Post-Procedure Complications Monitoring Programme 49th Review Meeting Friday, 23 January 2015 4:00 - 6:00pm, 4/F, Arthur K C Li Surgical Library Lui Che Woo Clinical Sciences Building, PWH

Attendance Present Dr. Simon K H Wong (Chairman) Team 1 – Dr. John Wong & Dr. Kelvin K F Wong Team 2 – Dr. Shannon Melissa Chan Team 3 – Dr. S F Hon & Dr. H T Lok Team 4 – Dr. Micah C K Chan PRAS – Dr. David S Y Wong & Dr. Yvonne Y W Tam PSU – Dr. Edwin K W Chan & Dr. Vicky H Y Wong URO – Dr. C K Chan CTS – Dr. Micky W T Kwok Prof. Paul B S Lai Ms. Daisy Feng Mr. Philip Yeung Ms. Eunice Tam

Items discussed Complications report – November 2014 AOB

1. Complications Report – November 2014

November 2014 Summary (case collection progress and Complication rate) PRS NS PSUR URO CTS Dept. total Total cases 59 70 82 38 55 61 45 73 58 541 Missing cases 1 2 Non-Discharged * 4 7 6 22 Complication rate and Magnitude Team 1 Team 2 Team 3 Team 4 PRAS NS PSUR URO CTS Total No. of Complication 10 7 16 3 2 8 66 59 70 82 38 55 61 45 73 58 541 Complication Rate 16.95% 10.00% 19.51% 7.89% 3.64% 11.48% 6.67% 10.96% 17.24% 12.20%

Team 1 – Hepato-biliary and Pancreatic Surgery

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 2/6) wound infection Grade I

Contributed to long LOS Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 3/6) (partial) Contributed to long LOS

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 4/6)

Recurred within 1 – 2 months after whipple operation Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 5/6) Recurred within 1 – 2 months after whipple operation

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 6/6)

Team 2 – Upper Gastro-intestinal Surgery

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 2/5) 4

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 3/5)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 4/5) 3

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 5/5)

Team 3 – Colorectal Surgery

Team 3 – Colorectal Surgery ( Cont’d 2/8)

Team 3 – Colorectal Surgery ( Cont’d 3/8) Lap converted to open

Team 3 – Colorectal Surgery ( Cont’d 4/8) 2

Team 3 – Colorectal Surgery ( Cont’d 5/8)

Team 3 – Colorectal Surgery (Cont’d 6/8) 2

Team 3 – Colorectal Surgery (Cont’d 7/8)

This case would be removed from mortality Team 3 – Colorectal Surgery (Cont’d 8/8) This case would be removed from mortality

Team 4 – Vascular Surgery

Team 4 – Vascular Surgery ( Cont’d 2/3) CVA

Team 4 – Vascular Surgery ( Cont’d 3/3)

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 2/4)

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 3/4)

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 4/4)

Neurosurgery

Inconsistent with discharge summary Neurosurgery ( Cont’d 2/6) Inconsistent with discharge summary

Neurosurgery ( Cont’d 3/6) Potential organ donor

Neurosurgery ( Cont’d 4/6)

Neurosurgery ( Cont’d 5/6)

Neurosurgery ( Cont’d 6/6)

Paediatric Surgery & Paediatric Urology

Paediatric Surgery & Paediatric Urology ( Cont’d 2/4)

Paediatric Surgery & Paediatric Urology ( Cont’d 3/4) 2

Paediatric Surgery & Paediatric Urology ( Cont’d 4/4)

Urology

Urology ( Cont’d 2/6)

GI bleeding (Stress Ulcer) Urology ( Cont’d 3/6) Gastric erosion + GI bleeding (Stress Ulcer)

Urology ( Cont’d 4/6) M & M

Urology ( Cont’d 5/6)

Urology ( Cont’d 6/6)

Cardiothoracic Surgery

Cardiothoracic Surgery ( Cont’d 2/8)

Cardiothoracic Surgery ( Cont’d 3/8)

Cardiothoracic Surgery ( Cont’d 4/8)

Cardiothoracic Surgery ( Cont’d 5/8)

Cardiothoracic Surgery ( Cont’d 6/8)

Cardiothoracic Surgery ( Cont’d 7/8)

Cardiothoracic Surgery ( Cont’d 8/8) Index Operation

2. AOB

AOB With immediate effect, Dr. Simon K H Wong would take charge of the Post-procedure Complication Monitoring Programme.

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