"HA Risk Alert" latest issue published
**************************************
The 47th issue of "HA Risk Alert" was published today (October 27) 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 2017 (April to June), 13 Sentinel Events were reported, comprising nine cases of retained instrument after surgery/interventional procedure, two cases of in-patient suicide, one case of maternal morbidity and one case of incompatible blood group transfusion. There were 11 reported Serious Untoward Events, which were all medication incidents.
"Subsequent to incident review and analysis of the root causes of these incidents, important lessons for patient safety were identified, while recommendations have been 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 months of January, April, July and October. The next issue is scheduled to publish earlier on January 25, 2018 (Thursday) to dovetail the publication of the Annual Report on Sentinel and Serious Untoward Events.
Ends/Friday, October 27, 2017
Issued at HKT 16:45
Issued at HKT 16:45
NNNN