每一间机构，无论是否刻意经营，假以时日都会产生其独有的文化。今年盛夏，香港儿童医院在病童纯真的歌声中正式开幕。临床服务起步之际，正是为医院建立正面文化价值的好时机。我在上几期提及了我的构思，现在想进一步阐释。
医疗科技日新月异，特别是本院专门处理严重、复杂及不常见病症，我们必须与时并进，不断学习诊治病人的最新知识，本著谦卑和虚心与世界各地的同业交流，跟国际接轨，达至卓越水平。
作为医护人员，我们不应该甘于医治病人的病，更重要是医治有病的人。即使患上相同的疾病，病人会因为其性别、年龄、家庭背景等因素产生截然不同的需要。我们要将病人当作亲人，以同理心了解他们，提供个人化服务，增进医患关系之余，亦令治疗事半功倍。
笑容是双向的，假如医护人员时刻带著发自内心的微笑照顾病童和看待家属，他们必能被感染。当病情有进展、迈向康复之际，他们也会报以感恩的微笑，从而成为我们工作的原动力，共建和谐乐融的治疗环境。
医院文化是我们的灵魂和支柱。它塑造医院的对外形象，对内则将所有人凝聚在一起，影响我们的每一步。我希望每位同事都认识、认同，并在日常工作实践中「虚心求知、同理关怀、会心微笑」的文化，惠及病童及家人，并吸引更多志同道合的同事加入我们的行列。
医院行政总监李子良医生
香港儿童医院在6 月21 日举行了开幕典礼， 三百多名来宾一同见证公营儿科服务迈向新一页。
典礼以嘉年华会为主题， 旋转木马、摩天轮、小丑、杂技人等布置为现场增添欢乐气氛。大会更安排病童担任其中一位司仪，还有一班战胜了癌症及血病的「生命小战士会」小朋友带领嘉宾上台， 和「肾儿声梦合唱团」献唱，场面温馨感人。
主礼嘉宾食物及衞生局陈肇始局长致辞时赞扬香港儿童医院处处从用家角度出发，为未来医疗设施的建造和重建工程树立楷模。她祝愿同事继续发挥专业精神， 做好临床服务、科研和培训，为香港达致卓越的儿科水平。
医管局主席梁智仁教授则表示：「香港儿童医院的成立创造了一次将儿科服务重新整合的机遇，为社会未来的主人翁提供更好的医疗服务。」
香港儿童医院能顺利开展服务，是各界齐心努力的成果。院方8 月24 日举行了「童相聚」活动，与一众伙伴聚首一堂，亲身表达谢意。当天更举行了种植仪式，令环境更为绿化，并寓意病童和小树苗一起茁壮成长。
医院行政总监李子良医生在仪式上分享：「过去十多年有很多朋友为我们出谋献策，出心出力。我看著医院从一个杳无人烟的地盘，逐渐增添色彩，到今天能够到处听到小朋友的欢笑声，沿途充满著感恩。」
医院亦开放了专科门诊、放射科、住院病房、综合复康中心、手术室及病理学化验室供来宾参观。他们都赞叹医院色彩缤纷，富有人情味，不单以小朋友为重，亦能顾及家人需要。
自三月住院服务启用以来，香港儿童医院一直马不停蹄开设新病房。病童及医护团队陆续由其他医院调迁进来，全院至今已有逾170张病床，服务更趋全面。
玛丽医院、玛嘉烈医院和伊利沙伯医院的服务于七月期间先后迁入，连同之前的威尔斯亲王医院和屯门医院，代表医管局五间儿童癌症中心顺利完成合并，值得庆祝。
小儿外科病房于7月2日以音乐、游戏和欢笑声迎接首批由基督教联合医院转院的病童。伊利沙伯医院的相关服务则于9月10日调迁。
玛嘉烈医院肾科病童于9月5日搬进新家，继续由熟悉的医护团队照顾。
6月28日投入服务，照顾需要接受外科手术，及病情复杂如唇颚裂及先天性代谢病的初生婴儿。
走进我们的专科门诊和病房，你常常会碰见来自不同非政府机构的义工团队跟病童玩耍。这些充满爱心的哥哥姐姐透过好玩的游戏和丰富节目令小朋友放松心情，重展笑面，鼓励他们勇敢面对治疗。
智乐儿童游乐协会的医院游戏师擅长利用各种模拟游戏和玩具向病童讲解和预演医疗程序，减轻紧张。他们精心设计的游戏是小朋友康复路上的神奇药方。
菲奥多拉基金会的小丑医生个个身怀绝技，变魔术和扭汽球都驾轻就熟，穿梭病床间为病童送上惊喜和安慰。
麦当劳叔叔之家慈善基金进行探访时会出动多款玩具和故事书，满足不同喜好的病童。
作为同路人，生命小战士会以游戏、音乐和艺术支持不幸患病的小朋友，同时向家长提供资讯及情绪支援。
除了日常的陪伴和游戏，儿童癌病基金儿童医疗辅导服务的人员还会教病童制作节日小手工，向家长和医护人员表达感恩。
愿望成真基金的互动工作坊结合园艺、音乐和故事，令小朋友非常投入。
香港儿童医院引进了不少新科技和系统，除提升工作效率，亦为病童提供更安全服务。今期就为大家介绍其中几项吧！
这五辆自动导航运输车犹如机械人般穿梭医院不同楼层，默默派送药物和消毒物品等，其负重量高达五百公斤，一次过可运载多件物品，减少同事筋骨劳损。
我们是首间引入此系统的公立医院。系统利用无线射频识别技术及Wi-Fi 网络，扫描盛载了物品的储物箱后便会发出讯号，召唤运输车前来接载，再按预设路线自动行驶，无需人手操控。运输车更懂得侦测沿途障碍物和呼召升降机上落，抵达目的地后就会启动讯号灯，通知职员收货。
病人床头一般会摆放一些卡纸，提醒医护人员和照顾者须注意事项，如药物敏感、禁食、卧床姿势和传染性警示等。香港儿童医院部分病房正采用电子模式显示有关资讯，好处是不会弄污破损，文字一目了然，设定灵活度亦较高，护士可随时更新讯息，包括选择不同范畴的提示，及输入其他非预设资料。这些电子床头板日后会扩展至全院住院病房。
病人做一次手术，往往涉及多个部门和繁多的纪录。香港儿童医院首次将手术室、儿童深切治疗部和新生儿深切治疗部的临床资讯系统结合互通，医护人员可即时输入病人术前评估、手术过程和术后跟进等资料（如维生指数、失血量等），全面记录病人情况，加强团队间沟通，提供更连贯治疗。另外，系统存有各类电子表格，有助加强病人安全、减少抄写错误和实践手术室无纸化。系统更与医管局的临床资讯管理系统（CMS）构成实时资讯平台，有助医护人员更有效应对病人临床需要。
住院病人获医生处方药物后，一般要等候药房配药运送。虽然病房会存放一些药物备用，但当遇上紧急情况，要立即搜寻所需药物并仔细核对却不容易。
设于个别病房的智能药柜便有助解决有关问题。目前药柜共储存约三百款药物，在药房办公时间外派上用场。护士只需扫描病人条码，相关储存格便会亮灯，提示拿取正确药物，登出前要再扫描药物标签核实。系统更有药物敏感警示功能，多重保障病人安全。
行政长官林郑月娥与食物及衞生局局长陈肇始教授于5月27日到访，慰问住院病童并与医护人员会面，了解服务提供的情况。
一班参与政制及内地事务局儿童权利论坛的年青人于8月28日到访，他们对医院各项儿童为本、家庭友善的设施深感兴趣，并积极提问。
香港儿科基金、香港儿科医学会及美国儿科学会于6 月22 日合办预防医学高峰会，李子良医生获邀分享香港儿童医院最新发展，并接待美国及新加坡等地的儿科专家参观医院。
香港儿童医院行政总监李子良医生
香港儿童医院麻醉科部门主管袁文英医生
香港儿童医院儿科副顾问医生陈宇轩医生
香港儿童医院护理总经理温月媚女士
香港儿童医院药剂部部门经理潘文康先生
医管局总办事处机构传讯经理舒瑞珍女士
香港儿童医院行政事务总经理郭慧敏女士
香港儿童医院高级行政主任（对外关系及筹募）杜蕴慧女士
香港儿童医院一级行政主任（对外关系及筹募）董洁欣女士
香港儿童医院二级行政主任（对外关系及筹募）林瑞敏女士
香港儿童医院二级行政主任（对外关系及筹募）吴文诺女士
香港儿童医院二级行政主任（对外关系及筹募）邱雅锜女士
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Culture plays an important role in an organization. In a previous issue, I raised the idea of building our hospital culture. As HKCH officially opened this summer, there is no better time to walk the talk.
We live in a time when medical breakthroughs emerge at an unprecedented pace. With humility, we should never stop acquiring new knowledge and must grab every opportunity to learn the best clinical practices from international counterparts in order to provide excellent service.
As healthcare workers, we should not settle for treating a patient’s illnesses. To achieve the best therapeutic outcome and a harmonious relationship, it is more important to cure the whole person. Patients suffering from the same disease may have very different needs as their gender, age and family background vary. So be empathetic and offer holistic, personalized care to patients as you would to your own family.
Smiles are reciprocal and contagious. If we always wear a genuine smile at work, we could comfort patients and their families. As they gradually recover, their grateful smiles would in turn motivate us and create a pleasant atmosphere.
Our culture is our soul and backbone. It pulls us all together, and affects how others see us as a hospital. I do wish that every colleague would recognize, agree with and practise this “learning, caring, smiling” culture to benefit our service users and attract more like-minded people to join us.
Dr Lee Tsz-leung, Hospital Chief Executive
The HKCH celebrated its official opening on 21 June where over 300 guests from different sectors witnessed the important milestone in public paediatric service.
The ceremony was adorned with carnival-themed decorations like carousel, Ferris wheel, clowns and jugglers. Guests were delighted to see child patients serving as emcee, escorting guests onto the stage and performing cheerful songs.
In her address, Secretary for Food and Health Prof. Sophia Chan complimented HKCH’s user-oriented features which set the standard for future new hospitals and redevelopment projects. She aspired colleagues to continue to bring professionalism into play to enhance clinical service, research and training in achieving an excellent paediatric service for Hong Kong.
HA Chairman Prof. John Leong said, “The establishment of the HKCH has provided an opportunity to re-organise our paediatric services and bring about better healthcare for our next generation.”
The smooth opening of the HKCH is the result of everyone’s great efforts. The hospital held the Partner Appreciation and Planting Day on 24 August to express gratitude to friends from different sectors. There was also a planting ceremony to create a greener hospital and wish child patients would thrive like the little bushes.
Said HCE Dr Lee Tsz-leung, “So many partners have rendered support to us in the past ten years. I have thankfully witnessed the hospital turning from a deserted construction site to the colourful place today where children’s laughters can be heard everywhere.”
After the ceremony, guests toured around various facilities including the specialist outpatient clinic, radiology, inpatient ward, Integrated Rehabilitation Centre, operating theatres and clinical laboratories to see the kid and family friendly environment they have helped build.
HKCH continues to expand its inpatient service since the first wards opened in March. As more and more patients and healthcare teams move in from various hospitals, HKCH has now opened over 170 beds.
Following the practice of the Prince of Wales Hospital and Tuen Mun Hospital, services from the Queen Mary Hospital, Princess Margaret Hospital and Queen Elizabeth Hospital moved into HKCH one by one in July. The completion of merging the five children’s cancer centres in HA calls for a celebration.
On 2 July, the surgical ward welcomed the first batch of children transferred from the United Christian Hospital with songs, games and laughter. Relevant services from the Queen Elizabeth Hospital were translocated on 10 September.
Renal patients from the Princess Margaret Hospital arriving at their new home on 5 September are happy to see familiar doctors and nurses.
Opened on 28 June to take care of newborn babies with surgical care needs and complex conditions such as cleft lip or palate, and inborn errors of metabolism.
At HKCH, child patients have a “busy schedule” joining games and activities organized by different NGOs and volunteers. These do not only put a smile on their faces, but also give them courage to face the daunting medical treatment.
Hospital play specialists of the Playright Children’s Play Association are experts in using various play intervention to demonstrate the medical procedures for child patients to reduce their stress and anxiety. Their fun games work as magical prescriptions to help child patients get better.
Talented “Giggle Doctors” from the Foundation Theodora often surprise children with magic tricks and entertainment at their bedside, bringing them joy and comfort.
When coming to visit, the Ronald McDonald House Charities would bring along a variety of educational toys and storybooks so all kids can find something they like.
With games, music and arts, the Little Life Warrior Society walks along the treatment journey with sick children and offers information and emotional support to parents.
Apart from hosting regular ward activities, representatives from the Child Life Service of Children’s Cancer Foundation make festive crafts with children to give thanks to their parents and hospital staff.
Children utterly enjoy Make-A-Wish Hong Kong’s interactive workshops which integrate horticulture, music and storytelling.
The HKCH has introduced many new technologies and systems to improve operational efficiency and patient safety. Let’s take a look!
These five robot-like automated guided vehicles (AGV) roam across different floors in the hospital to deliver drugs and sterile supplies. With a load capacity of 500 kg, they help reduce occupational hazards for porters.
Making use of RFID technology and Wi-Fi network, the system scans a loaded storage cabinet and summons an AGV to come pick it up. The AGV will then navigate along the pre-set route on its own. It can even detect obstacles and travel in elevators. Once it arrives at the destination, staff will be notified by the signal light.
Some wards in HKCH are now using electronic panels to display patient care reminders such as drug allergy, dietary restrictions, postures and infection control alerts. Compared with traditional paper cards inserted along the headboard which require regular replacement due to damage and contamination, these panels display information more clearly at a glance. The system allows nurses to update the information anytime by selecting a range of default reminders and inputting additional information not on the list. The panels will be rolled out in all inpatient wards in due course.
HKCH has made the first attempt to integrate the clinical information systems used by the Operating Theatres, Paediatric Intensive Care Unit and Neonatal Intensive Care Unit. The new system allows instant documentation of patient condition and information during pre-operative assessment, surgery and post-operative care, such as vital signs and blood loss volume, which facilitates inter-departmental communication and continuity of care. Customized electronic forms are developed in the system to enhance patient safety, avoid transcription errors and reduce paper printing. The integration with HA’s clinical management system (CMS) also facilitates seamless transfer of patient information for more effective management.
When medications are prescribed to inpatients, it will take some time for the pharmacy to dispense. Although wards may keep some drug stock, it is not always easy to look for the right ones and verify immediately during emergencies.
When medications are prescribed to inpatients, it will take some time for pharmacy to dispense. Although wards may keep some drug stock, it is not always easy to look for the right ones and verify immediately during emergencies.
The smart drug cabinets installed in selected wards now provide a solution when the pharmacy is closed. The cabinets stock about 300 drug items. After scanning the patient’s barcode, a guiding light will remind the nurse to collect the right item from the respective compartment. To further ensure safety, the system requires the nurse to scan the drug label before logging out, and will show any drug allergy alert.
Chief Executive Mrs Carrie Lam and Secretary for Food and Health Professor Sophia Chan paid a visit on 27 May to meet with patients and staff.
A group of teenagers participating in the Children’s Rights Forum organised by the Constitutional and Mainland Affairs Bureau showed great interests in various hospital facilities during their visit on 28 August.
Dr Lee Tsz-leung was invited to share the latest developments of HKCH at the Summit on Preventive Health Care co-organised by the Hong Kong Paediatric Foundation, Hong Kong Paediatric Society and American Academy of Pediatrics on 22 June. Paediatric experts from the US and Singapore were also given a tour of the hospital.
Dr Lee Tsz-leung, Hospital Chief Executive, HKCH
Dr Vivian Yuen, Chief of Service (Anaesthesia), HKCH
Dr Eugene Chan, Associate Consultant (Paediatrics), HKCH
Ms Connie Wan, General Manager (Nursing), HKCH
Mr Freddie Poon, Department Manager (Pharmacy), HKCH
Ms Linda Shu, Manager (Corp Comm), HAHO
Ms Miscelle Kwok, General Manager (Administrative Services), HKCH
Ms Vivian To, SEO (External Relations & Donation Management), HKCH
Ms Haze Tung, EOI (External Relations & Donation Management), HKCH
Ms Sarah Lam, EOII (External Relations & Donation Management), HKCH
Ms Mandy Ng, EOII (External Relations & Donation Management), HKCH
Ms Karis Yau, EOII (External Relations & Donation Management), HKCH
Copyright © 2019 Hospital Authority
Please send comments and suggestions to enquiry_hkch@ha.org.hk
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