Background: Remote monitoring of Cardiac implantable electronic devices (CIEDs) improves patient safety. However, operating such remote monitoring systems (RMS) has increased workload of medical staffs. Biotronik EHR DataSync^® software supports medical staffs by integrating CIEDs information and data using international standards. The software has a potential to enhance clinical usefulness, reduce errors and lighten the workload. The aim of this study was to develop the automatic electronic medical record (EMR) system for CIEDs and to assess its effectiveness.

Methods: We self-built the EMR system that automatically stores varied numericals and data from the RMS and its programmer. We examined accuracy of the automatic EMR system and reduction of the workload.

Results: A total of 3,011 data was successfully collected and integrated, and the success rates of data collection were 99.8%. Moreover, the automatic EMR reduced 3 hours and 55 minutes per year of the workload for dealing CIEDs.

Conclusion: The self-built automatic EMR system could integrate CIEDs data successfully. This could help to reduce the workload of medical staffs..

Assuming collection of blood, practice system for manipulation of a syringe was devised. The practice system measures the pressure in syringe, then transforms it to sound. The pitch of the sound is varied with the change of the pressure. The validity of the system was evaluated by investigating the effect to the manipulation of subjects who used the system with sound or without sound. In the subjects who improved smooth manipulation of a syringe in 50 times of suction movements, subjects who manipulated with sound improved the manipulation more quickly than who did without sound.

The sterilization room is a supporting department in hospitals that implements risk management by standardizing operations with a systematic approach to safely and reliably provide medical equipment. However, considering that routine operations are performed daily, procedures omitted due to habituation can lead to errors in reasoning, errors in checking, and errors in action. In addition to these initiatives, a personal approach is also required. Therefore, we objectively assessed the primary factor using biochemical and physiological indicators to adopt a personal approach to identify the problem. By comparing operations that were harmful and general operations, we found that the anxiety of operators decreased over time during routine activity, indicating the occurrence of habituation. It was possible to overcome this habituation by providing the operators with a learning stimulation. However, habituation reappeared after approximately 6 months. Therefore, continuous education on a regular basis and at intervals of ≤6 months is necessary to provide high-quality services in sterilization operations.

Five types of reference test loads specified in EN14180 placed in a sterilizing bag or a sterilizing container were subjected to low temperature steam formaldehyde (LTSF) sterilization, and residual formaldehyde levels on the sterilized materials were measured. The result demonstrated that, regardless of which packaging material was used, formaldehyde levels on the sterilized materials were much lower than the reference value described in EN14180, suggesting that formaldehyde can be adequately removed by steam wash. It was suggested that low residual formaldehyde levels and safe operation can be achieved for various materials through appropriate sterilization process.