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Sentinel Event Statistics

Sentinel Events Reported by Private Hospitals in 2022 (as at 30 April 2022)

Sentinel Events Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1 Surgery / interventional procedure involving the wrong patient or body part - - - -
2 Retained instruments or other material after surgery / interventional procedure - - 1(0) -
3 ABO incompatibility blood transfusion - - - -
4 Medication error resulting in major permanent loss of function or death - - - -
5 Intravascular gas embolism resulting in death or neurological damage - - - -
6 Death of an in-patient from suicide (including home leave) - - - -
7 Maternal death or serious morbidity associated with labour or delivery 1(1) - - -
8 Infant discharged to wrong family or infant abduction - - - -
9 Other adverse events resulting in permanent loss of function or death (excluding complications) - - - -
* Number of fatal cases is indicated in bracket.

Summary of Sentinel Event in January 2022:

The DH received notification of a sentinel event from a private hospital on 14 January 2022. The event involved a maternal death of a 39-year-old female who had undergone vaginal delivery at the Hospital on 13 January 2022. The DH initiated investigation immediately and requested the hospital to submit an investigation report in four weeks. The hospitals have submitted the investigation report to DH. After examining the information provided by the hospital, the DH considered there was no evidence of non-compliance with the requirements of the Private Healthcare Facilities Ordinance (Cap.633) or the Code of Practice for Private Hospitals in respect of accommodation, staffing or equipment, which contributed to the happening of the event.

Summary of Sentinel Event in March 2022:

The DH received notification of a sentinel event from a private hospital on 3 March 2022 involving retention of foreign body suspected to be a retained surgical item in a 39-year-old female patient who had undergone laparoscopic surgery at the hospital in 2014. The DH initiated investigation immediately and requested the hospital to submit an investigation report in four weeks. The hospital has submitted the investigation report to DH. After examining the information provided by the hospital, DH considered there was no evidence of noncompliance with the applicable requirements, including the Private Healthcare Facilities Ordinance (Cap.633), Hospitals, Nursing Homes and Maternity Homes Registration Ordinance (Cap.165), and the relevant Code of Practice in respect of accommodation, staffing or equipment, which contributed to the happening of the event.

Statistics of Sentinel Events and Serious Untoward Events Reported by Private Hospitals in Previous Years