1. Post-Procedure Complications Monitoring Programme 32nd Review Meeting
Friday, 23 August 2013
4:00-5:20pm, AKC Li Surgical Library

2. Attendance Present Dr. Simon Wong (Chairman) Team 1 – Dr. Tommy Yip
Team 2 – Dr. Sally Luk
Team 4 – Dr. Micah Chan
PRAS – Dr. David Wong & Dr. Teresa Tan
NS – Dr. W K Mak & Dr. Alberto Chu
PSU – Dr. Sammi Wong & Dr. Jennifer Mou
URO – Dr. C K Chan & Dr. Samuel Yee
CTS – Dr. Micky Kwok
Mr. Alfred Chan
Ms Eunice Tam

3. Items discussed
Complications report – June 2013
AOB

4. June,2013 Summary (case collection progress and Complication rate)
Complication rate and Magnitude

5. Team 1 – Hepatobiliary & Pancreatic Surgery
Code
567.2
abdominal

6. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 2/4)
Seems that sepsis was present before surgery but Team decided to count this as complication
Likely a result of contamination during surgery

7. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 3/4)
Complicated post-op course

8. Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 4/4)
For consideration in
M & M after the patient is discharged
Mortality after 2nd OT done by T2 (2nd OT to be discussed in next meeting)

9. Team 2 – Upper Gastro-intestinal Surgery

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

11. Team 3 – Colorectal Surgery
Team 3 cases reviewed in the absence of Team 3 representatives
No D/C summary available for discussion

12. Team 3 – Colorectal Surgery (Cont’d 2/4)
Only an incidental finding. Should not be counted as a complication. Team 3 should review whether this case should be counted as complication.

13. Team 3 – Colorectal Surgery (Cont’d 3/4)
No details on the type of OT performed.
To add the following complications :
+ DVT
+ Bedsore

14. Team 3 – Colorectal Surgery (Cont’d 4/4)
M & M case

15. Team 4 – Vascular Surgery
Patient refused injection
RLN palsy missed in D/C summary
6 stents inserted by cardiologists previously
Ischaemic bowel
Patient passed away in Union Hospital (private ICU care)
Should be counted as mortality though patient did not die in HA hospital

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

17. Plastic, Reconstructive and Aesthetic Surgery
Expected death

18. Plastic, Reconstructive and Aesthetic Surgery (Cont’d 2/3)
discharge was too early
- recipient site loss
Case belong to NS

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

20. Neurosurgery
Cass to be discussed in Sept 2013 review meeting

21. Paediatric Surgery and Paediatric Urology

22. Paediatric Surgery and Paediatric Urology (Cont’d 2/2)

23. Urology
The complication (revision of ureteric fluitux) (primary) of the 1st OT should be coded.
Same patient
M & M 23

24. Urology (Cont’d 2/2)
Team should review whether performing OT in LKSSC was appropriate.

25. Cardiothoracic Surgery
Cass to be discussed in Sept 2013 Review Meeting

26. AOB
As the cases for NS and CTS (June 2013) could only be discussed in conjunction with July 2013 cases in the next Review Meeting, the Review Meeting to be held on 27 September 2013 is expected to take more time than usual.

27. THE END