About 500 objects forgotten in surgery patients over 2 years - Canadanewsmedia
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About 500 objects forgotten in surgery patients over 2 years



More than 550 objects have been unintentionally left in Canadian medical and surgery patients between 2016 and 2018, and the problem appears to be getting worse.

A new report released Thursday by the Canadian Institute for Health Information says 553 foreign items — such as sponges and medical instruments — were left behind over that two-year period.

That’s a 14 per cent increase between the most recent data collected 2017-2018 and statistics collected five years earlier.

It’s also more than two times the average rate of 12 reporting countries, including Sweden, the Netherlands and Norway, which had the next highest rates.

The information was examined as part of a broad look at how Canada’s health-care system compares to other member nations of the Organisation for Economic Co-operation and Development.

Tracy Johnson, CIHI’s director of emerging issues, said the data only notes how often the mistakes occurred, but not how or why.

“Often they are smaller things and they may be things like clips or sponges,” said Johnson, suggesting the reasons are likely complex and multifaceted.

2 surgical sponges left inside woman following surgeries

“Some surgeries are long and complicated and if they have to change people during that surgery because some surgeries last a long time, it may be that things get missed because of that. It may be that they don’t have protocols in place — surgical checklists are one of the things that are utilized to try and prevent a number of things happening….

“What we know is patient safety is complicated. People don’t go to work to make mistakes but these things happen.”

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Johnson said several peer countries, including the United States, the United Kingdom and Australia, do not report on cases where foreign objects are left behind, making comparisons difficult.

And the Canadian statistic is based on data provided by hospitals in only nine provinces.

Still, Johnson said there’s clearly work to be done to improve patient safety, noting the average rate of forgotten items was 9.8 incidents per 100,000 surgeries.

That number also varied widely between regions — from a low of 5.7 per 100,000 surgeries in British Columbia to about 15 per 100,000 surgeries in Quebec, said Johnson.

She suggested that variation may have more to do with how thorough one province’s counting and recording system might be versus another, rather than apparent deficiencies in care.

The information was examined as part of a broad look at how Canada’s health-care system compares to other countries.

The report also found Canada had the highest rate of severe tears during vaginal childbirth among 23 countries measured, at twice the average.

Canada also had the highest rate of avoidable complications after surgery, including lung clots after hip or knee surgery among 12 countries studied. Those numbers hovered 90 per cent above the average.

Sandi Kossey of the Canadian Patient Safety Institute said the findings are alarming but that the focus should be on why such avoidable injuries happen and the steps needed to correct them.

She noted the data only captures hospital errors and suspected preventable — and sometimes deadly — mistakes are far more widespread than the general public knows.

“This is just the tip of the iceberg with respect to all types of serious preventable patient harm that happens in health-care institutions,” said Kossey, adding her group’s data suggests one out of every 18 people currently in a hospital bed will experience some form of preventable harm during their hospital admission.

“This is only focusing on hospitals so we know that preventable harm happens in all health-care encounters in all care settings. We know from the available data just in general that preventable harm in health-care is the third leading cause of death in Canada and that in terms of mortality only follows behind cancer and heart disease. And the general public doesn’t truly understand the true magnitude of preventable harm.”

Man has surgical scissors removed 18 years after being left inside stomach

It wasn’t all bad news.

The report measured Canada’s performance in 57 health indicators and found we met the average in 32 categories, and exceeded them in 13.

We especially did well in areas related to quality of care, including survival rates for breast and colon cancer which are among the highest in the world. And across the country, rates of in-hospital deaths due to heart attacks and stroke have declined by more than 20 per cent over the past five years.

But we fall below average in 12 categories, including patient safety, where Canada performed below average in four out of five related areas.

Kossey said she wants Thursday’s data to galvanize action. Back in August 2017, her patient advocacy group released its own report examining the scope of patient harm and found about 28,000 deaths a year can be linked to preventable injuries.

“When something like this happens the hospital has an obligation to actually investigate what happened, do an analysis, look at the incident — What happened? What contributed to that event happening? What can be done to prevent similar incidents from happening? What was learned?” said Kossey.

“Yes, the numbers are important but what’s more important is that something is being done about these numbers. So we need to continue to focus improvements across the country on reducing this preventable harm in all health-care institutions across the country.”

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Striking CN worker hit by truck in Saskatoon




The employee suffered only minor injuries but is considering reporting the incident to police, according to the railway union.

A Canadian National Railway employee suffered minor injuries after being hit by a pickup truck on a Saskatoon picket line hours after the railway union began a nationwide strike.

It was not immediately clear what precipitated the incident. A spokesman for the Teamsters Canada Rail Conference said the employee is contemplating going to the police after ending up on the hood of the truck.

“It’s unacceptable that our members are being hit by pickup trucks on the picket line … We encourage all Canadians to show the same respect for striking workers as they would for anybody else,” spokesman Christopher Monette said.

Saskatoon police officers were called to the incident but the suspect was gone when they arrived, and it does not appear that an official report had been filed as of Wednesday afternoon, according to police spokeswoman Julie Clark.

Employees picket in front of the CN rail yard in Saskatoon, delaying traffic in and out of the area, on Nov. 19, 2019. Matt Smith / Saskatoon StarPhoenix

More than 3,000 CN conductors, trainspersons and yard workers hit the picket line at midnight on Tuesday, three weeks after their union voted 99.2 per cent in favour of strike action following a breakdown in talks.

A long line of tractor-trailers and other trucks snaked up the road leading to CN’s Chappell Yard on Wednesday afternoon, their progress slowed by a small group of picketing workers walking back and forth.

One truck driver whose rig was near the front of the line said he had been waiting to get into the railyard for about an hour; a picketer said they are letting trucks enter and leave the yards every few minutes.

Asked about the incident with the truck, the picketer said there have been “quite a few.”

There was some delight on the line when a woman waring a United Food and Commercial Workers bib showed up to distribute cups of hot soup, an apparent act of solidarity from one union to another.

Within hours of the strike being called, Saskatchewan agricultural groups and the provincial government were calling on Ottawa to take “immediate action” — presumably by recalling parliament to pass back-to-work legislation and end the strike.

“It can’t go very long. It really can’t,” Saskatchewan Agriculture Minister Dave Marit told reporters in Regina on Tuesday.

“I mean, as I said, we’re coming off one of our biggest harvests ever, with a fall that we’ve never seen before. This is a time when farmers are selling their product and moving it,” he said.

“We also have to really be concerned about our country’s reputation and delivering product to other countries. It’s been at stake before and it could be at risk again.”

The federal government has in the past used back-to-work legislation, but Prime Minister Justin Trudeau said it was not in the cards during the brief Canadian Pacific Ltd. railway strike in May 2018.

Striking CN

Employees strike in front of the CN rail yard in Saskatoon, delaying traffic in and out of the area, on Nov. 19, 2019.

Matt Smith /

Saskatoon StarPhoenix

“Quite frankly, we have companies that have gotten used to the fact that in certain industries, the government in the past was very quick to legislate against unions … We are not going to do that,” Trudeau told reporters at the time.

Asked about provincial politicians calling for Ottawa to intervene, Monette said “everybody’s entitled to their opinion,” before emphasizing that CN workers are striking over unresolved safety issues.

Nine union members, including three members of the striking CN bargaining unit, have died in railway accidents over the past 24 months, and issues such as rest periods for workers need to be resolved, Monette said.

While negotiations with the railway company are ongoing, Monette said there has been no substantive progress in about a week.

CN representatives did not immediately respond to a request for comment on Wednesday.

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CN strike could hit Canada Economic




Thousands of Canadian National Railway workers went on strike Tuesday, threatening a crucial artery for exports of oil, grain, chemicals and minerals and leaving some vulnerable Prairie regions potentially without any mode of commercial transportation.

Talks in Montreal were ongoing Tuesday after 3,200 CN conductors, train and yard personnel stopped work at midnight. The company and union have been unable to bridge an impasse on items ranging from pharmaceutical benefits to time-off provisions.

The strike at Canada’s largest railway comes despite a push for a deal by Labour Minister Patty Hajdu and Transport Minister Marc Garneau, who met with union and CN representatives Monday. Union concerns include fatigue, safety and ensuring workers’ breaks aren’t reduced.

Andrew Scheer, leader of the Conservatives, and Alberta Energy Minister Sonya Savage each separately urged Prime Minister Justin Trudeau on Twitter to immediately recall Parliament. Trudeau has said he is not reconvening Parliament until Dec. 5 and the government cannot start the process to force workers back on the job until then.

Neither Via Rail nor commuter trains in Vancouver, Montreal and Toronto – which run on CN tracks – are affected.

While grain farmers warned of massive economic damage that could result from a service reduction during peak shipping season, mining industry leaders foresaw layoffs and a threat to Canada’s reputation as a reliable trading partner.

A rail stoppage impacts both the ability of companies to deliver fuel and other inputs to their operations and to move mineral products and by-products out to customers.

“This strike will result in a severe reduction or elimination of railway capacity and will trigger the closure of mines with concurrent lay-offs of thousands of employees beginning in a matter of days,” Pierre Gratton, chief executive of the Mining Association of Canada, said in a statement.

He urged the government to impose binding arbitration on current and future labour disruptions involving Class 1 railroads.

Past strikes at CN and Canadian Pacific, the country’s second-largest railway, have tended to be brief, ending in a few days or less after back-to-work legislation was threatened or imposed. But the political calendar in Ottawa could make that solution difficult to implement this time around, said Doug Porter, chief economist at BMO Capital Markets.

“I am concerned this one will be a different animal because Parliament is not sitting,” said Porter, adding the lack of a recent extended rail strike makes estimating the economic impact difficult. “The fact that we are in a minority government situation and we haven’t even had a throne speech really complicates the timing.”

CN will likely be able to fill about 60 per cent of the lost conductor jobs with office managers and other workers that hold those certifications, limiting the impact on the railway, economists at CIBC World Markets said in a note.

“We therefore don’t see a material impact on GDP at this point,” CIBC economist Katherine Judge wrote.

The potential is for massive economic harm

Ward Toma, general manager, Alberta Canola

The strike comes during peak shipping season for wheat and canola farmers. Canada’s two largest commodity exports are typically harvested in September and October and transported via rail to shipping ports in Vancouver and Prince Rupert, B.C. There, they are transferred onto large vessels and shipped to key markets including China, Japan and Indonesia.

With little storage available at the ports, farmers rely on CN and CP to continuously move grains on most days of the year. Indeed, during the current shipping season, CN alone deploys about 5,600 rail cars a week for this purpose, said Tom Steve, general manager of the Alberta Wheat Commission.

“That’s over half a million tonnes of grain that won’t move if those cars aren’t able to be delivered into the system,” Steve said.

This year’s wheat and canola harvests have been delayed due to heavy snowfall across all three Prairie provinces, he added, leaving a significant amount of the crop under a blanket of snow. Farmers have also been struggling to dry canola and wheat due to unusually wet conditions.

“(Farmers) may not have harvested the crop yet and what they do have, well, if they can’t deliver it, they’re not paid,” Steve said. “So even a one-week interruption of rail service would be extremely concerning to us.”

Some northern Prairie communities that count canola farming and forestry among their most important industries are serviced entirely by CN. Companies in the Peace River region of northern Alberta and British Columbia, for instance, rely on CN to ship farm and forestry products, said Ward Toma, general manager of Alberta Canola.

“There’s a lot of agricultural acreage up there and a good million and a half acres of canola, most of it still under the snow,” he said. “The potential is for massive economic harm.”

Canada will export 21 million tonnes of wheat this year and about nine million tonnes of canola seed.

Any disruption in (oil) shipments would have serious consequences for an economy that is already dealing with severe bottlenecks

Alberta Energy Minister Sonya Savage

Catching up on shipments of commodities after rail service is disrupted is extremely difficult given the limited capacity in the system, said Neil Townsend, a senior analyst at FarmLink Marketing Solutions.

“There’s only so many trains that can go through the mountains in British Columbia,” he said. “You can’t just double them. So that’s our constraint. If we miss a week we never get it back.”

Canadian steelmakers rely on rail to supply iron ore to their mills and to ship finished steel products out. Unlike other industries, steelmakers have the option of using other forms of shipping.

“But will there be supply when so many other industries are trying to do the same thing?” said Catherine Cobden, president of the Canadian Steel Producers’ Association. “That’s how critical the railroad is. If this goes on for any amount of time it could impact our members profoundly.”

The Canadian Association of Petroleum Producers said maintaining rail was particularly important given the shortage of pipeline capacity.

“CN Rail regularly ships in excess of 170,000 barrels of Western Canadian oil per day,” Savage said in a statement. “Any disruption in shipments would have serious consequences for an economy that is already dealing with severe bottlenecks due to cancelled and delayed pipelines. Alberta cannot see further restrictions on our ability to export our product.”

A strike may temporarily constrain CN’s volumes, but will not likely have a meaningful long-term impact on the company’s earnings, Credit Suisse analysts said in a research note on Monday.

Shares of Montreal-based CN fell one per cent Tuesday, while the benchmark Canadian share index was up slightly.

With files from Reuters

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Complete bus shutdown for 3 days in metro Vancouver due to the Transit strike




“This is not a stunt, this is real.”

Unifor Western Regional Director Gavin McGarrigle announced that Unifor, the union representing bus operators and transit maintenance workers, will move ahead with a “complete system shutdown.”

Photo: VANCOUVER – September 8, 2017: A high angle view of many commercial city buses parked in the terminal station in south Vancouver, Canada on September 8, 2017 / Shutterstock

Now in its 20th day, the strike has escalated from a uniform ban to an overtime ban for bus operators, and will proceed with a full system shutdown on Nov. 27 for three days.

McGarrigle and Unifor members of Locals 111 and 2200 held the press conference in New Westminster, highlighting a number of key issues.

“Unlike in 2001 when a four-month complete shutdown occurred, we have taken measured action designed to protect the public,” said McGarrigle.

McGarrigle noted that the bus drivers started by only issuing a uniform ban, and continued to work their full shift. Following that, he remarks that Coast Mountain Bus Company failed to come up with another offer after their last last meeting.

“The public is behind us, the public supports the workers, and it’s time for TransLink to change its course.”

McGarrigle added that the, “fiction that TransLink is not one entity has shown to be false,” noting that all company material is branded with TransLink logos and that the transit authority issues all of the rider alerts.

As previously highlighted in other appearances, McGarrigle stated that TransLink executives are paid significantly more than in other systems. Further, he reinforced that assaults on drivers have increased, yet working conditions have worsened due to overcrowding and congestion. He adds that TransLink also blames workers for service issues that are out of the transit operator’s control.

“Why should students pay for a U-pass for such an unreliable system? For every student that has trouble, we support your cause,” said McGarrigle.

Unifor members are also planning a rally at TransLink headquarters on Nov. 28.

“Join us for our rally and let’s get the Metro Vancouver bus system back in service as soon as possible,” he said.

McGarrigle notes that Union workers plans, “to return fully to the job on Saturday, Nov. 30.”

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