1. 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

2. 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

3. Items discussed
Complications report – November 2014
AOB

4. 1. Complications Report – November 2014

5. 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%

6. Team 1 – Hepato-biliary and Pancreatic Surgery

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

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

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

10. 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

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

12. Team 2 – Upper Gastro-intestinal Surgery

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

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

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

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

17. Team 3 – Colorectal Surgery

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

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

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

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

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

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

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

25. Team 4 – Vascular Surgery

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

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

28. Plastic, Reconstructive and Aesthetic Surgery

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

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

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

32. Neurosurgery

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

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

35. Neurosurgery
( Cont’d 4/6)

36. Neurosurgery
( Cont’d 5/6)

37. Neurosurgery
( Cont’d 6/6)

38. Paediatric Surgery & Paediatric Urology

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

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

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

42. Urology

43. Urology
( Cont’d 2/6)

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

45. Urology
( Cont’d 4/6)
M & M

46. Urology
( Cont’d 5/6)

47. Urology
( Cont’d 6/6)

48. Cardiothoracic Surgery

49. Cardiothoracic Surgery
( Cont’d 2/8)

50. Cardiothoracic Surgery
( Cont’d 3/8)

51. Cardiothoracic Surgery
( Cont’d 4/8)

52. Cardiothoracic Surgery
( Cont’d 5/8)

53. Cardiothoracic Surgery
( Cont’d 6/8)

54. Cardiothoracic Surgery
( Cont’d 7/8)

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

56. 2. AOB

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

58. THE END