Radio frequency identification–enabled capabilities in a healthcare context: An exploratory study

Hornyak, Robert; Lewis, Melissa Glenda; Sankaranarayan, Balaji

doi:10.1177/1460458215572923

Cited by 14 publications

(8 citation statements)

References 43 publications

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“…Managing supply chains, monitoring of medical inventories and supplies and assets are ones of the most commonly used applications of RFID in healthcare (17,18,53). However, these are not the only applications of RFID for tracking purposes in hospitals.…”

Section: • Patient Trackingmentioning

confidence: 99%

RFID Applications and Adoptions in Healthcare: A Review on Patient Safety

Haddara

Staaby

2018

Procedia Computer Science

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Patient safety is a serious global public health concern. Official statistics show that there is an increasing number of mistreatments within healthcare due to the improper identification of the patient or the drug administered to the patient. It is believed that the majority of the medical errors caused by misidentifications are preventable by introducing integrated IT infrastructures. Radio Frequency Identification (RFID) is believed to be the next generation technology for tracking and data-collection and has successfully been applied in several industries such as manufacturing, retail and logistics. RFID technology is also seen as the next disruptive innovation in healthcare and represents several opportunities for increased safety, operational efficiency and cost savings, by tagging inventory, assets, patients and personnel. Even though RFID promises several benefits for the healthcare industry, the adoption of RFID technology in the health sector has not been as striking as anticipated and still lags behind compared to other industries. Through a literature review, this paper attempts to explore the challenges of RFID adoption in healthcare, with a focus on patient safety. Our main findings suggest that high costs of adoption, concerns related to security and privacy, and human safety risks are the main barriers for adoption. AbstractPatient safety is a serious global public health concern. Official statistics show that there is an increasing number of mistreatments within healthcare due to the improper identification of the patient or the drug administered to the patient. It is believed that the majority of the medical errors caused by misidentifications are preventable by introducing integrated IT infrastructures. Radio Frequency Identification (RFID) is believed to be the next generation technology for tracking and data-collection and has successfully been applied in several industries such as manufacturing, retail and logistics. RFID technology is also seen as the next disruptive innovation in healthcare and represents several opportunities for increased safety, operational efficiency and cost savings, by tagging inventory, assets, patients and personnel. Even though RFID promises several benefits for the healthcare industry, the adoption of RFID technology in the health sector has not been as striking as anticipated and still lags behind compared to other industries. Through a literature review, this paper attempts to explore the challenges of RFID adoption in healthcare, with a focus on patient safety. Our main findings suggest that high costs of adoption, concerns related to security and privacy, and human safety risks are the main barriers for adoption.

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Section: • Patient Trackingmentioning

confidence: 99%

RFID Applications and Adoptions in Healthcare: A Review on Patient Safety

Haddara

Staaby

2018

Procedia Computer Science

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“…A continuous observation time‐and‐motion study with a larger discretionary budget, undertaken in a hospital with location grade WiFi and tracking technology, 10 could more specifically map the location of cutlery. Radiofrequency identification chips 11 applied to sentinel utensils could provide conclusive evidence as to whether disappearing utensils are removed from or merely redistributed within the facility.…”

Section: Discussionmentioning

confidence: 99%

What the forks? A longitudinal quality improvement study tracking cutlery numbers in a public teaching and research hospital staff tearoom

Mattiussi

Livermore

Levido

et al. 2020

Medical Journal of Australia

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Objectives To evaluate the circulation lifespan of forks and teaspoons in an institutional tearoom. Design Longitudinal quality improvement study, based on prospective tracking of marked teaspoons and forks. Setting Staff tearoom in a public teaching and research hospital, Brisbane. Participants Tearoom patrons blinded to the purposes of the study. Intervention Stainless steel forks and teaspoons (18 each) were marked with red spots and introduced alongside existing cutlery (81 items) in the tearoom. Main outcome measures Twice weekly count of marked forks and teaspoons for seven weeks; baseline and end of study count of all utensils on day 45. Results The loss of marked teaspoons (six of 18) was greater than that of forks (one of 18) by the conclusion of the study period (P = 0.038). The overall rate of utensil loss was 2.2 per 100 days for teaspoons and spoons, and –2.2 per 100 days for forks and knives. Conclusions Teaspoon disappearance is a more substantial problem than fork migration in a multidisciplinary staff tearoom, and may reflect different kleptomaniacal or individual appropriation tendencies. If giving cutlery this Christmas, give teaspoons, not forks. The symbolism of fork rebirth or resurrection is appropriate for both Christmas and Easter, and forks are also mighty useful implements for eating cake!

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“…10 There are myriad applications of RTLS in healthcare, including operational, clinical, safety and quality improvement initiatives. [11][12][13][14] In anticipation of a large scale RTLS installation in a new critical care tower, our institution implemented an RTLS pilot program in the ED to troubleshoot installation, streamline implementation, and test its operational functionality. An RFID-based RTLS (Cen-Trak, Newtown, Pennsylvania, United States) was installed in the ED in October 2018 and all staff badging was operational by February 2019.…”

Section: Real-time Location Systemmentioning

confidence: 99%

Improving Documentation Using a Real-Time Location System in a Pediatric Emergency Department

2021

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Background Appropriate documentation of critical care services, including key time-based parameters, is critical to accurate severity of illness metrics and proper reimbursement. Documentation of time-based elements for critical care services performed in emergency departments (ED) remains inconsistent. We integrated electronic medical record and real-time location system (RTLS)-derived data to augment quality improvement methodology. Objective We aimed to increase the proportion of patient encounters with critical care services performed at a pediatric ED that had appropriate documentation from a baseline of 76 to 90% within 6 weeks. Methods The team formulated a framework of improvement and performed multiple plan-do-study-act cycles focused on key drivers. We integrated the capabilities of an RTLS for precise location tracking to identify patient encounters in which critical care services were performed and to minimize unnecessary audits and feedback. We developed an intervention using iterative revisions to address key drivers and improve documentation. The primary outcome was the proportion of patient encounters for which critical care services were performed for which a time-based attestation was documented in the medical record. Results We analyzed 92 encounters between March 2020 and April 2020. While the proportion of eligible patient encounters with critical care documentation improved from 76 to 85%, this change was unable to be directly attributed to improvement efforts. Patients with respiratory complaints encompassed the majority of eligible encounters without appropriate documentation. Conclusion Utilizing improvement methodology and a novel application of RTLS, we successfully identified the co-location of physicians with patients receiving critical care services and designed interventions to improve documentation of critical care services provided in a pediatric ED. While changes were not able to be attributed to improvement efforts in this project, this project demonstrates the utility of RTLS to augment and inform systematic improvement efforts.

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Radio frequency identification–enabled capabilities in a healthcare context: An exploratory study

Cited by 14 publications

References 43 publications

RFID Applications and Adoptions in Healthcare: A Review on Patient Safety

RFID Applications and Adoptions in Healthcare: A Review on Patient Safety

What the forks? A longitudinal quality improvement study tracking cutlery numbers in a public teaching and research hospital staff tearoom

Improving Documentation Using a Real-Time Location System in a Pediatric Emergency Department

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