1. Post-Procedure Complications Monitoring Programme 27th Review Meeting
Friday, 22 March 2013
4:00-5:30pm, AKC Li Library

2. Attendance Present Prof. Paul B S Lai (Chairman)
Team 1 – Dr. Charing Chong & Dr. Anthony Fong
Team 2 – Dr. Simon Wong
Team 3 – Dr. Hon Sok Fei
Team 4 – Prof. James Lau & Dr. Micah Chan
PRAS – Dr. David Wong & Dr. Teresa Tan
PSU – Dr. Peter Tam
URO – Dr. Peter Chiu
CTS – Dr. Randolph Wong
Mr. Alfred Chan
Ms Eunice Tam

3. Items discussed
Complications report – Jan 2013
AOB
Logistics

4. 1. Complications Report – Jan 2013

5. Complication rate and Magnitude
January Summary (case collection progress, Complication rates and Mortality)
Case collection
Complication rate and Magnitude
Mortality

6. Cumulative data (2010-2013/1 and 2010-2012)

7. Team 1 – Hepatobiliary & Pancreatic Surgery
Potential M & M Case

8. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 2/5)

9. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 3/5)

10. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 4/5)

11. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 5/5)

12. Team 2 – Upper Gastro-intestinal Surgery
Same patient

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

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

15. Team 2 – Upper Gastro-intestinal Surgery (Cont’d 4/4)
Highly unusual case

16. Team 3 – Colorectal Surgery

17. Team 3 – Colorectal Surgery (Cont’d 2/7)
Note : > Ecoli

18. Team 3 – Colorectal Surgery (Cont’d 3/7)
Combined as one entry

19. Team 3 – Colorectal Surgery (Cont’d 4/7)

20. Team 3 – Colorectal Surgery (Cont’d 5/7)
Remove from complication and count as Mortality

21. Team 3 – Colorectal Surgery (Cont’d 6/7)
Add “post-op dehydration”

22. Team 3 – Colorectal Surgery (Cont’d 7/7)
 Non-discharge

23. Team 4 – Vascular Surgery
Add ‘UTI’
Same patient as the following case

24. Team 4 – Vascular Surgery (Cont’d 2/3)
Add ‘limb loss’
Same patient as the previous case
M & M Case
Guidewire not strong enough
complication led to change in practice

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

26. Plastic, Reconstructive and Aesthetic Surgery

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

28. Neurosurgery

29. Neurosurgery (Cont’d 2/2)

30. Paediatric Surgery and Paediatric Urology
PSU Team will grade all complication
Very difficult to extubate
Grade IIIa Complication

31. Paediatric Surgery and Paediatric Urology (Cont’d 2/2)
19 Feb 13
Grade IIIb
Grade I
Quite complicated & unexpected
Transanal part difficult
Total operative time > 6 hours
Sepsis set in a few hours after surgery

32. Urology
Post-op Fever (Gout)

33. Urology (Cont’d 2/3)
Patient admitted under PSU but stone problem treated by Uro.

34. Urology (Cont’d 3/3)

35. Cardiothoracic Surgery

36. Cardiothoracic Surgery (Cont’d 2/4)

37. Cardiothoracic Surgery (Cont’d 3/4)

38. Cardiothoracic Surgery (Cont’d 4/4)
Randolph to study on the efficacy of lung biopsy request from ICU

39. 2. AOB

40. Surgical Outcome / SOMIP Sharing (tentative on 27 April 2013)
Potential topics
- Paediatric Surgery- relook of 2013 complications with grading
Potential Speakers to be invited by Prof Paul B S Lai : Dr. W C Yuen & Dr. Amy Cho
Complications grading – to implement wef 2013

41. 3. Logistics Period Programme Logistic (Distribution) Method
Within 1-2 Week(s) before the week with Meeting
1st Missing case lists ,
and a hard copy addressed to HST via team Secretary
Monday in the Week with meeting
2ndMissing case lists
Wednesday in the Week with meeting
Report preview (v1.1)
3rd Missing case lists
Morning of the day with meeting
Meeting Report (v1.2)
Within 1 week from post-meeting
Post-meeting Report (v1.3)

42. END