The Pediatric Cardiac Surgery Inquest Report



Collins's role in monitoring performance

Concepts of quality assurance and continuous improvement were relatively new to the Canadian health-care system in the mid-1980s. Much of the VCHC's records were kept on cards, as opposed to computers, making it very difficult to develop the type of database that a quality assurance program requires.

While Collins worked to establish a more sophisticated statistical database, he also worked at informal methods of quality assurance. Collins testified:

quite honestly talking to Kim Duncan over a cup of coffee is quality assurance too. In other words, it is happening every day when we are together. (Evidence, page 33,095)

Collins also made sure that the team dealt with negative outcomes as a team. As he described it, following what he called "bad patches", "We drank more coffee, we stayed later, we talked as a team." (Evidence, pages 33,135-33,136)

In addition to this, Collins made sure that the centre conducted annual reviews of its work.



Current Home - Table of Contents - Chapter 5 - Collins's role in monitoring performance
Next The VCHC's caseload
Previous The relationship between Collins and Duncan
Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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