
Audit is now widely recognized as a fundamental and compulsory part of surgical practice for quality
assurance to assure an outcome which aligns to internationally accepted norms.
For this to be achieved there must be a robust framework in place providing on-going assessment,
multidisciplinary input and monitoring of outcome for all variables which affect the patient
journey. Important areas of assessment within this framework also include patient outcomes
(surgical results), appropriateness of care, institutional performance, resource management
and patient/health care provider satisfaction. The Department of Surgery is committed to lead
and facilitate the implementation of surgical audit with the following objectives:


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To serve
as a basis for continuous and sustainable improvement in patient outcomes. A systematic
review of untoward results will allow cardiac surgeons to monitor the clinical outcomes
and to bring about improvement in service.

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To support
research and development of clinical policies.

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To facilitate
implementation of effective & efficient clinical governance.

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To provide
insight and feedback to surgeons’ performance.

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To serve
as a tool of accountability on clinical outcomes and use of resources.

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With the support from the Professional Services Development Scheme (PSDAS), the Dendrite Surgical
Audit was established in Mar 2007 for Cardiac Surgery. Dendrite Clinical System is a specialist
supplier of clinical database and analysis software and consultancy service for healthcare sector.
It provides point of care data capture and in particular, analysis and reporting, outcome tracking
and both logistic regression and Bayes Risk modeling. The Dendrite System was subsequently rolled
out to general surgery in PWH. Based on the data generated from the Dendrite system, the  1st
Cardiac Surgical Report (2005-06) was published in Aug 2007. This is the 1st annual report of the
Division of Cardiac Surgery, CUHK and it aims to provide insight into the clinical activity in cardiac
surgery especially risk-adjusted outcomes for our patient population.
 1st
Cardiac Surgical Report (2005-06) [2.63MB]
 2nd
Cardiac Surgical Report (2006-07) [14.4MB]
 3rd
Cardiac Surgical Report (2009) [2MB]
 4th
Cardiac Surgical Report (2010) [6MB]
 5th
Cardiac Surgical Report (2012) [2MB]
 2016 Cumulative and Current Outcomes [1.2MB]
 2018
Cardiac Surgical Report [9.4MB]
 HK First Integrated report on cardiac surgical outcome 2015-2016 [4.0MB]
Also funded by the PSDAS scheme, a one-day international conference "Establishing a National Surgical
Database-Technological and Clinical Aspects" was held on 18 Mar 2008 to promote the concept of Surgical
Audit and how the audit system can be incorporated into routine clinical practice and performance.

 Download
Programme book (7.2MB)
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Clinic Data Collection and Outcome Monitoring: the European Experience
Professor Sir Bruce E. Keogh
President of the Society of Cardiothoracic Surgeons of Great Britain and Ireland
 Download PowerPoint file (2.53MB)
Establishing a national CABG Registration in Mainland China: Questions and thoughts
Professor Sheng-shou Hu (
胡盛寿 )
President of Chinese Society for Thoracic and Cardiovascular Surgery
 Download PowerPoint file (0.97MB)
Technical Advances in Data Collection and Analysis
Dr. Peter K.H. Walton
President and Director of Dendrite Clinical Systems Ltd, UK
 Download PowerPoint file (3.55MB)
Prospective Analysis of Clinical Outcome: Influence on Surgical Professional Development
Professor Malcolm J. Underwood
Chief, Division of Cardiothoracic Surgery, CUHK
 Download PowerPoint file
(1.78MB)
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A Surgical Audit Coordinator was appointed in Mar 2007. The appointment was made to help, facilitate and
coordinate audit within the Surgical Department. Departmental Audit Meetings are held quarterly to serve
as a platform for sharing and discussion.

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香港特別行政區政府工商及科技局
Commerce, Industry and Technology Bureau
The Government of The Hong Kong Special Administrative Region
Disclaimer :
「在此刊物上
/
任何的項目活動內表達的任何意見、研究成果、結論或建議,並不代表香港特別行政區政府及
專業服務發展資助計畫評審委員會的觀點。」
"Any opinions, findings, conclusions or recommendations expressed in this material / any event
organized under this Project do not reflect the views of the Government of the Hong Kong Special
Administrative Region or the Vetting Committee for the Professional Services Development Assistance
Scheme."
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