1. 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

2. 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

3. Items discussed
Complications report – March 2014
AOB

4. 1. Complications Report – March 2014

5. 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%

6. Team 1 – Hepato-biliary and Pancreatic Surgery

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

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

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

10. 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

11. 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)

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

13. Team 2 – Upper Gastro-intestinal Surgery

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

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

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

17. Team 2 – Upper Gastro-intestinal Surgery

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

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

20. 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)

21. Team 3 – Colorectal Surgery

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

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

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

25. Team 4 – Vascular Surgery

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

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

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

29. Plastic, Reconstructive and Aesthetic Surgery

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

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

32. Neurosurgery

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

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

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

36. Neurosurgery
( Cont’d 5/7)
Same Case

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

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

39. Paediatric Surgery & Paediatric Urology

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

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

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

43. Urology

44. Urology
( Cont’d 2/3)

45. Urology
( Cont’d 3/3)

46. Cardiothoracic Surgery

47. Cardiothoracic Surgery
( Cont’d 2/5)

48. Cardiothoracic Surgery
( Cont’d 3/5)

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

50. Cardiothoracic Surgery
( Cont’d 5/5)

51. Cardiothoracic Surgery

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

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

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

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

56. Cardiothoracic Surgery
( Cont’d 6/10)

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

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

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

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

61. 2. AOB

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

63. THE END