Patient in critical condition after misplaced nasogastric tube at Pamela Youde Nethersole Eastern Hospital.

Pamela Youde Nethersole Eastern Hospital announces event involving insertion of nasogastric tube

The following is issued on behalf of the Hospital Authority:

The spokesperson for Pamela Youde Nethersole Eastern Hospital (PYNEH) made the following announcement today (October 10) regarding an event involving insertion of nasogastric tube:

A 76-year-old male patient was clinically admitted to PYNEH yesterday (October 9) for a scheduled colonoscopy. Owing to his clinical needs, a nasogastric tube was inserted on the day of admission for drug administration. The nasogastric tube was subsequently found to have been misplaced in the bronchus and the medication has entered the patient's lungs.In view of the episode of transient deterioration of the condition, the patient was subsequently transferred to Intensive Care Unit for further support.The patient is in critical condition but had gradually improved after treatment.

After initial investigation, it was found that the procedure for verifying nasogastric tube position was in compliance with the prevailing guideline. A chest X-ray was arranged to confirm the tube position. It was suspected that an intern doctor had misinterpreted the chest X-ray findings, and could not identify that the nasogastric tube was misplaced in the bronchus. Following drug administration, the patient developed abdominal pain and shortness of breath. Immediate assessment and treatment were provided to the patient. The nasogastric tube was found to be misplaced in the bronchus upon re-examination of the chest X-ray.

PYNEH is very concerned about the incident and has contacted the patient's family to provide explanation and extend sincere apologies. PYNEH will continue to closely communicate with the patient's family and provide necessary assistance to them. Meanwhile, the hospital has reported the case to the Hospital Authority Head Office (HAHO) through the Advance Incident Reporting System, and will continue to enhance training and supervision for interns. A Root Cause Analysis Panel will be set up for investigation. The report will be submitted to HAHO in eight weeks. The Panel members are as follows:

Chairperson:

Dr Michael Wong

Director (Quality and Safety), Hospital Authority

Members:

DrNg Man-fai

Consultant, Department of Medicine and Geriatrics, Tuen Mun Hospital

Ms Louisa Leung

Senior Manager (Nursing), Hospital Authority

Dr Nicole Chau

Senior Manager (Patient Safety and Risk Management), Hospital Authority

Dr Sara Ho

Service Director (Quality and Safety), Hong Kong East Cluster

Mr Mok Long-chau

Cluster General Manager (Nursing), Hong Kong East Cluster

TD urges public and motorists returning to Hong Kong to travel outside peak periods as far as possible

The Transport Department (TD) today (October 12) urged members of the public who drive their private cars to and from the Mainland/Macao to note that it is anticipated more inbound cross boundary vehicles will travel via the Hong Kong-Zhuhai-Macao Bridge (HZMB) tomorrow (October 13). Members of the public are advised to plan their journeys ahead and travel outside peak periods as far as possible in response to the inbound travel peak after Chung Yeung Festival.

The public can make use of the TD's HKeMobility mobile application to access the snapshots of traffic conditions at the inbound and outbound vehicle plaza of HZMB Hong Kong Port. They can also check the real time situations of the vehicle clearance plaza of HZMB Zhuhai Port through the WeChat official accounts (or visit traffic-info.gzazhka.com:5015/#/).

The TD has worked with relevant Mainland authorities and operators to formulate plans to strengthen services at various ports, including increasing the frequency of the HZMB shuttle bus (Gold Bus) and the Lok Ma Chau-Huanggang cross-boundary shuttle bus (Yellow Bus), as well as arranging dedicated public transport lanes at the HZMB Port, Lok Ma Chau/Huanggang Port and Shenzhen Bay Port as necessary, with a view to ensuring smooth public transport operations. Subject to actual traffic conditions, special traffic arrangements may be implemented at Lok Ma Chau Control Point and Shenzhen Bay Port to facilitate public transport vehicles to enter the above control points smoothly. Motorists are advised to pay special attention to variable message signs and traffic signs along the road.

In addition, the TD has approached various public transport operators proactively to enhance the capacity, and reserve vehicles and manpower to meet the travel needs of visitors. Among them, the MTR will enhance train service of railway lines (including East Rail Line) until October 13, with a total of about 950 extra trips, so as to facilitate the travelling of local residents and visitors.

The TD's Emergency Transport Co-ordination Centre operates 24 hours to closely monitor the traffic and transport situation of various districts, boundary control points and major stations, and implement response measures where appropriate. Members of the public are advised to keep in view the latest traffic news through radio, television broadcasts and the TD's HKeMobility mobile application.