earlier in June. The hospital was criticised for the decision. Queen Mary Hospital, the other liver transplant centre, was also unable to use the liver because it was engaged in another liver transplant. The incident led to a review of the liver transplant services provided by the Hospital Authority. The result was to centralise liver transplants at Queen Mary Hospital for better allocation of resources and manpower. The liver transplant centre at the Prince of Wales Hospital was officially closed on 5 July 2004. Intrathecal administration of vincristine An oncology trainee erroneously injected a leukaemia patient with the chemotherapy drug, vincristine, via the intrathecal route instead of intravenous on 15 June 2007. The 21-year-old patient died 22 days later. The patient was prescribed six oral drugs, intrathecal cytarabine and intravenous vincristine by another doctor, and was injected by the trainee later the day. The patient, feeling pain after the erroneous treatment, attended the Department of Accident and Emergency of the hospital on the next day and was admitted to the Department of Clinical Oncology. The error was not confirmed until 20 June 2007. A special investigation panel, commissioned after the incident, made recommendations to prevent a recurrence of the incident, including establishing procedures on the transportation, storage, packaging and administration of intrathecal drugs. Mis-prescribed medication A 73-year-old woman died on 11 July 2011 after an intern mistakenly gave her five medicines intended for another patient on 9 July 2011. The woman attended the Accident and Emergency Department of the Prince of Wales Hospital on 8 July due to shortness of breath and was admitted to the medical ward. The admission resident doctor prescribed the patient with her usual medications (including aspirin, calcium carbonate, Lasix and Pantoloc). He wrote this on the patient's medical notes, transcribed her usual medications onto the patient's medication administration record, and then asked the intern to follow up on the management. An investigation found that the intern perceived that the instruction was to resume the patient's usual medication in addition to those already prescribed on the record. She mistakenly transcribed five medications (including Candesartan, Gliclazide, Metformin, Betaloc and Isordil) intended for another patient onto the record. Gauze retained in women’s bodies Gauze was left in the vaginas of four women who had given birth at the Prince of Wales Hospital in June and July 2012. Three of the women had their episiotomy repair done by an