{"id":63,"date":"2018-03-12T13:46:48","date_gmt":"2018-03-12T13:46:48","guid":{"rendered":"https:\/\/www.pacenet.co.uk\/?page_id=63"},"modified":"2023-12-22T09:58:25","modified_gmt":"2023-12-22T09:58:25","slug":"risk-reduction","status":"publish","type":"page","link":"https:\/\/pacenet.co.uk\/new\/risk-reduction\/","title":{"rendered":"Risk Reduction"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;#0b2a64 0%|#07c9dc 100%&#8221; custom_padding=&#8221;164px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; text_font_size=&#8221;16px&#8221; header_font=&#8221;|600|||||||&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;40px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Risk Reduction<\/h1>\n<p>PACENET reduces risk at every stage by supporting automatic and total data capture, availability of data to all clinical teams at all times, providing tools dedicated to MDA management, automatically completing mandatory registry submissions, and being designed specifically to allow the complex data searching across domains (clinical \u2013 procedural \u2013 hardware \u2013 follow up \u2013 administrative) which facilitates effective governance, rapid and meaningful audit, and research.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;36px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2021\/04\/image_hwrr_follow_ups@2x.jpg&#8221; title_text=&#8221;image_hwrr_follow_ups@2x&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_intensity_slide=&#8221;27%&#8221; box_shadow_style=&#8221;preset4&#8243; box_shadow_horizontal=&#8221;-30px&#8221; box_shadow_vertical=&#8221;-30px&#8221; box_shadow_color=&#8221;gcid-75938496-ab20-45cc-a233-9282d2d29269&#8243; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22box_shadow_color%22%93}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|60px||60px|false|true&#8221; global_colors_info=&#8221;{}&#8221;][dsm_gradient_text gradient_text=&#8221;Clinical risk mitigation&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;32px&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;gcid-75938496-ab20-45cc-a233-9282d2d29269 0%|gcid-16c6282b-97c7-46e2-93d5-0320c040df83 46%&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22background_color_gradient_stops%22%93,%22gcid-16c6282b-97c7-46e2-93d5-0320c040df83%22:%91%22background_color_gradient_stops%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/dsm_gradient_text][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; global_colors_info=&#8221;{}&#8221;]A hospital\u2019s pacing service is a complex clinical environment, comprising clinical procedures, implanted hardware, and follow-ups, occurring in a particularly vulnerable patient group.<\/p>\n<p>Clinical risk is present at all stages, creating a difficult governance challenge.<\/p>\n<p>The PACENET database is designed specifically to minimise and mitigate the clinical risks found in this area of a hospital\u2019s work.[\/et_pb_text][et_pb_blurb title=&#8221;\u201cBefore PACENET, we didn\u2019t know how many patients were missed with MDAs\u201d&#8221; image=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2018\/03\/heart_icon.png&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; header_text_align=&#8221;center&#8221; header_text_color=&#8221;gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d&#8221; header_font_size=&#8221;16px&#8221; header_line_height=&#8221;1.5em&#8221; body_font=&#8221;||on||||||&#8221; body_text_align=&#8221;center&#8221; custom_padding=&#8221;|21px||21px|false|true&#8221; global_colors_info=&#8221;{%22gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d%22:%91%22header_text_color%22%93}&#8221;]Franklin Daniel-Balan, Senior Chief Cardiac Physiologist[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|60px||60px|false|true&#8221; global_colors_info=&#8221;{}&#8221;][dsm_gradient_text gradient_text=&#8221;Procedures&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;32px&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;gcid-75938496-ab20-45cc-a233-9282d2d29269 0%|gcid-16c6282b-97c7-46e2-93d5-0320c040df83 46%&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22background_color_gradient_stops%22%93,%22gcid-16c6282b-97c7-46e2-93d5-0320c040df83%22:%91%22background_color_gradient_stops%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/dsm_gradient_text][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; global_colors_info=&#8221;{}&#8221;]Pacing procedures are complex. The hardware implanted needs to be tracked for its lifetime. Around half of procedures are performed in patients with hardware already implanted, which will be modified. Patients are often pacing dependent. Infection risks from repeat procedures are high. Pre-planning and availability of clinical records is critical.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2021\/04\/procedures-1.png&#8221; title_text=&#8221;procedures&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_intensity_slide=&#8221;27%&#8221; global_colors_info=&#8221;{%22gcid-16c6282b-97c7-46e2-93d5-0320c040df83%22:%91%22box_shadow_color%22%93}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; custom_padding=&#8221;10px||0px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2021\/04\/implanted-hardware.png&#8221; title_text=&#8221;implanted-hardware&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_intensity_slide=&#8221;27%&#8221; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22box_shadow_color%22%93}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|60px||60px|false|true&#8221; global_colors_info=&#8221;{}&#8221;][dsm_gradient_text gradient_text=&#8221;Implanted hardware&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;32px&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;gcid-75938496-ab20-45cc-a233-9282d2d29269 0%|gcid-16c6282b-97c7-46e2-93d5-0320c040df83 46%&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22background_color_gradient_stops%22%93,%22gcid-16c6282b-97c7-46e2-93d5-0320c040df83%22:%91%22background_color_gradient_stops%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/dsm_gradient_text][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; global_colors_info=&#8221;{}&#8221;]In addition, Medical Device Alerts (MDAs) issued by the MHRA and hardware manufacturers present a major administrative challenge. Hardware implanted in \u2013 or explanted from \u2013 patients under follow up, or transferred out of the hospital, needs to be identified. Sequences of actions need to be completed in every affected patient, which can create an open-ended governance duty.[\/et_pb_text][et_pb_blurb title=&#8221;\u201cWithout PACENET, MDAs would be extremely difficult to search for all patients\u201d&#8221; image=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2018\/03\/heart_icon.png&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; header_text_align=&#8221;center&#8221; header_text_color=&#8221;gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d&#8221; header_font_size=&#8221;16px&#8221; header_line_height=&#8221;1.5em&#8221; body_font=&#8221;||on||||||&#8221; body_text_align=&#8221;center&#8221; custom_padding=&#8221;|21px||21px|false|true&#8221; global_colors_info=&#8221;{%22gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d%22:%91%22header_text_color%22%93}&#8221;]Franklin Daniel-Balan, Senior Chief Cardiac Physiologist[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;43px|60px||60px|false|true&#8221; global_colors_info=&#8221;{}&#8221;][dsm_gradient_text gradient_text=&#8221;Follow-ups&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;32px&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;gcid-75938496-ab20-45cc-a233-9282d2d29269 0%|gcid-16c6282b-97c7-46e2-93d5-0320c040df83 46%&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22background_color_gradient_stops%22%93,%22gcid-16c6282b-97c7-46e2-93d5-0320c040df83%22:%91%22background_color_gradient_stops%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/dsm_gradient_text][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;16px&#8221; global_colors_info=&#8221;{}&#8221;]In the pacing clinic, run by physiologists, thousands of clinical data points are reviewed, including data potentially pointing to hardware failure, occurrence of arrhythmias, and development of heart failure. This throws up complex governance questions related to how and where data are stored, completeness, accuracy, medical review of diagnostic data, and demonstration of audit process.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2021\/04\/image_hwrr_clinical_risk_mitigation@2x.jpg&#8221; title_text=&#8221;image_hwrr_clinical_risk_mitigation@2x&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; animation_intensity_slide=&#8221;27%&#8221; box_shadow_style=&#8221;preset4&#8243; box_shadow_horizontal=&#8221;30px&#8221; box_shadow_vertical=&#8221;30px&#8221; box_shadow_color=&#8221;gcid-75938496-ab20-45cc-a233-9282d2d29269&#8243; global_colors_info=&#8221;{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22box_shadow_color%22%93}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#d6d6d6&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/pacenet.co.uk\/new\/wp-content\/uploads\/2018\/03\/heart_icon.png&#8221; title_text=&#8221;heart_icon&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d&#8221; text_font_size=&#8221;20px&#8221; text_orientation=&#8221;center&#8221; width=&#8221;72%&#8221; module_alignment=&#8221;center&#8221; global_colors_info=&#8221;{%22gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d%22:%91%22text_text_color%22%93}&#8221;]Within the PACENET system, you can filter data by approximately 100 parameters, to derive lists of patients or procedures, which can be exported from the system.[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/www.pacenet.co.uk\/case-studies\/&#8221; button_text=&#8221;See our case studies for examples of how PACENET reduces risk&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;19px&#8221; button_text_color=&#8221;gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d&#8221; button_border_width=&#8221;0px&#8221; button_font=&#8221;|||on|||||&#8221; button_icon=&#8221;&#x3d;||divi||400&#8243; button_icon_color=&#8221;#848484&#8243; button_icon_placement=&#8221;left&#8221; button_on_hover=&#8221;off&#8221; custom_margin=&#8221;0px|0px||0px|false|true&#8221; custom_padding=&#8221;0px|20px||20px|false|true&#8221; global_colors_info=&#8221;{%22gcid-2bb07a9e-aaa1-4320-ba52-37f86d49e32d%22:%91%22button_text_color%22%93,%22gcid-16c6282b-97c7-46e2-93d5-0320c040df83%22:%91%22button_text_color__hover%22%93}&#8221; button_text_color__hover_enabled=&#8221;on|desktop&#8221; button_text_color__hover=&#8221;#56d9e5&#8243; button_bg_color__hover_enabled=&#8221;on|desktop&#8221; button_bg_color__hover=&#8221;RGBA(255,255,255,0)&#8221; button_bg_enable_color__hover=&#8221;on&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Risk Reduction PACENET reduces risk at every stage by supporting automatic and total data capture, availability of data to all clinical teams at all times, providing tools dedicated to MDA management, automatically completing mandatory registry submissions, and being designed specifically to allow the complex data searching across domains (clinical \u2013 procedural \u2013 hardware \u2013 follow [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - 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