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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 42nd issue of "HA Risk Alert" was published today (July 29) 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 first quarter of 2016, there were seven sentinel events reported, comprising four cases of retained instruments after surgery/interventional procedure, one case of wrong side procedure, one case of patient suicide and one case of adverse post-operative effect of cataract surgery. Among the reported serious untoward events, there were 11 medication incidents and three cases of patient misidentification. 
 
     "Subsequent to incident review and analysis of root causes of these incidents, important lessons of patient safety have been identified, while recommendations have been made and shared in this publication to avoid similar events in future," the spokesman 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 for October 28.
 
Ends/Friday, July 29, 2016
Issued at HKT 16:41
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