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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 49th issue of "HA Risk Alert" is published today (April 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 fourth quarter of 2017 (October – December), there were five sentinel events reported, including three cases of retained instruments after surgery/interventional procedure; one case of interventional procedure on the wrong patient and one case of patient suicide. Among the reported serious untoward events, there were 27 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 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 on July 27.
 
Ends/Friday, April 27, 2018
Issued at HKT 17:00
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