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Topic: Pacemakers

A pacemaker device: Battery +Computer +Clock. Lead. Conduction system. Topic: Pacemakers. A device stimulating the heart to beat at the rate which is preset at the most effective for the patient who experienced bradycardia or cardiac arrest.

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Topic: Pacemakers

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  1. A pacemaker device: Battery +Computer +Clock Lead Conduction system Topic: Pacemakers A device stimulating the heart to beat at the rate which is preset at the most effective for the patient who experienced bradycardia or cardiac arrest.

  2. Problem identification at the Cardiology Dept. Too many emergency replacement of pacemakers in 2002-03 Cardio-vascular Surgery team (Ns., Clin. Tech., MD, )

  3. Result of cause analysis of emergency replacement of PM Technical failure in predicting life of PM battery Pt. drop out from the follow-up Lead fracture Pareto chart

  4. Pacemaker Patients New PG unable to checked by Mini-clinic Dropout Emergency operation Lead fracture Functional modification Shorter battery life Few information to Doctors Poor KM: Mini-clinic/Programmer Poor communication Poor follow-up for the Patients Poor follow-up for the Patients Dealers Medical Staff Fishbone diagram Root Cause Analysis

  5. Seven countermeasures were implemented. 1..Conducting Pt surveillance 2..Improvement of Pt database 3..Opening PM clinic at OPD 4..Improveent in INFO share on Pts share among the staff 5...Promoting attendance of PTs to the follow-up sessions 6..Home visit for monitoring PM 7..Improvement of health message on PM

  6. Activity 1 Surveillance on PM patients registered at the Dept. using questionnaire to the patients and the family members to know the present situation

  7. Activity 2 Improvement of the database and its utilization

  8. Activity 3 Opening PM clinic in OPD One afternoon session for PM patients in a week Using full-function programmer

  9. Activity 4 Sharing INFO among staff on PM pts visiting the next PM clinic

  10. Activity 5 Promoting better compliance to the recall / follow-up of the PM users by advance contact to the Pts by the staff

  11. Activity 6 Conducting follow-up by house to house visit for the pts with restricted mobility With Programmer

  12. Activity 7 Improvement of messages in the leaflet for PM users

  13. Before TQM After TQM Before TQM After TQM Outcomes of the activities Increased Attendance rate in follow-up session Increase in frequency of full-functioned program- mer for monitoring PM

  14. Courtesy to Iizuka Hospital Before TQM After TQM Target was achieved Rate of Emergency in PM replacement fell to be NIL (0) in 2003-04

  15. For Standardization and sustainability 5W1H　： Why, Who, When, Where, What,How

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