1. 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

2. Attendance Present Dr. Simon K H Wong (Chairman)
Team 1 – Dr. Sunny Cheung & Dr. Kelvin Wong
Team 2 – Dr. Shannon Melissa Chan
Team – 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

3. Items discussed
Complications report – January 2015
AOB

4. 1. Complications Report – January 2015

5. 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%

6. Team 1 – Hepato-biliary and Pancreatic Surgery

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

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

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

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

11. Team 2 – Upper Gastro-intestinal Surgery

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

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

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

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

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

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

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

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

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

21. Team 3 – Colorectal Surgery

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

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

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

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

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

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

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

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

30. Team 4 – Vascular Surgery

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

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

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

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

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

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

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

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

39. Plastic, Reconstructive and Aesthetic Surgery

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

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

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

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

44. Neurosurgery

45. Neurosurgery ( Cont’d 2/18)

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

47. Neurosurgery ( Cont’d 4/18)

48. Neurosurgery ( Cont’d 5/18)

49. Neurosurgery ( Cont’d 6/18)

50. Neurosurgery ( Cont’d 7/18)

51. Neurosurgery ( Cont’d 8/18)
CSF Leak

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

53. Neurosurgery ( Cont’d 10/18)

54. Neurosurgery ( Cont’d 11/18)5

55. Neurosurgery ( Cont’d 12/18)

56. Neurosurgery ( Cont’d 13/18)2

57. Neurosurgery ( Cont’d 14/18)

58. Neurosurgery ( Cont’d 15/18)

59. Neurosurgery ( Cont’d 16/18)
Donor

60. Neurosurgery ( Cont’d 17/18)

61. Neurosurgery ( Cont’d 18/18)

62. Paediatric Surgery & Paediatric Urology

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

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

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

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

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

68. Urology

69. Urology ( Cont’d 2/5)
+ UTI

70. Urology ( Cont’d 3/5)

71. Urology ( Cont’d 4/5)
+ UTI

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

73. Cardiothoracic Surgery

74. Cardiothoracic Surgery ( Cont’d 2/10)

75. Cardiothoracic Surgery ( Cont’d 3/10)

76. Cardiothoracic Surgery ( Cont’d 4/10)

77. Cardiothoracic Surgery ( Cont’d 5/10)

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

79. Cardiothoracic Surgery ( Cont’d 7/10)

80. Cardiothoracic Surgery ( Cont’d 8/10)

81. Cardiothoracic Surgery ( Cont’d 9/10)

82. Cardiothoracic Surgery ( Cont’d 10/10)

83. 2. AOB

84. 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).

85. APPENDIX 1

86. The End
Thanks a lot!