Post-Procedure Complications Monitoring Programme 51st Review Meeting Friday, 27th March 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. Sunny Cheung & Dr. Kelvin Wong Team 2 – Dr. Shannon Melissa Chan Team 3 – Dr Hon, Sok Fei & Dr. Lok, Hon Ting Team 4 – Chan Micah C.K. PRAS – Dr. David S Y Wong & Dr. Yvonne Y W Tam NS – Dr. Emily K Y Chan PSU – Dr. Jennifer Mou URO – Dr. C K Chan Mr. Philip Yeung Ms. Daisy Feng Mr. Alfred Chan

Items discussed Complications report – January 2015 AOB

1. Complications Report – January 2015

January 2015 Summary (case collection progress and Complication rate) PRS NS PSUR URO CTS Dept. total Total cases 63 72 73 44 47 77 50 84 64 574 Missing cases Non-Discharged * 1 2 3 15 4 28 Complication rate and Magnitude Team 1 Team 2 Team 3 Team 4 PRAS NS PSUR URO CTS Total No. of Complication 7 12 9 5 21 6 10 87 65 73 44 47 77 50 84 64 574 Complication Rate 10.77% 16.44% 20.45% 10.64% 27.27% 10.00% 7.14% 15.63% 15.16%

Team 1 – Hepato-biliary and Pancreatic Surgery

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 2/5) 3

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 3/5)

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 4/5) + AROU-Gout

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 5/5)

Team 2 – Upper Gastro-intestinal Surgery

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 2/10)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 3/10)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 4/10) + 1o /2o Hemorrhage +Abdominal collection

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 5/10)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 6/10)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 7/10)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 8/10)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 9/10) Additional case

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 10/10)

Team 3 – Colorectal Surgery

Team 3 – Colorectal Surgery ( Cont’d 2/9)

Team 3 – Colorectal Surgery ( Cont’d 3/9) 4 2 + Post-op Confusion + Post-op ileus

Team 3 – Colorectal Surgery ( Cont’d 4/9) 2 T1 + Cardia Shock

Team 3 – Colorectal Surgery ( Cont’d 5/9) +Abdominal Collection

Team 3 – Colorectal Surgery ( Cont’d 6/9) +Renal Impairment

Team 3 – Colorectal Surgery ( Cont’d 7/9)

Team 3 – Colorectal Surgery ( Cont’d 8/9)

Team 3 – Colorectal Surgery ( Cont’d 9/9) 1.41%

Team 4 – Vascular Surgery

Team 4 – Vascular Surgery ( Cont’d 2/9)

Team 4 – Vascular Surgery ( Cont’d 3/9)

Team 4 – Vascular Surgery ( Cont’d 4/9)

Team 4 – Vascular Surgery ( Cont’d 5/9) 3

Team 4 – Vascular Surgery ( Cont’d 6 /9) +GI Bleeding No discharge summary

Team 4 – Vascular Surgery ( Cont’d 7/9)

Team 4 – Vascular Surgery ( Cont’d 8/9)

Team 4 – Vascular Surgery ( Cont’d 9/9)

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 2/5)

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 3/5) +Wound infection

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 4/5)

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 5/5)

Neurosurgery

Neurosurgery ( Cont’d 2/18)

Neurosurgery ( Cont’d 3/18) + Same case OT on 29/01/2015

Neurosurgery ( Cont’d 4/18)

Neurosurgery ( Cont’d 5/18)

Neurosurgery ( Cont’d 6/18)

Neurosurgery ( Cont’d 7/18)

Neurosurgery ( Cont’d 8/18) CSF Leak

Neurosurgery ( Cont’d 9/18) + Chest Infection

Neurosurgery ( Cont’d 10/18)

Neurosurgery ( Cont’d 11/18) 5

Neurosurgery ( Cont’d 12/18)

Neurosurgery ( Cont’d 13/18) 2

Neurosurgery ( Cont’d 14/18)

Neurosurgery ( Cont’d 15/18)

Neurosurgery ( Cont’d 16/18) Donor

Neurosurgery ( Cont’d 17/18)

Neurosurgery ( Cont’d 18/18)

Paediatric Surgery & Paediatric Urology

Paediatric Surgery & Paediatric Urology ( Cont’d 2/6 )

Paediatric Surgery & Paediatric Urology ( Cont’d 3/6 ) 1

Paediatric Surgery & Paediatric Urology ( Cont’d 4/6 )

Paediatric Surgery & Paediatric Urology ( Cont’d 5/6) 3 Bladder injury

Paediatric Surgery & Paediatric Urology ( Cont’d 6/6)

Urology

Urology ( Cont’d 2/5) + UTI

Urology ( Cont’d 3/5)

Urology ( Cont’d 4/5) + UTI

Urology ( Cont’d 5/5) Under Dept. of Medicine

Cardiothoracic Surgery

Cardiothoracic Surgery ( Cont’d 2/10)

Cardiothoracic Surgery ( Cont’d 3/10)

Cardiothoracic Surgery ( Cont’d 4/10)

Cardiothoracic Surgery ( Cont’d 5/10)

Cardiothoracic Surgery ( Cont’d 6/10) Mortality case

Cardiothoracic Surgery ( Cont’d 7/10)

Cardiothoracic Surgery ( Cont’d 8/10)

Cardiothoracic Surgery ( Cont’d 9/10)

Cardiothoracic Surgery ( Cont’d 10/10)

2. AOB

AOB As the case for CTS( Jan 2015) could be discussed in conjunction with Feb 2015 case in the next review meeting, the time in next meeting is expected to be longer. Chairman has also invited the CTS coordinator to come earlier in the next meeting. An new form of checklist submission for ‘NON-COMPLICATION CASE’ will also be accepted in the coming month, A general case-list ( sample attached in the next page) will be sent to coordinator 1-2 weeks prior to the meeting. For ‘NON-COMPLICATION CASE’, please ensure you have confirmed these case were non-complication by the return the ‘general case-list’ or ‘complication checklist’(the former form). For complication case, please ensure you have submitted all relevant checklist. Coordinator please chase medical record of the case without discharge summary (died in ICU).

APPENDIX 1

The End Thanks a lot!