The following is issued on behalf of the Hospital Authority:
The 65th issue of "HA Risk Alert" was published today (April 29) by the Hospital Authority (HA) as a risk management and communication initiative to further strengthen the reporting and monitoring of clinical incidents in public hospitals.
In the fourth quarter of 2021 (October to December), there were nine Sentinel Events reported, comprising six cases of retained instrument/material after surgery/interventional procedure, two cases of inpatient suicide and one case of maternal mobility. Among the 28 reported Serious Untoward Events, there were 23 related to medication error and five patient misidentifications.
"Subsequent to incident review and analysis of the root causes of these incidents, important lessons for patient safety have been identified, while recommendations are made and shared in this publication to avoid similar events in future," the HA spokesperson said.
The HA Head Office has released the latest "HA Risk Alert" to all staff. 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 on the last working Friday in the months of January, April, July and October. The next issue is scheduled on July 29, 2022 (Friday).
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