Surgical block 4.0: a digital intervention based on a real-time location patient-flow solution to support the automation of surgical pathways

Abstract

As internet of things (IoT) technologies are increasingly adopted by healthcare and hospitals, new opportunities are emerging to transform patient pathways and achieve efficient delivery of care. This implemented project follows the drivers and requirements of industry 4.0, based on surgical process analysis and optimisation using IoT technology, with the goal of creating '4.0 hospitals'.Our study presents the implementation of a novel IoT application, aiming to give support to multidisciplinary surgical teams through the optimisation of patient pathways to facilitate the surgical process. The implemented solution is based on real-time location systems (RTLS) technology, a subgroup within IoT, and it originated through the hospital needing to address the sudden surge of surgical elective care demand. The solution also enhances patient safety, facilitates quality of care by increasing communication and reduces costs. This IoT tool has facilitated the increase of theatre utilisation from 70.02% to 82.5% in 2 years, which has translated into an increase of surgical activity capacity, with an impact on reducing the waiting list.

The Green Surgical Block 4.0: Automation of the operating theatre's climate conditions through a real-time patient-flow solution

“…However, it is important to note that the original purpose of the RTLS patient flow solution was to increase surgical performance, and this was achieved with a ROI of 342%. 10 Therefore, the combined ROI, including increase of surgical and energy performance, would correspond to a total ROI of 406.7%.…”