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"HA Risk Alert" latest issue published
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The following is issued on behalf of the Hospital Authority:

     The 46th issue of "HA Risk Alert" is published today (July 28) by the Hospital Authority (HA) as a risk management and communication initiative to further strengthen the reporting and monitoring of medical incidents in public hospitals.

     In the first quarter of 2017 (January - March), there were two sentinel events reported, including a case of retained instrument after surgery/interventional procedure and one case of wrong-side procedure.  Among the reported serious untoward events, there were 12 medication incidents and four cases of patient misidentification. 
 
     "Subsequent to incident review and analysis of root causes of these incidents, important lessons of patient safety are identified, while recommendations are made and shared in this publication to avoid similar events in future," the HA spokesperson said.
 
     The publication has been distributed to all health-care professionals in public hospitals for continuous quality improvement purposes.  It can also be accessed by the public at www.ha.org.hk/riskalert.  "HA Risk Alert" is published on a quarterly basis and posted on the HA website every last working Friday in the month of January, April, July and October.  The next issue is scheduled for October 27.
 
Ends/Friday, July 28, 2017
Issued at HKT 16:15
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