Post-Procedure Complications Monitoring Programme 41th Review Meeting Friday, 16 May 2014 4:00 - 5:30pm, 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. Bear Cho Team 2 – Dr Sally Luk Team 3 – Dr. Rachel Ko Team 4 – Dr. Micah Chan PRAS – Dr. David Wong & Dr. Kevin Mo NS – Dr. W K Mak & Dr. Alberto Chu PSU – Dr. Edwin Chan & Dr. Vicky Wong URO – Dr. C K Chan & Dr. Samuel Yee CTS – Dr. Micky Kwok Mr. Alfred Chan Ms Daisy Feng Ms Eunice Tam

Items discussed Complications report – March 2014 AOB

1. Complications Report – March 2014

March 2014 Summary (case collection progress and Complication rate) PRS NS PSUR URO CTS Dept. total Total cases 56 67 65 38 55 57 40 60 504 Missing cases 2 1 3 Non-Discharged * 4 6 N/A 11 Complication rate and Magnitude Team 1 Team 2 Team 3 Team 4 PRAS NS PSUR URO CTS Total No. of Complication 9 3 4 5 1 10 2 40 56 67 65 38 54 57 60 504 Complication Rate 16.07% 4.48% 6.15% 13.16% 1.85% 17.54% 7.50% 2.99% 5.00% 7.94%

Team 1 – Hepato-biliary and Pancreatic Surgery

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 2/7)

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 3/7)

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 4/7) Hospital acquired

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 5/7) + HO, Man Fung Stiches removed by GOPD on Day 7 (vs planned removal on Day 14) Multiple medical commodities

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 6/7) M & M Very complicated case Fall on 30 days mortality? (Alfred /Daisy to clarify)

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 7/7)

Team 2 – Upper Gastro-intestinal Surgery

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 2/4) No +ve culture

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 3/4) M & M Dr. Sally Luk to fu on D/C Summary

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

Team 2 – Upper Gastro-intestinal Surgery

Sputum with pseudomonas Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 2/4) Sputum with pseudomonas

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

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 4/4) Team 1 case (Data entry should follow the on call team and not parent team of 1st call)

Team 3 – Colorectal Surgery

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

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

Team 3 – Colorectal Surgery ( Cont’d 4/4) Should list the first operation instead of the operation prior to death

Team 4 – Vascular Surgery

Team 4 – Vascular Surgery ( Cont’d 2/4) Complicated ‘Type B’ dissection Dr. Micah Chan to fu on D/C Summary Same Case

Team 4 – Vascular Surgery ( Cont’d 3/4) No need to count as complication Same Case

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

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 2/3)

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 3/3) + septicemia Died of multi-organ failure

Neurosurgery

Neurosurgery ( Cont’d 2/7) Pneumonia OT record : age 74 (Incorrect)

Neurosurgery ( Cont’d 3/7) Wound exploration + pneumonia

Neurosurgery ( Cont’d 4/7) 2o haemorrhage

Neurosurgery ( Cont’d 5/7) Same Case

Neurosurgery ( Cont’d 6/7) Dr. Alberto Chu to complete coding of pneumonia in D/C Summary

Neurosurgery ( Cont’d 7/7) Discussed as Cx.2 To be discussed in April 2014 report

Paediatric Surgery & Paediatric Urology

Paediatric Surgery & Paediatric Urology ( Cont’d 2/4) Grade 1 Grade 1

Paediatric Surgery & Paediatric Urology ( Cont’d 3/4) Grade 4 + renal failure

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

Urology

Urology ( Cont’d 2/3)

Urology ( Cont’d 3/3)

Cardiothoracic Surgery

Cardiothoracic Surgery ( Cont’d 2/5)

Cardiothoracic Surgery ( Cont’d 3/5)

Cardiothoracic Surgery ( Cont’d 4/5) (352.3)

Cardiothoracic Surgery ( Cont’d 5/5)

Cardiothoracic Surgery

Cardiothoracic Surgery ( Cont’d 2/10) 1st rhythm detected was Bradycardia Cardiac complication Grade 5

Cardiothoracic Surgery ( Cont’d 3/10)

Cardiothoracic Surgery ( Cont’d 4/10)

Cardiothoracic Surgery ( Cont’d 5/10) Dr. Mickey Kwok to fu on D/C Summary

Cardiothoracic Surgery ( Cont’d 6/10)

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 For cases d/c from ICU with no discharge summary, Alfred/Daisy will send a report to the Team coordinators to follow up

THE END