HA releases risk management publications
****************************************
The Hospital Authority (HA) today (January 28) published both the latest quarterly issue of "HA Risk Alert" (HARA) as well as the Annual Report on Sentinel and Serious Untoward Events as a risk management and communication initiative to further strengthen the incident reporting and sharing of lessons learnt for safety improvements in public hospitals.
The HA spokesperson said that the latest issue of HARA reported three sentinel events with two cases of retained instrument or material after surgery/interventional procedure and one case of inpatient suicide. Among 24 reported serious untoward events, one was related to patient misidentification and the remaining cases were related to medication error.
"Subsequent to incident review and root cause analysis of these incidents, important lessons of patient safety are identified, while recommendations are made and shared in this publication to reduce similar events in the future," the spokesperson added.
The HA also released the Annual Report on Sentinel and Serious Untoward Events covering the 12 months from October 1, 2020, to September 30, 2021. There were a total of 28 sentinel events and 94 serious untoward events reported during the period. Among the serious untoward events, there were 84 and 10 events related to medication error and patient misidentification respectively. The Report has been endorsed by the HA Board.
The Annual Report on Sentinel and Serious Untoward Events is accessible to healthcare workers and the public through www.ha.org.hk/report/sentinel_event, while the HARA is distributed to the healthcare professionals in public hospitals and can be accessed by the public via www.ha.org.hk/riskalert. The next issue of HARA will be published on April 29.
Ends/Friday, January 28, 2022
Issued at HKT 16:45
Issued at HKT 16:45
NNNN