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The old man entered the Hong Kong Island Hong Kong Adventist Hospital after two medical errors, the nurse used the wrong dose of the dialysis lead to stay in the body

2021-08-16T14:08:30.504Z


The Department of Health has announced two “important risk events” notified by private hospitals, involving an 82-year-old male patient from Hong Kong Adventist Hospital on Stubbs Road, Hong Kong Island, receiving cardiotonic/hypertensive drugs at the wrong infusion rate in April this year, as well as


The Department of Health announced two "important risk events" notified by private hospitals, involving an 82-year-old male patient from Hong Kong Adventist Hospital on Stubbs Road, Hong Kong Island, receiving cardiotonic/hypertensive drugs at the wrong infusion rate in April this year, and St. Paul's Hospital A 53-year-old male patient received the wrong dose of cardiotonic/hypertensive drugs in February this year.


The Department of Health stated that it received notifications from two hospitals in April this year that the two hospitals had delayed notifications and violated the provisions of the Department of Health within 24 hours.


The Hong Kong Adventist Hospital replied that the nurse involved did not strictly follow the medication dosage prescribed by the doctor, nor did it follow the hospital's guidelines for double-checking medication and dosage.

The 82-year-old patient died. The hospital believed that the incident had no direct impact on the patient's physical condition.

Looking through the information, it was found that the doctors of Hong Kong Adventist Hospital inserted the central venous catheter for dialysis for the patient, but the lead was missed in the patient's body. In other words, the 82-year-old patient suffered medical errors twice in the Hong Kong Adventist Hospital.


St. Paul's Hospital has not yet replied.


An 82-year-old male patient at the Hong Kong Adventist Hospital, Stubbs Road, Hong Kong Island, received cardiotonic/hypertensive drugs at the wrong infusion rate during menstruation in April this year.

(Provided by Hong Kong Adventist Hospital)

The Department of Health announced two incidents of "misprescribed drugs that could cause death or permanent damage or have a major public health risk" reported by private hospitals. The first incident involved an 82-year-old male patient from Hong Kong Adventist Hospital, Stubbs Road, Hong Kong Island , He received cardiotonic/boosting drugs at the wrong infusion rate on April 3 this year; the second incident involved a 53-year-old male patient from St. Paul’s Hospital who received the wrong dose of cardiotonic/boosting drugs on February 4 this year drug.

The nurse involved in the wrong dose of medicine resigned by himself in June

In response to enquiries, the Hong Kong Adventist Hospital stated that the 82-year-old male patient was admitted to the hospital due to gastrointestinal bleeding. He was later transferred to the Intensive Care Unit on April 3 because of his critical condition and underwent close medical supervision and various drug treatments.

However, during one of the drug treatments, the nurse did not strictly follow the medication dosage prescribed by the doctor, nor did it follow the hospital's guidelines for double-checking medication and dosage.

The hospital found out that it had notified its attending doctors and doctors immediately, and kept a close watch on the patient's condition.

The hospital stated that the patient was a long-term patient and was admitted to the hospital due to a severe condition. Although he was closely monitored and rescued during his stay in the hospital, he unfortunately worsened.

In the end, the condition did not improve, and the rescue was stopped with the consent of the family members, but he died.

However, after investigation, the hospital believes that the incident has no direct impact on the patient's physical condition.

The hospital believes that this is an isolated incident. It has immediately reminded all medical staff to administer medicine to the patient in accordance with the established guidelines and arrange for the nurse concerned to undergo retraining courses. The nurse resigned by himself in June.

The lead was found in the body the next day

A review of the information revealed that the Department of Health announced another incident involving the Hong Kong Adventist Hospital earlier. The incident was also an 82-year-old male patient. It was missed in the body, not taken out, and was only discovered the next day.

In other words, this 82-year-old patient suffered medical errors twice in Hong Kong Adventist Hospital.

A 53-year-old male patient at St. Paul’s Hospital received the wrong dose of cardiotonic/hypertensive drugs on February 4 this year.

(Information picture / Photo by McCain)

Department of Health: St. Paul's Hospital overdue notification

After receiving the notification, the Department of Health followed up and asked the two hospitals to submit investigation reports within four weeks.

Both hospitals have submitted investigation reports to the Department of Health.

Regarding the issue of delayed notification, the Hong Kong Adventist Hospital stated that it will strengthen communication with the Department of Health on cases that need to be reported in the future.

The "Code of Practice for Private Hospitals" states that private hospitals must notify the Director of Health within 24 hours of the occurrence of a medical incident. However, the Department of Health stated that it received notifications from two hospitals in April this year. In other words, St. Paul's Hospital was involved. There was a delay of about two months before notification to the government.

The department stated that after reviewing the information submitted by the hospitals, it was found that both hospitals had delayed reporting the incident to the Department of Health.

In addition, no evidence was found to show that the hospital violated the requirements of the Private Medical Institutions Ordinance (Chapter 633) or the Code of Practice for Private Hospitals in terms of premises, manpower and equipment, which led to the two incidents.

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01News

Source: hk1

All news articles on 2021-08-16

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