The following is issued on behalf of the Hospital Authority:
The 76th issue of "HA Risk Alert" was published today (January 27) 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 third quarter of 2024 (July to September), there were seven sentinel events reported, comprising four cases of surgery/interventional procedure involving wrong body parts, two cases of retained instruments/material after surgery/interventional procedure and one case of maternal death with massive pulmonary embolism. Among the 14 reported serious untoward events, there were 11 related to medication errors and three patient misidentifications.
"Subsequent to the incident reviews and analyses 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 the future," an 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 in January, April, July and October. The next issue is scheduled for April 2025.
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