Tuen Mun Hospital was once again the worst among all 17 public hospitals in the outcomes of prebooked surgeries, Ming Pao Daily reported, citing an audit report the Hospital Authority issued Wednesday.
The hospital, which has been at the bottom of the ranking in recent years, except in 2013/2014, had the highest measure of fatalities for scheduled operations at 2.2, which means the actual number of deaths was more than twice the number of patients normally expected to die after surgery.
Why the hospital performed so badly remains to be explained.
Paul Lai Bo-san, director of the authority’s annual surgical outcomes monitoring and improvement program, admitted it was unable to determine the reason by statistical data analysis.
The ratio was 1.48 at Princess Margaret Hospital in south Kwai Chung, which was ranked the worst for emergency operations.
Lai said the poor performance by Princess Margaret could be a result of a greater number of vascular surgeries transferred from Yan Chai Hospital in Tsuen Wan during the period.
Lee Tsz-leung, the authority’s chief manager for quality and standards, said a doctor specializing in vascular surgery will be assigned to provide additional support.
He said his department will explore the feasibility of concentrating all high-risk vascular surgeries in designated hospitals.
Ruttonjee Hospital in Wan Chai performed better than all other public hospitals in the category, with the lowest ratio of actual patient deaths against the number expected at 0.3.
Overall, the report said, 25,000 major and mega surgeries were performed during the period, resulting in a death rate of 1.8 percent, the lowest in the past seven years.
While none of the monitored hospitals was rated “outstanding”, no patients died in prebooked surgeries at Our Lady of Maryknoll Hospital in Wong Tai Sin and Alice Ho Miu Ling Nethersole Hospital in Tai Po.
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