Post-Procedure Complications Monitoring Programme 56th Review Meeting

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Presentation transcript:

Post-Procedure Complications Monitoring Programme 56th Review Meeting Friday, 21st August 2015 4:00-6:00pm, 4/F, Arthur K C Li Surgical Library Lui Che Woo Clinical Sciences Building, PWH

Attendance Present Prof. LAI, Paul B.S.(Chairman) Team 1 – Dr. Sunny Cheung Dr. Clarence Mak Team 2 – Dr. Yip Hon Chi Team 4 – Dr. Lok, Hon Ting PRAS – Dr. Yvonne Y W Tam Uro – Dr. Chan Chi Kwok NS – Dr. Emily K Y Chan PSU – Dr. Edwin Chan Dr. Yeung Fanny CTS – Dr. Cyrus Ng Dr. Calvin Ng Ms. Daisy Feng Mr. Alfred Chan

Items discussed Complications report – June 2015 AOB

1.Complications report- June 2015

June 2015 Summary (case collection progress and Complication rate) PRS NS PSUR URO CTS Dept. total Total cases 59 67 60 35 65 49 54 66 73 528 Missing cases Non-Discharged * 4 3 1 20 Complication rate Team 1 Team 2 Team 3 Team 4 PRAS NS PSUR URO CTS Total No. of Complication 11 3 2 5 6 1 12 54 59 67 60 35 65 49 66 73 528 Complication Rate 18.64% 4.48% 18.33% 5.71% 7.69% 12.24% 1.85% 4.55% 16.44% 10.23%

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery 3 + 567.2 Abd Collection

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team1 Hepato-biliary and Pancreatic Surgery

Team 2 Upper Gastro-intestinal Surgery

Team 2 Upper Gastro-intestinal Surgery

Team 2 Upper Gastro-intestinal Surgery

Team 2 Upper Gastro-intestinal Surgery

Team 2 Upper Gastro-intestinal Surgery No complication Bed side I&D

Team 2 Upper Gastro-intestinal Surgery

Team 3 Colorectal Surgery

Team 3 Colorectal Surgery Same patient as Cx 6

Team 3 Colorectal Surgery

Team 3 Colorectal Surgery Same patient as Cx 1

Team 3 Colorectal Surgery

Team 3 Colorectal Surgery

Team 3 Colorectal Surgery

Team 4 Vascular Surgery

Team 4 Vascular Surgery 1 1

Team 4 Vascular Surgery

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery Second flap surgery for the same patient Graft did not take over the knee

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery

Neurosurgery

Neurosurgery Become Organ donor DDAVP

Neurosurgery No ICU bed + ventilator

Neurosurgery

Neurosurgery Index operation were in 2015.06.25 Bleeding

Neurosurgery

Neurosurgery

Paediatric Surgery & Paediatric Urology

Paediatric Surgery & Paediatric Urology

Paediatric Surgery & Paediatric Urology

Urology

Urology Bleeding from the PCNL track

Urology

Urology

Urology- 2015 May

Urology- 2015 May

Urology- 2015 May Delete Abd Collection + Prolong Ileus

Urology- 2015 May

Urology- 2015 May

Cardiothoracic surgery

Cardiothoracic surgery Sternal Wound Infection (Broken Sternal Wire)

Cardiothoracic surgery Delete Wound dehiscience Death Diarrhea + Ischemic Limb

Cardiothoracic surgery

Cardiothoracic surgery + Ischemic Stroke + Broken wire

Cardiothoracic surgery

Cardiothoracic surgery

Cardiothoracic surgery + 1/2 Haemorrhage Lead to an unknown period of Cardiac arrest

Cardiothoracic surgery Another case of Broken Sternal Wire

Cardiothoracic surgery

Cardiothoracic surgery

Cardiothoracic surgery

Cardiothoracic surgery Same patient operated by multiple teams

2. AOB

AOB As the case for Team 3( June 2015) could be discussed in conjunction with July 2015 case in the next review meeting, the time in next meeting is expected to be longer. Chairman has also invited the Team 3 coordinator to come earlier in the next meeting.

The End Thanks a lot!