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

     The 43rd issue of "HA Risk Alert" was published today (October 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 second quarter of 2016, there were 10 sentinel events reported, including five cases of patient suicide, four cases of retained instruments after surgery/interventional procedure, and an incident of intravascular gas embolism. Among the reported serious untoward events, there were 29 medication incidents and two cases of patient misidentification.
     "Subsequent to incident review and analysis of root causes of these incidents, important lessons of patient safety have been identified, while recommendations have been made and shared in this publication to avoid similar events in future," the HA spokesman 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 to be published earlier on January 19, 2017 (Thursday), to dovetail with the publication of the Annual Report on Sentinel and Serious Untoward Events.
Ends/Friday, October 28, 2016
Issued at HKT 17:00
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