Seeing before Doing, and Achieving an Operation with Better Quality and Patient Safety –

Filmless Operating Theatres Project

Angela LAU Clinical Effectiveness & Technology Management

Quality & Safety Division, HAHO

Aim & Timeframe of Filmless OT Project

• Aim: Modernize Hospital Authority through implementation of filmless technology to facilitate surgical services: 1. Viewing radiology images 2. Pre-operative planning make use of radiology images

• Project span: 3 years (2015/16 – 2017/18)

2013/14 2014/15 2015/16 - 2017/18

2018/19 onwards

Feasibility Study

Preparatory Phase

Project Implementation

Maintenance Phase

2-Tier Oversight Structure Head Office Level

Cluster Level

Cluster Project Team

Cluster Management

Pre-operative Simulation Training

Working Group

HO Filmless OT Project

Management Team

Filmless OT Project Steering Committee

Filmless OT Advisory Group

Advisory Supportive Reporting

Filmless OT Technical Group

Project Scope & Implementation

*HA hospitals with OT listed in Executive Information System (EIS) on 28 Oct 2014 (Implementation progress as at May 2017)

• 7 Clusters • 23 Hospitals* • ~230 OT rooms

Project Scope & Implementation

*HA hospitals with OT listed in Executive Information System (EIS) on 28 Oct 2014 (Implementation progress as at May 2017)

• 7 Clusters • 23 Hospitals* • ~230 OT rooms

Workflow AFTER Filmless OT Project Implementation

Planning Room

Image processing - pre-operative planning

Operating Theatre

Viewing processed images

Radiology Department

Radiology exam (CT, X-ray, MRI, PET & Angiogram)

Filmless OT Central Radiology Storage

Filmless OT Processed Image Storage

Outside OT

Inside OT

Training • Specialty-based training • Coordinating Committees (COCs):

Nomination of specialty experts Identification of training need and approach

• Collaboration with KCC Multidisciplinary Simulation and Skills Centre (MDSSC): Filming of eLearning videos Workshop

• Orthopaedic templating system Supported by vendor

e-Learning Video (Neurosurgery)

e-Learning Video (Hepatobiliary Surgery)

Benefits

1. Develop workflow model to support pre-operative planning for complicated surgeries with adoption of radiology images Better quality and improved patient safety

2. Corporate access of radiology images (including Public Private Interface referrals) with improved security control Automated, easy and secured

Alex LEE

Bill KWAN

C K LAU Crystal LI

David NGAI

Doris CHOI

Dr Jennifer KHOO

Dr Rebecca YEUNG

Dr S H TO

Dr W Y MOK

George HUI

Grace CHAN Joseph LAU

Karina LUI

L T LEE

Nasa WONG

Peter LIM

Terence KWAN

Dr Birgitta WONG

Dr Daniel CHAN Dr Mandy CHU Dr S Y WONG

Dr T W LAU

Dr K N HUNG

Dr W M LUI

Estella LO

Kelvin LAW

L H CHU

Lawrance YIP Melody WONG

Sherla YU

Simon NG

Sylvia WONG

Walter K H SUM Wilson POON

Dr John WONG

Dr K C LAI

Dr W Y SHEN

Dr Y C CHENG

Ivan LAM Jo LO

K K CHAN

Mandy HUI

Raymond AU

Stanley CHAU

Wallace CHENG

Y L CHIM

Avis LEUNG Dr Eric SO

Dr George NG

Dr L Y HO

Dr N H CHIA

Eddy SIN H I WONG

Jimi LAU

Kenny YUM

Kylie NG

Wendy CHIU

Y H STONE

Boris YIP

C F LO

Dr Ian WONG

Dr L C CHONG

Gordon CHAN

Hin Cheong CHAN

Jacky CHAN

S C CHAN Stella CHING

Tak Fai LEUNG

Tebby LEE

William WONG

Y C LEUNG

Y Y NGAI

Ying Tat CHAN

Alex CHAN

Billy LAU Carmen HO

Cora NG

Daisy SIU Daniel MA

Dr Alain WONG

Dr Ashley CHENG Dr Ben WONG

Dr C C YAU

Dr C H KWONG

Dr C K KONG

Dr C K KWOK

Dr C P YUEN

Dr H B CHOY

Dr K F LEUNG

Dr K W LEE

Dr Kevin LAU

Dr L Y CHO

Dr M C LAW

Dr Maket WONG

Dr Marcus YING

Dr O M CHUNG

Dr S K LUI Dr S K YAU

Dr S M HUI Dr Y L WAI

Flora PUN

George LI

Herman LEE Janet FUNG

K M TONG

K Y HO

M C WONG

M Y FUNG

Maria LOR

P K POON

Raymond KWOK

San FUNG

Sara YUK

Shirley YEUNG

Tobby KU

W H LEUNG

Anita LOUIE Anna LI

Christine CHOI Dr David SUN

Dr Joyce SUEN

Dr Ning TANG

Dr Wai Kei LAM

Frankie NG

Henry CHAN Jessica LAM

Jonathan TSE

Karen CHENG

Lawrence CHOW

Nelson Kin Fai LI

Sam WONG

Shirley CHANG

Siu Kit HUI

Alex LAU

Bass YUEN

C K CHEUNG

C Y IP

Carol CHEUNG Clara WONG

Dr C F MAK

Dr C S WONG

Dr H L WONG Dr K K LAM

Dr K Y YAM

Dr Samuel LAM

Dr Simon TANG

Dr Y TUNG

Edmund CHEUNG Edwin LO Gigi CHAN

Helen LEUNG

Joyce LEUNG K L LEUNG

Nel LEUNG

Peter CHAN

Raphael LEE

Shirley MA

Thomas WONG

Tony LEUNG

W K NGAN

W Y LIU

Yvonne YUNG

Kimmy KEE

Dr John LIU

Dr Sara HO Dr T L LEE

Alex LAI

Catherine KONG

Dr C C CHENG

Dr K W YEUNG Dr Vincent LEUNG

Amber LAM

Anthony CHEUNG

H L HUI

Denis WONG

Alice LING

Cathy LAI

Eric YEUNG

Janice LO

John POON

Josephine LAM

Wing Sze YEUNG

Tony SHEK

Raymond CHEUNG

Brenda WONG

Derek CHOW

Francis CHOY

Jo CHOW

John PUN

Bernard CHAN

Eddie WONG

Kin Ho LAU

Magic WONG Desmond NG

John TSE

Kat LAU

Thomas TSUE

Edmond LAM

Davis LAU

Dickson WONG

Eric LING June NG

Karen LING

Dale JOHNSTONE

Tony FUNG

William CHAN

Freda CHAN

Fleming CHAN

Howard LAI

Vivian LAW

May YIP

Freddie WONG

Doris WONG Jezreel YAU

Jessie CHENG

Candy LUI Dr Summer CHAN

Katie WONG May LAM Sau Ying WU Angela Lau

Brittney CHU

Christopher CHUNG

Dr Derrick AU

Dr Ian CHEUNG

Dr Rebecca Kit Yi LAM Eric LAU

Gian MAN

May WONG

Ricky YOUNG Rita HO

Snowdy LEE May CHAN

Daniel TONG

Daniel AU Stephen LAM Lina YUNG Danny KWOK

Jolie CHEUNG Sophia SZE

Cathy CHAN

Cherie AU YEUNG

Ellis HO

Yvonne CHAN

Tracy SIU Betty NG

Charlene KONG

Freda LO

Stanley YU Iky CHIN

Clara CHIN Charmaine CHIU

Christy CHIU

Dr H W LIU

Fion KO Karen CHEUNG

Lora YAU

Sharon CHEUNG Dr C C LAU

Fiona WONG

Dr C C LUK

Louisa SUEN

Dr Tak Yi CHUI Connie LEUNG

Dr Albert C Y LO

Ada CHAU

Dr Nancy TUNG Jessica CHOW

Cochinna YOUNG

Dr Chi Tim HUNG Dr Su Vui LO

Linda LAW

Dr Tony KO

Grand YIP

Edmond DING

Dr Leo WAT

Ellen WU

Dr W K WONG

Edmond Fan

Jaclyn WU

Dr W Y SO Dr K H LAU Dr W H LI Dr W Y SHEN

Dr H L WONG Brünnhilde KWAN Ceci FUNG

Anita CHEUNG

Anna LEUNG

Dr Edwin CHAN

Dr Steven SIU

Anita LEUNG

Winnie HO

Gary CHING

Dr Linda YU Maggie LEE

Ivan CHAN

John LEE

Eric ZIEA

Dr Alfred WONG

Dr Innes WAN

Dr John WONG

Stella TAM

Dr Y C WONG Dr Jessica TANG

Dr Kenneth TSANG

Kama CHO Karina HO

Ada YEUNG

Dr Leo CHAN

Fiona CHAN May CHAU

Brian CHOW

Joshua CHOW

Kevin CAI Dr N T CHEUNG

Elisa YUEN Amber LAM