Authors (including presenting author) :
Chong SH(1)(3), Yeung YF(1), Kwok S(1), Lam LY(1), Ng CY(1), YIP KCJ(1)(3), CHAN Y(1)(3), CHIU WY(1), Wong OM(2), Shaheeda M(2)(3), CHAN KMC(2), YUEN KLH(2)
Affiliation :
(1)Nursing Department, Hong Kong Eye Hospital, (2)Clinical Department, Hong Kong Eye Hospital, (3) Quality and Safety Team, Hong Kong Eye Hospital
Keyword 2: :
Ophthalmology
Keyword 3: :
Micro-eLearning
Introduction :
Approximately 6,000 ophthalmic laser procedures are performed annually at Hong Kong Eye Hospital (HKEH). Laser-related incidents are potentially serious and can result in irreversible patient harm. During the period of 2009 to 2025, six ophthalmic laser Sentinel Events were reported within Hospital Authority (HA). Notably, nearly 70% of these incidents occurred within the past five years, prompting measures to mitigate the imminent risk and reinforce adherence to laser time-out protocol. A targeted micro e-learning module was developed from real incidents to strengthen staff competency and safety culture. Both existing and new staff can access the e-learning anytime and anywhere through HA’s corporate platform, complete with attendance tracking.
Objectives :
To enhance safety awareness of ophthalmic laser-related risks, reinforce standardized time-out procedures, and promote reflective learning through real incident analysis to staff.
Methodology :
A multidisciplinary taskforce of doctors, nurses and Quality & Safety Office was established in June 2025 to develop a customized e-learning intervention, comprising of collaborative scriptwriting, instructional design and video development. The content was grounded from real-life ophthalmic laser incidents recorded in HA Risk Alert, transforming into reflective learning scenarios to enhance safety awareness and heighten standardized practices. Between 2nd December 2025 and 5th January 2026, all clinical staff involving in ophthalmic laser services—including doctors, nurses, and eye care assistants—were invited to participate in the module. Learning outcomes and impact were evaluated through a tripartite approach: e-learning completion records, a post-training knowledge assessment quiz and an anonymous feedback survey.
Result & Outcome :
A total of 172 out of 197 staff completed the module, giving an overall completion rate of 87.3% as of 5th January 2026. Post-training evaluations demonstrated that 94.2% of participants reported improved understanding of safety protocols, while 93.6% affirmed the training's clinical applicability. Over 93% of respondents rated the module’s organization and duration appropriate for busy clinical workflows. Distinguishing itself from traditional generalized medical laser programs, this initiative tailored to strengthen ophthalmic laser safety awareness and reinforce time-out safety check. Given its success, the program has since been shared with six other clusters for local adaptation.
