of developing a shared understanding of risk and safety in both paper based medication management systems and electronic systems will be discussed.

Learning Objectives:

  1. Upon completion of this presentation, participants will be able to assess the risks in managing medication in a paper based environment
  2. Upon completion of this presentation, participants will be able to explain the benefits of a closed loop medication management system
  3. Upon completion of this presentation, participants will be able to discuss human factor theory and the effectiveness of changes in context of an electronic medication management system


  1. To Err is Human – technologies can be used to support elimination of preventable errors.
  2. Implementation of a Closed Loop Medication Management System merely gets to the beginning…
  3. Conversations change when patient’s, nurses and pharmacists are involved in the discussions of medication safety

Biography: Dr. Mary-Lyn Fyfe is a practicing physician and currently is the Chief Medical Information Officer for Island Health in British Columbia, Canada. Mary-Lyn is a University of British Columbia medical graduate who subsequently undertook Internal Medicine education in both Canada and the United States, where she worked for Kaiser Permanente for 12 years. It was there that Mary-Lyn experienced clinical efficiencies and quality outcomes associated with the active clinical use of an Electronic Health Record.

Disclosure: When Things Go Wrong - Dr. Robert Johnston

Description: This talk will outline the obligations health care providers have following an adverse event, as well as describe the rationale, considerations, and benefits of an appropriate disclosure.

Learning Objectives:

  1. Describe the disclosure roadmap
  2. Discuss skills for effective disclosure
  3. Discuss the impact of patient harm on the provider


  1. Physicians are obligated to disclose adverse events
  2. Patients will have specific needs following an adverse event
  3. Adverse events impact providers

Biography: After 20 years in the military as a Flight Surgeon and, later, an anesthesiologist, Dr. Johnston joined the CMPA in Sept 2017.

ED Overcrowding and Physician Admission Variation: Are We the Risky Link in the Equation? - Dr. Drew Digney

Description: ED overcrowding has been recognized as a result of bigger system wide issues causing overall blacklog in our hospitals. Most admissions to hospitals come from the ED and therefore the variability in admission practices by physicians could be an important factor.  The degree of variability in physician admission practice will be reviewed and its relationship to patient populations will be reviewed.  This variation will then be tied to its impact of overall hospital occupancy and the risks this imposes on our patients.

Learning Objectives:

  1. There is little variation in patient population s seen by Emergency Physicians
  2. There are large variations in admission rates by physicians that is not due to variation in the patients they see.
  3. ED physicians need to be accountable for this variation as part of solving the overcrowding issues


  1. We see the same patients
  2. We have very different patterns of practice
  3. This variation is a big part of the overcrowding problem that creates risk for our patients

Biography: Dr. Digney practices Emergency Medicine in Nanaimo BC.  He was the Department head from 2008 to 2014 creating a place that welcomed its community and where people wanted to work.  His most recent role was Executive Medical Director responsible for operations in  Nanaimo, Oceanside, Alberni and Clayquot region and for oversight of Renal, emergency, trauma and oncology care for Island Health.  Dr. Digney likes to challenge the status quo to improve outcomes from our system for the people it serves.