https://hk.news.yahoo.com/北區醫院有出院病人沒獲護士給予處方藥物-其後不治-150033591.html
北區醫院有出院病人沒獲護士給予處方藥物 其後不治
香港電台-港聞
2.8k 人追蹤
•2018年9月1日 下午11:00
北區醫院一名胰臟癌男病人出院時，護士沒有將醫生處方控制血糖、血壓等的藥物，交給病人，病人其後不治。
死因庭裁定病人死於擴散的胰臟癌。家屬在事發後3個月向院方反映，院方才發現職員無就事件呈報。北區醫院表示非常關注事件，會成立專家小組調查和檢討。
有公立醫院醫生形容事件不常見，希望醫管局加強挽留有經驗的護士，避免再發生同類事件。
https://hk.news.yahoo.com/北區醫院有病人出院時未獲給予藥物-蕭旭亮稱不常見-130101200.html
北區醫院有病人出院時未獲給予藥物 蕭旭亮稱不常見
香港電台-港聞
2.8k 人追蹤
•2018年9月1日 下午9:01
北區醫院一名胰臟癌男病人出院時，護士沒有將醫生處方控制血糖、血壓等的藥物，交給病人，病人其後不治。前線醫生聯盟副主席蕭旭亮認為今次事件並不常見。
蕭旭亮表示，在部分聯網的病房，醫護人員會把份量較多的藥物，暫存在藥物儲存櫃，在病人離開醫院時交給病人，醫護人員可以從病人出院紀錄，看到有否開藥給病人。
蕭旭亮說，護士負責核對病人身分再派發藥物，醫生因為工作量大，難以覆核有否給藥。他認為，出事後醫管局不應增添架床疊屋的指引，而應該加強挽留有經驗的護士，以他們的臨床指導和監督，預防事件再次發生。
https://hk.news.yahoo.com/北區醫院派漏藥職員無呈報-患胰臟癌病人出院兩周後暈倒去世-110700733.html
北區醫院派漏藥職員無呈報 患胰臟癌病人出院兩周後暈倒去世
星島日報
13.6k 人追蹤
2018年9月1日 下午7:07
北區醫院。資料圖片
【星島日報報道】北區醫院今公布一宗重要風險事件。64歲男病人患胰臟癌，並已擴散至肝臟，而出院時，護士未將藥物交給病人。直到5月17日早上護士發現遺漏的藥物，隨即通知病人家屬，但未等對方領取藥物，當日下午病人在家暈倒，搶救後證實不治，並死於已擴散的胰臟癌。
男病人4月23日因腹痛、嘔吐及下肢乏力，經急症室入住北區醫院內科病房，醫生診斷其患有糖尿病及心血管病。4月24日，電腦斷層掃描證實病人患胰臟癌，並已擴散至肝臟。病人經留院治療及接受觀察後，於5月4日上午出院，醫生為其處方多種藥物，其中包括血糖控制藥物、心臟科藥物及血壓控制藥物。病人等候出院期間，護士將藥物放置於病房內出院病人藥物儲存櫃，未有在病人離院時交給病人。當日下午，病人由非緊急救護車接送出院。
據病人家屬表示，她曾於5月8日到病房查詢病人出院時曾否獲發藥物，有職員曾向其表示病人出院時未獲處方藥物。5月17日上午，病房職員於出院病人藥物儲存櫃發現一包藥物，檢查後發現屬事件中病人，遂即時聯絡病人家屬到醫院領取。惟病人同日下午被家人發現在家中暈倒，經救護車送往急症室，搶救後證實不治。個案已轉介死因裁判官跟進，根據死因報告，病人死於已擴散的胰臟癌。
北區醫院於8月28日接獲病人家屬反映，指病人出院時並未獲發出院藥物。院方發現未有職員曾就事件作出呈報。並表示對事件非常關注，將成立專家小組深入調查及檢討醫護人員處理出院病人藥物、家屬查詢及事故通報流程以及提出改善建議。院方已向醫管局通報事件。
醫院因應今次事件已即時採取措施，加強臨牀監管，確保同類事件不再發生。所有病房會安排專人每日檢查出院病人藥物儲存櫃，確保所有藥物已給予當日出院病人；醫院提醒所有職員嚴格按照既定工作流程，仔細檢查及處理病人出院藥物；病房職員需清楚記錄出院病人或其家屬有關藥物處方或病情突變的查詢，以便團隊其他成員知悉及按情況作出相關跟進；及加強前線職員就事件呈報機制的培訓。
醫院對事件深感難過，向病人家屬致以深切歉意及慰問，病人聯絡部會與家屬保持緊密溝通，適時向其交代調查結果，並提供一切可行協助。
#1
https://hk.news.yahoo.com/The North District Hospital has discharged patients who have not received prescription drugs from the nurses - and then died -150033591.html
The North District Hospital has discharged patients who have not received prescription drugs from the nurses and then died.
Radio Television Hong Kong - Hong Kong News
2.8k person tracking
• September 1, 2018, 11:00 PM
When a male patient with pancreatic cancer was discharged from the North District Hospital, the nurse did not give the patient a prescription for controlling blood sugar, blood pressure, etc., and the patient died.
The cause of death ruled that the patient died of diffuse pancreatic cancer. The family members reported to the hospital three months after the incident, and the hospital found that the staff did not report the incident. The North District Hospital expressed great concern about the incident and will set up a panel of experts to investigate and review.
It is not common for doctors in public hospitals to describe incidents. I hope that the HA will step up the retention of experienced nurses to avoid similar incidents.
https://hk.news.yahoo.com/The North District Hospital has not received medication when the patient was discharged - Xiao Xuliang said it is not common -130101200.html
In the North District Hospital, patients were not given drugs at the time of discharge. Xiao Xuliang said that it is not common.
Radio Television Hong Kong - Hong Kong News
2.8k person tracking
• September 1, 2018, 9:01 PM
When a male patient with pancreatic cancer was discharged from the North District Hospital, the nurse did not give the patient a prescription for controlling blood sugar, blood pressure, etc., and the patient died. Xiao Xuliang, vice chairman of the Frontline Doctors Union, believes that this incident is not common.
Xiao Xuliang said that in some networked wards, medical staff will temporarily store more drugs in the drug storage cabinet and hand them to the patient when they leave the hospital. The medical staff can discharge the patient records and see if they have prescribed drugs. .
Xiao Xuliang said that the nurse is responsible for checking the patient's identity and then distributing the drug. Because of the heavy workload, it is difficult for the doctor to check whether it is administered. He believes that after the accident, the HA should not add guidelines for the stacking of beds. Instead, it should strengthen the retention of experienced nurses to prevent recurrence of incidents with their clinical guidance and supervision.
Https://hk.news.yahoo.com/ North District Hospital sent a leaked drug staff did not report - patients with pancreatic cancer fainted after two weeks of discharge -110700733.html
North District Hospital sent a drug leaking staff did not report that pancreatic cancer patients died after two weeks of discharge, died
Sing Tao Daily
13.6k person tracking
September 1, 2018, 7:07 PM
North District Hospital. Profile picture [Sing Tao Daily News] North District Hospital announced an important risk event today. The 64-year-old male patient developed pancreatic cancer and spread to the liver. At the time of discharge, the nurse did not hand over the drug to the patient. Until the morning of May 17, the nurse found the missing drug, and immediately notified the patient's family, but did not wait for the other party to receive the drug. On the afternoon of the same day, the patient fainted at home, confirmed to be cured after the rescue, and died of the spread of pancreatic cancer.
On April 23, the male patient was admitted to the medical ward of the North District Hospital via the Accident and Emergency Department due to abdominal pain, vomiting and weakness of the lower limbs. The doctor diagnosed his diabetes and cardiovascular disease. On April 24, computed tomography confirmed that the patient had pancreatic cancer and had spread to the liver. After being treated and admitted to hospital, the patient was discharged from the hospital on the morning of May 4. The doctor prescribed a variety of drugs, including blood sugar control drugs, cardiology drugs and blood pressure control drugs. While the patient was waiting to be discharged from the hospital, the nurse placed the drug in the drug storage cabinet of the patient discharged from the ward, and did not hand it to the patient when the patient left the hospital. On the afternoon of the same day, the patient was taken out of the hospital by a non-emergency ambulance.
According to the patient's family, she went to the ward on May 8 to find out if the patient had received the drug at the time of discharge. Some staff members told the patient that they had not received prescription drugs at the time of discharge. On the morning of May 17, the ward staff found a package of drugs in the drug storage cabinet of the discharged patients. After the examination, they found that they were the patients in the incident. They immediately contacted the patient's family to the hospital for collection. However, the patient was found to have fainted at home in the afternoon of the same day and was taken to the Accident and Emergency Department by an ambulance. He was certified dead after the rescue. The case has been referred to the coroner for follow-up. According to the cause of death, the patient died of diffuse pancreatic cancer.
The North District Hospital received a report from the patient's family on August 28 that the patient was not discharged at the time of discharge. The hospital found that no staff had reported the incident. He also expressed his concern about the incident. A team of experts will be set up to conduct an in-depth investigation and review of the medical staff's handling of drug, family inquiry and accident notification procedures for discharge patients and suggestions for improvement. The hospital has notified the Hospital Authority of the incident.
In response to this incident, the hospital has taken immediate measures to strengthen clinical supervision and ensure that similar incidents do not occur again. All wards will arrange a daily check-up of the patient's drug storage cabinet to ensure that all drugs have been given to the hospital. The hospital reminds all staff to carefully inspect and handle the patient's discharge of the drug in strict accordance with the established workflow; the ward staff must clearly record the discharged patient or Family members' enquiries about drug prescriptions or sudden changes in illness so that other members of the team can be informed and follow up on the situation; and strengthen the training of frontline staff on the incident reporting mechanism.
The hospital is deeply saddened by the incident and expresses deep apologies and condolences to the patients' families. The patient liaison department will maintain close communication with the family members, explain the results to them in due course, and provide all feasible assistance.
You must log in or register to reply here.
北區醫院有出院病人沒獲護士給予處方藥物 其後不治
香港電台-港聞
2.8k 人追蹤
•2018年9月1日 下午11:00
北區醫院一名胰臟癌男病人出院時，護士沒有將醫生處方控制血糖、血壓等的藥物，交給病人，病人其後不治。
死因庭裁定病人死於擴散的胰臟癌。家屬在事發後3個月向院方反映，院方才發現職員無就事件呈報。北區醫院表示非常關注事件，會成立專家小組調查和檢討。
有公立醫院醫生形容事件不常見，希望醫管局加強挽留有經驗的護士，避免再發生同類事件。
https://hk.news.yahoo.com/北區醫院有病人出院時未獲給予藥物-蕭旭亮稱不常見-130101200.html
北區醫院有病人出院時未獲給予藥物 蕭旭亮稱不常見
香港電台-港聞
2.8k 人追蹤
•2018年9月1日 下午9:01
北區醫院一名胰臟癌男病人出院時，護士沒有將醫生處方控制血糖、血壓等的藥物，交給病人，病人其後不治。前線醫生聯盟副主席蕭旭亮認為今次事件並不常見。
蕭旭亮表示，在部分聯網的病房，醫護人員會把份量較多的藥物，暫存在藥物儲存櫃，在病人離開醫院時交給病人，醫護人員可以從病人出院紀錄，看到有否開藥給病人。
蕭旭亮說，護士負責核對病人身分再派發藥物，醫生因為工作量大，難以覆核有否給藥。他認為，出事後醫管局不應增添架床疊屋的指引，而應該加強挽留有經驗的護士，以他們的臨床指導和監督，預防事件再次發生。
https://hk.news.yahoo.com/北區醫院派漏藥職員無呈報-患胰臟癌病人出院兩周後暈倒去世-110700733.html
北區醫院派漏藥職員無呈報 患胰臟癌病人出院兩周後暈倒去世
星島日報
13.6k 人追蹤
2018年9月1日 下午7:07
北區醫院。資料圖片
【星島日報報道】北區醫院今公布一宗重要風險事件。64歲男病人患胰臟癌，並已擴散至肝臟，而出院時，護士未將藥物交給病人。直到5月17日早上護士發現遺漏的藥物，隨即通知病人家屬，但未等對方領取藥物，當日下午病人在家暈倒，搶救後證實不治，並死於已擴散的胰臟癌。
男病人4月23日因腹痛、嘔吐及下肢乏力，經急症室入住北區醫院內科病房，醫生診斷其患有糖尿病及心血管病。4月24日，電腦斷層掃描證實病人患胰臟癌，並已擴散至肝臟。病人經留院治療及接受觀察後，於5月4日上午出院，醫生為其處方多種藥物，其中包括血糖控制藥物、心臟科藥物及血壓控制藥物。病人等候出院期間，護士將藥物放置於病房內出院病人藥物儲存櫃，未有在病人離院時交給病人。當日下午，病人由非緊急救護車接送出院。
據病人家屬表示，她曾於5月8日到病房查詢病人出院時曾否獲發藥物，有職員曾向其表示病人出院時未獲處方藥物。5月17日上午，病房職員於出院病人藥物儲存櫃發現一包藥物，檢查後發現屬事件中病人，遂即時聯絡病人家屬到醫院領取。惟病人同日下午被家人發現在家中暈倒，經救護車送往急症室，搶救後證實不治。個案已轉介死因裁判官跟進，根據死因報告，病人死於已擴散的胰臟癌。
北區醫院於8月28日接獲病人家屬反映，指病人出院時並未獲發出院藥物。院方發現未有職員曾就事件作出呈報。並表示對事件非常關注，將成立專家小組深入調查及檢討醫護人員處理出院病人藥物、家屬查詢及事故通報流程以及提出改善建議。院方已向醫管局通報事件。
醫院因應今次事件已即時採取措施，加強臨牀監管，確保同類事件不再發生。所有病房會安排專人每日檢查出院病人藥物儲存櫃，確保所有藥物已給予當日出院病人；醫院提醒所有職員嚴格按照既定工作流程，仔細檢查及處理病人出院藥物；病房職員需清楚記錄出院病人或其家屬有關藥物處方或病情突變的查詢，以便團隊其他成員知悉及按情況作出相關跟進；及加強前線職員就事件呈報機制的培訓。
醫院對事件深感難過，向病人家屬致以深切歉意及慰問，病人聯絡部會與家屬保持緊密溝通，適時向其交代調查結果，並提供一切可行協助。
#1
https://hk.news.yahoo.com/The North District Hospital has discharged patients who have not received prescription drugs from the nurses - and then died -150033591.html
The North District Hospital has discharged patients who have not received prescription drugs from the nurses and then died.
Radio Television Hong Kong - Hong Kong News
2.8k person tracking
• September 1, 2018, 11:00 PM
When a male patient with pancreatic cancer was discharged from the North District Hospital, the nurse did not give the patient a prescription for controlling blood sugar, blood pressure, etc., and the patient died.
The cause of death ruled that the patient died of diffuse pancreatic cancer. The family members reported to the hospital three months after the incident, and the hospital found that the staff did not report the incident. The North District Hospital expressed great concern about the incident and will set up a panel of experts to investigate and review.
It is not common for doctors in public hospitals to describe incidents. I hope that the HA will step up the retention of experienced nurses to avoid similar incidents.
https://hk.news.yahoo.com/The North District Hospital has not received medication when the patient was discharged - Xiao Xuliang said it is not common -130101200.html
In the North District Hospital, patients were not given drugs at the time of discharge. Xiao Xuliang said that it is not common.
Radio Television Hong Kong - Hong Kong News
2.8k person tracking
• September 1, 2018, 9:01 PM
When a male patient with pancreatic cancer was discharged from the North District Hospital, the nurse did not give the patient a prescription for controlling blood sugar, blood pressure, etc., and the patient died. Xiao Xuliang, vice chairman of the Frontline Doctors Union, believes that this incident is not common.
Xiao Xuliang said that in some networked wards, medical staff will temporarily store more drugs in the drug storage cabinet and hand them to the patient when they leave the hospital. The medical staff can discharge the patient records and see if they have prescribed drugs. .
Xiao Xuliang said that the nurse is responsible for checking the patient's identity and then distributing the drug. Because of the heavy workload, it is difficult for the doctor to check whether it is administered. He believes that after the accident, the HA should not add guidelines for the stacking of beds. Instead, it should strengthen the retention of experienced nurses to prevent recurrence of incidents with their clinical guidance and supervision.
Https://hk.news.yahoo.com/ North District Hospital sent a leaked drug staff did not report - patients with pancreatic cancer fainted after two weeks of discharge -110700733.html
North District Hospital sent a drug leaking staff did not report that pancreatic cancer patients died after two weeks of discharge, died
Sing Tao Daily
13.6k person tracking
September 1, 2018, 7:07 PM
North District Hospital. Profile picture [Sing Tao Daily News] North District Hospital announced an important risk event today. The 64-year-old male patient developed pancreatic cancer and spread to the liver. At the time of discharge, the nurse did not hand over the drug to the patient. Until the morning of May 17, the nurse found the missing drug, and immediately notified the patient's family, but did not wait for the other party to receive the drug. On the afternoon of the same day, the patient fainted at home, confirmed to be cured after the rescue, and died of the spread of pancreatic cancer.
On April 23, the male patient was admitted to the medical ward of the North District Hospital via the Accident and Emergency Department due to abdominal pain, vomiting and weakness of the lower limbs. The doctor diagnosed his diabetes and cardiovascular disease. On April 24, computed tomography confirmed that the patient had pancreatic cancer and had spread to the liver. After being treated and admitted to hospital, the patient was discharged from the hospital on the morning of May 4. The doctor prescribed a variety of drugs, including blood sugar control drugs, cardiology drugs and blood pressure control drugs. While the patient was waiting to be discharged from the hospital, the nurse placed the drug in the drug storage cabinet of the patient discharged from the ward, and did not hand it to the patient when the patient left the hospital. On the afternoon of the same day, the patient was taken out of the hospital by a non-emergency ambulance.
According to the patient's family, she went to the ward on May 8 to find out if the patient had received the drug at the time of discharge. Some staff members told the patient that they had not received prescription drugs at the time of discharge. On the morning of May 17, the ward staff found a package of drugs in the drug storage cabinet of the discharged patients. After the examination, they found that they were the patients in the incident. They immediately contacted the patient's family to the hospital for collection. However, the patient was found to have fainted at home in the afternoon of the same day and was taken to the Accident and Emergency Department by an ambulance. He was certified dead after the rescue. The case has been referred to the coroner for follow-up. According to the cause of death, the patient died of diffuse pancreatic cancer.
The North District Hospital received a report from the patient's family on August 28 that the patient was not discharged at the time of discharge. The hospital found that no staff had reported the incident. He also expressed his concern about the incident. A team of experts will be set up to conduct an in-depth investigation and review of the medical staff's handling of drug, family inquiry and accident notification procedures for discharge patients and suggestions for improvement. The hospital has notified the Hospital Authority of the incident.
In response to this incident, the hospital has taken immediate measures to strengthen clinical supervision and ensure that similar incidents do not occur again. All wards will arrange a daily check-up of the patient's drug storage cabinet to ensure that all drugs have been given to the hospital. The hospital reminds all staff to carefully inspect and handle the patient's discharge of the drug in strict accordance with the established workflow; the ward staff must clearly record the discharged patient or Family members' enquiries about drug prescriptions or sudden changes in illness so that other members of the team can be informed and follow up on the situation; and strengthen the training of frontline staff on the incident reporting mechanism.
The hospital is deeply saddened by the incident and expresses deep apologies and condolences to the patients' families. The patient liaison department will maintain close communication with the family members, explain the results to them in due course, and provide all feasible assistance.
You must log in or register to reply here.
