Category: Uncategorized

Summary now available for BC Summit on Surgical Improvement

On January 22, the Specialist Services Committee, along with the Shared Care Committee and GP Services Committee (a partnership of Doctors of BC and the BC government) and the BC Patient Safety & Quality Council hosted over 210 participants including specialists, GPs and surgical team members, operational leaders, policy makers and surgical quality improvement experts, as well as patient representatives at a one-day summit. The purpose was to learn about, discuss and expand on surgical improvement within the context of the BC’s surgical services strategy.

In follow-up, an interactive summary site has been created, which provides an overview of the day and houses all of the slides and resources from the event. You can access the site by clicking on the following link:

BC Enhanced Recovery featured in ‘Canadian Healthcare Technology’

Enhanced Recovery After Surgery spreads through Canada

By Dianne Daniel

Canadians recovering from surgery are leaving hospitals sooner with improved outcomes thanks to a growing push to implement Enhanced Recovery After Surgery (ERAS) – evidence-based protocols that require compliance by both clinicians and patients.

Provincial results are so encouraging, proponents are now pushing for a national network so that tools and best practices for implementing ERAS can be more widely disseminated.

“We have to change the culture,” says Dr. Claude Laflamme, Medical Director of Quality and Patient Safety in the Department of Anesthesia at Toronto’s Sunnybrook Health Sciences Centre. “People think if I have an operation tomorrow I cannot eat or drink after midnight because that’s what we’ve been saying for years. But the guidelines have changed,” he says.

Read more…

ASER/EBPOM: Annual Congress Abstract Submission Deadline Approaching!


Abstract Submission Portal Now Open!

Deadline Sunday, March 5th at 11:59pm CST

Click here to submit your abstract

  • Abstracts may not have been published previously.
  • Abstracts should be brief, typically less than 600 words.
  • Submit a Microsoft Word Document.
  • Limited to one page with imbedded graphics.
  • Submitted via the internet using the online submission form.
  • Abstracts are peer-reviewed according to the following criteria: Originality, Importance, Methods, Analysis, Results, Conclusions, General interest and Writing quality.
  • Authors will be notified of review decision via email. Abstracts will be presented during designated poster sessions.
  • Presenting authors are required to pay conference registration and expenses.
  • Poster boards are 8′ wide and 4′ tall; push pins are provided.

CLICK HERE to view a sample PDF of acceptable abstract formatting.

Article: Goal-directed fluid therapy and opioid-sparing technique: Clinical guidance amid doubt and confusion

Kelly Mayson, MD, FRCPC, Ron Collins, MD, FRCPC, Mark F. Masterson, MD, MSc, FRCPC, Jill Osborn, PhD, MD, FRCPC

Optimal management of perioperative fluid therapy remains a highly debated topic. The purpose of optimal fluid management is to maintain or restore effective circulating blood volume during the perioperative period with the goal of maintaining effective blood volume and blood pressure to ensure adequate organ perfusion, while avoiding the risk of either organ hypo- or hyperperfusion … Read more

The full clinical guidance note on opioid-sparing technique is available online (


Tools: Low Dose Ketamine Infusion Resources from Interior Health

Thank you to Interior Health for sharing their low dose ketamine infusion self-learning tool and orders.

You can download the resources below or check out other staff resources here.

If you apply any of the documents found on this website to your own settings, please acknowledge the organization that originated the documents in your own versions.

e.g. “Adapted from [“title of document”] by [name of site/author] (year).”

Download (IH_Low-Dose-Ketamine-Infusion-Self-Learning-Plan-_March_22_2016.doc, DOC, 999KB)

Download (IH-Ketamine_low-dose_infusion-orders-2016.pdf, PDF, 19KB)

Tools: Fraser Health’s Updated Patient Resources

Thank you to Fraser Health for sharing their updated Enhanced Recovery patient resources. You will find updated versions of the ‘Preparing for Surgery – Quick Reference Checklist’ and the ‘My Daily Goals After Surgery’ worksheet. Download the documents from here or go to the Patient Education option under the Tools tab.

If you apply any of the documents found on this website to your own settings, please acknowledge the organization that originated the documents in your own versions. If you have resources to share, please contact us!

Download (FHA-preparing-for-surgery-checklist-176447_Aug-2016.pdf, PDF, 219KB)

Download (FHA-my-daily-goals-after-surgery-176448_Aug-2016.pdf, PDF, 481KB)

SSC Enhanced Recovery Bridge Fund: applications now accepted

The Specialist Services Committee (SSC) is a joint committee between Doctors of BC and the BC government, with regular representation from health authorities. SSC formed in 2006 under the Physician Master Agreement to help the Doctors of BC, BC government and health authorities collaborate on the delivery of specialist services and support improvement of the specialist care system in BC.

The Ministry of Health, health authorities, SSC, and BC Patient Safety and Quality Council are currently exploring the development of a provincial approach to support the sustainability and spread of Enhanced Recovery. During this development period, the SSC has approved a short term Enhanced Recovery Bridge Fund of $221,000 to be used by March 31, 2017 to:

  1. Maintain the Enhanced Recovery infrastructures already in place;
  2. Support the launch of Enhanced Recovery in new sites; and
  3. Help keep momentum going while provincial conversations take place.

The Enhanced Recovery Fund is designed to boost or supplement a site’s current strategies, not address ongoing, operational needs.

In addition to the bridge fund, the SSC is maintaining a network of multi-disciplinary Enhanced Recovery advisors who are available to provide ad-hoc support and clinical, quality improvement, or implementation advice (appendix 1 lists current roster of advisors). The SSC is also maintaining the website, which will continue to serve as a hub of BC Enhanced Recovery resources.

Applications are now being accepted on a rolling basis, as long as funds are available. Applicant sites are encouraged to submit one application with all anticipated activity for the fiscal year 2016/17, as funding may not be available for later submissions.

Review and approval of applications will begin on May 23, 2016.

Details on the SSC Enhanced Recovery Bridge Fund can be found in the attached information sheet.

Questions? Contact Angie Chan, SSC, Project Manager, Surgical Improvement.

Read more

Enhanced Recovery highlighted in Joint Collaborative Committees’ Digital Narrative

A partnership of the BC Ministry of Health and Doctors of BC – Joint Collaborative Committees (JCCs) provide a collaborative working structure to co-create health care improvements and deliver patient care. The Joint Collaborative Committees (JCCs) have prepared a Digital Narrative that shares some of the success stories that emerged from its Showcase held at the end of February.

The Enhanced Recovery Collaborative is a featured story in the Digital Narrative. Follow the link above and click on ‘2 Outcomes of Collaboration’ at the bottom of the page, then click on ‘Enhanced Recovery.’