Red Deer hospital (Black Press files)

Red Deer hospital (Black Press files)

Stop blaming patients, say emergency doctors

Doctors say it’s time to deal with bed shortages

Hospitals across Canada are ignoring bed shortages that are causing unacceptable wait times for patients in emergency departments, says the Canadian Association of Emergency Physicians.

Alan Drummond, co-chair of public affairs with the association, said when a sign in emergency indicates a possible eight-hour wait to see a doctor, as people saw for a period of time last week at Red Deer Regional Hospital Centre, the public must hold their health systems accountable.

In B.C., emergency rooms have been the focus of plenty of criticism, specifically in the Lower Mainland.

STATE OF EMERGENCY: Hospital congestion a structural issue, ER doctors say

“For far too often in any jurisdiction in Canada, governments and regional health authorities have been saying that the reason they’ve got crowding is that people are overusing the department or they are using it inappropriately. None of that is true. The science is very clear. It all comes down to bed capacity,” Drummond said Thursday.

Drummond said overcrowding in emergency is not due to the volume of patients, but the inability to transfer admitted emergency patients to beds elsewhere in the hospital.

READ MORE: More treatment beds on way following first year of overdose crisis

He said the backlog started in the mid-1990s when Canadian hospitals closed beds to cut costs and created about a 30 per cent reduction in bed capacity that continues today.

“We have this massive shortage of beds at a time when the population is getting older and, in some cases, sicker. They live longer and have more chronic illness.”

He said the backlog is compounded by the problem that about 15 to 20 per cent of beds are occupied by elderly patients whose medical treatment has been managed but they can’t go home due to a lack of support in their home, or can’t access a long-term care bed.

Drummond said some provinces have had more success addressing hospital capacity. Ontario, for example, just announced it is opening 2,000 more beds in advance of the flu season. But Alberta has struggled with crowding for quite a while. Red Deer hospital, for example, may have overcapacity protocols to send patients back home quicker, and will convert spaces like hospital lounges into areas for patients, but those protocols are mitigating strategies.

“They are not solutions.”

When hospital occupancy rates are at 90 to 95 per cent, bed shortages are a given, he said.

“The only way to address crowding ultimately is to improve bed access. No government wants to talk about that because increasing bed capacity means increasing dollars they don’t have. It’s about $400,000 to open up a bed for the year.”

Instead, health officials continue with the “charade of blaming and shaming the patients for showing up in emerge in the first place,” he said.

“What they really need to focus their attention on is accepting the fact that our population is getting older, they’re not necessarily getting any healthier, and to meet those needs we’re going to have to ultimately increase hospital bed capacity like it or not.”

Drummond also worries that wait time signs in emergency departments may discourage people from staying to get life-saving treatment they need.

“There have been many, many cases, anecdotally, across Canada of people that have come to emergency and are told by a helpful volunteer or a helpful triage nurse that the wait was going to be prolonged, and they go home and then they die.”



szielinski@reddeeradvocate.com

Like us on Facebook and follow us on Twitter

Alberta Health Services Central Zone

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

The Bella Coola RCMP are investigating the cause of the fire (Caitlin Thompson photo)
RCMP investigating Bay Motor Hotel fire

Anyone with information is asked to call Bella Coola RCMP 250 799 5363 or Crimestoppers

Phillip Tallio was just 17 when he was convicted of murder in 1983 (file photo)
Miscarriage of justice before Phillip Tallio’s 1983 guilty plea in girl’s murder: lawyer

Tallio was 17 when he pleaded guilty to second-degree murder in the death of his 22-month-old cousin

A third-party crew cut the Telus fiber line on Tuesday, Nov. 17, resulting in a nearly 24hr communications blackout for the Valley (Black Press Media)
Recent outage highlights vulnerabilites in local communication infrastructure

A third-party crew accidentally severed the cable on Highway 20, resulting in a valley-wide communications outage

The Bay Hotel burned to the ground last night (Christina Hoppe photo)
Bay Hotel burns to the ground in early morning fire

The building was abandoned and had been falling apart for years

FILE – British Columbia provincial health officer Dr. Bonnie Henry wears a face mask as she views the Murals of Gratitude exhibition in Vancouver, on Friday, July 3, 2020. THE CANADIAN PRESS/Darryl Dyck
Masks now mandatory in all public indoor and retail spaces in B.C.

Many retailers and businesses had voiced their frustration with a lack of mask mandate before

People wearing face masks to help curb the spread of COVID-19 cross a street in downtown Vancouver, on Sunday, November 22, 2020. The use of masks is mandatory in indoor public and retail spaces in the province. THE CANADIAN PRESS/Darryl Dyck
B.C. reports 17 COVID deaths, 1,933 new cases as hospitalizations surge over the weekend

There are 277 people in hospital, of whom 59 are in ICU or critical care

(Pixabay)
All dance studios, other indoor group fitness facilities must close amid updated COVID-19 rules

Prior announcement had said everything except spin, HIIT and hot yoga could remain open

B.C. Liberal interim leader Shirley Bond speaks to reporters from Prince George via Zoom conference, Nov. 24, 2020. MLAs are being sworn in for the legislature session this week, many of them also by video. (B.C. legislature)
B.C. Liberal leadership contest will wait for election post-mortem

Interim leader set to face NDP on payments for COVID-19

Product Care offers more than <a href="http://link.mediaoutreach.meltwater.com/ls/click?upn=pDYyTceU0YgTDdsd92GohdQJsmSiPFEkcB4MdMM0Qkoqb1aJA-2By5aWklKJXV6QRdyTteNjr2FccUOVLUe4t5Zw-3D-3D1ds-_KVyBcpjXADXifSWVpM8nQcAzSm9-2B6fEFnjVrTsOcu31irDHDxi5k0QTOIWCqMXUxaNbrf0yRzXSSpROCkfx3NkUtbr65Dkcw1J0by-2F-2BDdDiJGbcfhtjHWYSs66NwakeCCLYkj20e9ICIZsLcedqNZKBhsN0sGgBsInpdzsddYikUZkmQvFdxLJhakpgAA6aAJ5ScUoWR6vO9sM819vRB-2F6x7dsdfIaWa4ZgHxR4G7hauxgSJCsNI2bP5J62EFfM0aiDqRPwUPUjt7i5-2FMqpdJxrEBewnLky-2B3lE0JAmi5UsJBkJejuLOjsndZz4b7dNgbvt6KyewKuF0sxU2rpYgkAO9YAKc9STuFJd28Qn7jE0-2FqlB8HKOvpW150NHS-2BOMBcK5rkZ8YAuPqJy11k-2BgndiKB-2FWl2icAfbWtRGJPb8fM-3D" target="_blank">150 free drop-off locations</a> in B.C. (Pixabay.com)
Recycling broken or burnt string lights can reduce holiday landfill waste

In 2019, Product Care Recycling diverted more than 11.6 million light bulbs from landfills

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Join Black Press Media and Do Some Good
Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

Helen Watson, posing for a photo for her 100th birthday, turned 105 on Saturday (Nov. 21). (File photo)
B.C. woman who survived Spanish Flu turns 105

Helen Watson has packed a lot into life – including being in two pandemics

(Black Press Media files)
B.C. to test emergency alert system on cell phones, TVs, radios on Wednesday

The alert is part of a twice yearly test of the national Alert Ready system

Most Read