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This session will describe the approach taken by one Local Health District in NSW to create the conditions for system transformation. The focus of this transformation was to ensure the organisation, its hospitals and local multiprofessional teams were supported to deliver safe and reliable care that...

The Princess Alexandra Hospital is a 1133 bed tertiary referral hospital located in Brisbane, Australia.  The hospital provides care in all major adult specialties, except for obstetrics.  The hospital is recognised for its expertise in trauma management, cancer care, cardiac care and rehabilitati...

Simulation-based education (SBE) provides a safe and effective learning environment for learners. Historically, simulation has been widely used in military and aviation training, and was only introduced into medical education in the 1960s. In the last 20 years, concerns about patient safety have giv...

Background: Fasciotomy is essential for the prevention and management of compartment syndrome on limbs. The traditional method is to wet to dry dressing to the wide laid open wound to well prepare the wound bed for closure. Most fasciotomy wounds will require delayed primary closure and there may re...

As the survival rate in critically ill patients improves, the morbidities and the long-term complications of the intensive care unit (ICU) survivors are increasingly recognized. Among these chronic morbidities, Intensive Care Unit-acquired weakness (ICUAW) is one of the commonest. It is defined by t...

Across the world, countries are attempting to join together patchworks of fragmented primary, community, hospital and social services into more coherent health and care systems. In the English NHS, groups of local healthcare providers are attempting to reduce duplication between services, to make be...

Seasonal influenza viruses include influenza A(H1N1)pdm09, influenza A(H3N2) and influenza B viruses. In Hong Kong, there is a distinct seasonal pattern with two peaks. The winter influenza season usually occurs from January to March/April, and another summer influenza season occurs at variable time...

The increase in the number of older adults in Hong Kong characterizes an increase in the number of people living with chronic and progressive diseases. There are evidence that palliative care can improve the quality of life to those patients. The challenge to provide high quality of palliative care ...

To study genetic sequence variants underlying unresolved Mendelian disorders and improve interpretation of already identified high penetrance variants, a collection of 13,000 individuals with a rare disease and their relatives has been whole genome sequenced with an average 30x coverage. Participant...

Innovating for better care via a common mobile patient app platform to is one of the key strategies in the Hospital Authority (HA) in enhancing patient experience and health outcome. To empower patients in improving their own health, a common patient app platform (HA Go) is built in 2019 so that pat...

Initiated in February 2017, “Dementia Community Support Scheme” (DCSS) is a two-year pilot scheme launched by the Food and Health Bureau (FHB), in collaboration with the Hospital Authority (HA) and the Social Welfare Department (SWD). The pilot scheme was funded by the Community Care Fund and im...

The Endovascular technique was rapidly developed in last two decades with the needs in community.The endovascular procedure becamethe main trend when treating peripheral vascular diseases. The endovascular procedures were minimal invasive, patient’s length of stay was short, yet stents implanted r...

‘Disruption’ is a term that has been used in business sectors to describe a process in which an underrated product or service starts to become popular enough to replace, or displace, a conventional product or service. Disruptions in medicine often refer to events or processes that cause us to ch...

Use of dried blood spots (DBS) to screen newborns for inborn errors of metabolism (IEM) began as a pilot study in Hong Kong (HK) in 2015. Results from the pilot study showed the collective incidence of the 24 screened conditions to be 1 in 1,682. The pilot study demonstrated feasible logistics and a...

Performance Management is an important issue in organization performance. The current performance appraisal tool in Hospital Authority is Staff Development Review (SDR), which was implemented since 1994. The objectives of current SDR are focused on development based on the achieved result; strengthe...

The concept of active aging has been promulgated for promoting well-being in older people. Rehabilitation plays an important role in helping elderly patients resume daily functioning and make adjustment to the environment. Functional task training is the core Occupational Therapy (OT) intervention t...

Many factors contribute to the wellness and sustainability of our people and our environments, including culture, community, lifestyle and design. The contemporary hospital’s place in our communities reaches past the confines of single-use, isolated institutions with finite lifespans. Hospitals ar...

Timely initiation of dialysis is vital to chronic kidney disease stage 5 (CKD5) patients. Literatures reviewed that unplanned urgent initiation of dialysis was associated with poorer outcomes and early pre-dialysis education enhanced greater likelihood of elective dialysis. Pre-dialysis education is...

Genomic analysis of gastrointestinal cancers, the most common cancer types worldwide, has revealed marked histological and molecular heterogeneity linked to different pathways of cancer development with therapeutic implications. For example, colorectal cancers that progress through serrated polyps a...

Recent pedagogical focus has shifted from teacher-orientated knowledge transfer to outcome-based learning. In an undergraduate orthopaedic teaching module, Student Learning Outcomes (SLO) are explicitly specified right at the start of the module. To help students cope with the SLO through harnessing...

Despite all the great work that has taken place around the world to improve the safety of care, harm continues to happen at an alarming rate! In Canada, patient safety incidents are the third leading cause of death behind cancer and heart disease. And a recent national survey showed that very few Ca...

The steady increase in the incidence of geriatric hip fracture places an increasing burden on health care service in Hong Kong. Post fracture limitations are prominent and restrain many of the elderly from returning to community, rehabilitation is therefore important for reducing their long-term dis...

Background: Fasciotomy is essential for the prevention and management of compartment syndrome on limbs. The traditional method is to wet to dry dressing to the wide laid open wound to well prepare the wound bed for closure. Most fasciotomy wounds will require delayed primary closure and there may...

Use of dried blood spots (DBS) to screen newborns for inborn errors of metabolism (IEM) began as a pilot study in Hong Kong (HK) in 2015. Results from the pilot study showed the collective incidence of the 24 screened conditions to be 1 in 1,682. The pilot study demonstrated feasible logistics and a...

E-cigarette was created in 2003, and gained popularity over the past decade. It has been perceived to be good in term of a harm reduction product for chronic smoker, environmental friendly, or even “fashionable”. Although user of e-cigarette may expose to less known toxic substances such as nitr...

Incidence of incorrect annotation of radiological images is common in radiology  department and can lead to grave consequence of patient. At radiology department, image annotation about the laterality (e.g. Left, Right) or view position (e.g. AP, PA) is required for every image. As the annotati...

In the past decade, 3D printing technologies were widely applied to the medical services by the medical service providers. The technologies provide more details and accurate information to the surgical team in order to prepare the pre-operative planning before surgery. In addition, 3D printing techn...

Based on ancient techniques, mindfulness is a powerful psychological intervention/coping skill that has been shown to improve mood and reduce stress. Mindfulness involves bringing one’s attention into the present moment; bringing full awareness into present experiences on purpose and nonjudgmental...

Healthcare professionals abide by codes of conduct built around respect of life and human dignity, respect for autonomy of the patient, minimizing harm and doing good, justice, respect for colleagues and other professional etiquette.  Some of these elements are as ancient as Hippocrates (c. 370...

Diseases affecting the brain is the commonest reason for preventing aging in place. Commonest brain diseases associated with institutionalization are Alzheimer’s and cerebrovascular diseases (stroke, small vessel disease), degenerative (idiopathic Parkinson’s disease) and vascular (small vessel ...