Improvement in patient and physician notification of cardiac rhythm device report transmissions
نویسندگان
چکیده
Background Cardiac rhythm devices (CRD) require complex management to identify potential device or patient issues. While easy to obtain, report processing is complex and time consuming. In our population, a majority of reports were performed outside of institutional protocols and no method for electrophysiology (EP) notification for unscheduled reports existed. These process breakdowns led to potential issues with safety and associated loss of work efficiency. Objective Our aim was to decrease the percentage of reports without EP notification from 30% to 10% over a 9-month time period. Methods We created a detailed process map of in-office and home device reporting. Failure mode and effects analysis (FMEA)/Pareto charts were used to determine the mechanistic underpinnings of notification failures and identify areas for process improvement. Multiple interventions were implemented using the Plan-Do-Study-Act (PDSA) technique. Process run charts and control charts were used to evaluate ongoing changes. Results Our FMEA identified failures related to (1) lack of physician understanding of the device reporting system, (2) lack of an easy to use method of EP notification and (3) lack of patient understanding of report notification. Pareto charts identified the most frequent failures to be associated with specific cardiology subspecialties as well as reports sent from home. We performed multiple interventions including(1) creation of an easy to use method of EP notification used by patients and medical staff, (2) physician education and (3) patient education. Compared with baseline reporting, there was a decrease from 30% to <10% of device reports obtained without EP notification. This process improvement additionally resulted in a 34% reduction in time required for device processing. Conclusions Development of a unified EP reporting system and quality improvement methodology resulted in improved CRD report notification and improved efficiency for staff. These process changes resulted in improvement across differing cardiac subspecialty providers and patients.
منابع مشابه
Malignant hyperthermia following rhinoplasty: a case report
Malignant hyperthermia is a rare and fatal disorder. A 16-year-old male patient was a candidate for rhinoplasty surgery with no history of disease and previous surgery, negative family history and no history of medication use in the operating room. Maintenance of anesthesia was performed with O2, NO2 (50% -50%) and MAC isoflurane 1. Gradually, from the 80th minute after the start of the operati...
متن کاملDesigning and Evaluating an Education-based Follow-up System for Cardiac Patients
Introduction: Chronic diseases are among the most challenging health issues in the world. Although no definitive treatment has been found for such diseases, electronic health strategies can dramatically reduce their complications by enhancing patientschr('39') awareness and monitoring their treatment. The main objective of this study was to design an education-based follow-up system for cardiac...
متن کاملDesigning and Evaluating an Education-based Follow-up System for Cardiac Patients
Introduction: Chronic diseases are among the most challenging health issues in the world. Although no definitive treatment has been found for such diseases, electronic health strategies can dramatically reduce their complications by enhancing patientschr('39') awareness and monitoring their treatment. The main objective of this study was to design an education-based follow-up system for cardiac...
متن کاملA case Report of Cardiac Hydatid Cyst found during an Emergent Tamponade Surgery in an Unstable Patient
Cardiac hydatid cysts are uncommon and pericardial involvement is extremely uncommon. We report a rare case of a cardiac hydatid cyst that was surprisingly found during an emergent tamponade surgery in a woman. She was pale, febrile, ill and toxic and 300cc turbid and purulent fluid was drained. In taking history, it was found that the patient had six sheep dogs in her house. Laboratory analys...
متن کاملA Case report of hemodynamic instability, cardiac arrest, and acute severe dyspnea subsequent to inhalation of crystal methamphetamine
Misuse of stimulants similar to amphetamine is a universal problem. These stimulants cause many complications in their abusers. However, myocardial infarction is rarely reported as a complication of amphetamine abuse. Herein, we report a man aged 42 years presented at the Emergency Department with the chief complaint of acute dyspnea following ice inhalation without history of dyspnea. Within t...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 6 شماره
صفحات -
تاریخ انتشار 2017