The Application of RFID in Emergency Medicine

Recently natural disasters and man-made calamities happened very frequently in Taiwan, some of which caused hundreds of inhabitants died and injured. The most important thing that makes the emergency medical treatment system work effectively during these catastrophes is dependent on the accuracy and immediacy of the information among ambulances, hospitals, fire bureaus, public health bureaus or offices, and emergency executive centers. With this information, the medical system can arrange the resources efficiently. Radio frequency identification (RFID) is a kind of wireless technology that it uses radio frequency (RF) to identify target objects. The characteristics of RFID are its identification and orientation. Through tracing electronic signals, RFID is able to identify, orientate and trace patients or medical materials directly and continuously. Thus, RFID can help managers of medical institutions to promote emergency medical treatment quality, reduce medical mistakes effectively, and increase efficiency and effectiveness in hospitals. A series of emergency medical delivery applications that use 915MHz RFID rings is developed in this paper. Through the help of RFID, the paper integrates the information of the whole emergency medical supply chain, and establishes a new model of emergency medical activities to solve the problems of information blocking among different medical rescue units. By solving these problems, the new model can enhance the rescue quality, reduce the damage of the disaster and strengthen the patient-oriented emergency care system

Utilization of big data to improve management of the emergency departments. Results of a systematic review

Background. The emphasis on using big data is growing exponentially in several sectors including biomedicine, life sciences and scientific research, mainly due to advances in information technologies and data analysis techniques. Actually, medical sciences can rely on a large amount of biomedical information and Big Data can aggregate information around multiple scales, from the DNA to the ecosystems. Given these premises, we wondered if big data could be useful to analyze complex systems such as the Emergency Departments (EDs) to improve their management and eventually patient outcomes. Methods. We performed a systematic review of the literature to identify the studies that implemented the application of big data in EDs and to describe what have already been done and what are the expectations, issues and challenges in this field. Results. Globally, eight studies met our inclusion criteria concerning three main activities: the management of ED visits, the ED process and activities and, finally, the prediction of the outcome of ED patients. Although the results of the studies show good perspectives regarding the use of big data in the management of emergency departments, there are still some issues that make their use still difficult. Most of the predictive models and algorithms have been applied only in retrospective studies, not considering the challenge and the costs of a real-time use of big data. Only few studies highlight the possible usefulness of the large volume of clinical data stored into electronic health records to generate evidence in real time. Conclusion. The proper use of big data in this field still requires a better management information flow to allow real-time application

Accessing Antecedents and Outcomes of RFID Implementation in Health Care

This research first conceptualizes, develops, and validates four constructs for studying RFID in health care, including Drivers (Internal and External), Implementation Level (Clinical Focus and Administrative Focus), Barriers (Cost Issues, Lack of Understanding, Technical Issues, and Privacy and Security Concerns), and Benefits (Patient Care, Productivity, Security and Safety, Asset Management, and Communication). Data for the study were collected from 88 health care organizations and the measurement scales were validated using structural equation modeling. Second, a framework is developed to discuss the causal relationships among the above mentioned constructs. It is found that Internal Drivers are positively related to Implementation Level, which in turn is positively related to Benefits and Performance. In addition, Barriers are found to be positively related to Implementation Level, which is in contrast to the originally proposed negative relationship. The research also compares perception differences regarding RFID implementation among the non-implementers, future implementers, and current implementers of RFID. It is found that both future implementers and current implementers consider RFID barriers to be lower and benefits to be higher compared to the non-implementers. This paper ends with our research implications, limitations and future research

M-health review: joining up healthcare in a wireless world

In recent years, there has been a huge increase in the use of information and communication technologies (ICT) to deliver health and social care. This trend is bound to continue as providers (whether public or private) strive to deliver better care to more people under conditions of severe budgetary constraint

Benefits of connecting rfid and lean principles in health care

The performance management process in health care is far behind compared to the manufacturing and service industries. Although nowadays the health care organizations are able to deal with a greater rank diseases, their cost, quality and delivery has essentially not improved significantly, and the difference with the other industries even seems to have increased. As opposed to this situation health care has a tremendous opportunity to deploy lean principles to reduce internal/external costs, improve patient safety, increase profits, reduce litigation and decrease the dependence on Government and Insurance. The application of these principles is being facilitated by the use of the new technologies. A new technology allowing personnel to constantly "see" what's happening with regards to patients schedule, backlog, workflow, inventory levels, resource utilization, quality, etc., is Radio Frequency Identification (RFID). The aim of this paper is to analyse the benefits that can be derived from the joint use of lean principles and RFID technology in health care

A Privacy Preserving Framework for RFID Based Healthcare Systems

RFID (Radio Frequency IDentification) is anticipated to be a core technology that will be used in many practical applications of our life in near future. It has received considerable attention within the healthcare for almost a decade now. The technology’s promise to efficiently track hospital supplies, medical equipment, medications and patients is an attractive proposition to the healthcare industry. However, the prospect of wide spread use of RFID tags in the healthcare area has also triggered discussions regarding privacy, particularly because RFID data in transit may easily be intercepted and can be send to track its user (owner). In a nutshell, this technology has not really seen its true potential in healthcare industry since privacy concerns raised by the tag bearers are not properly addressed by existing identification techniques. There are two major types of privacy preservation techniques that are required in an RFID based healthcare system—(1) a privacy preserving authentication protocol is required while sensing RFID tags for different identification and monitoring purposes, and (2) a privacy preserving access control mechanism is required to restrict unauthorized access of private information while providing healthcare services using the tag ID. In this paper, we propose a framework (PriSens-HSAC) that makes an effort to address the above mentioned two privacy issues. To the best of our knowledge, it is the first framework to provide increased privacy in RFID based healthcare systems, using RFID authentication along with access control technique

A (digital) finger on the pulse

Complex Event Processing (CEP) is a computer-based technique used to track, analyse and process data in real-time (as an event happens). It establishes correlations between streams of information and matches to defined behaviour

Leveraging RFID in hospitals: patient life cycle and mobility perspectives

The application of Radio Frequency Identification (RFID) to patient care in hospitals and healthcare facilities has only just begun to be accepted. This article develops a set of frameworks based on patient life cycle and time-and-motion perspectives for how RFID can be leveraged atop existing information systems to offer many benefits for patient care and hospital operations. It examines how patients are processed from admission to discharge, and considers where RFID can be applied. From a time-and-motion perspective, it shows how hospitals can apply RFID in three ways: fixed RFID readers interrogate mobile objects; mobile, handheld readers interrogate fixed objects; and mobile, handheld readers interrogate mobile objects. Implemented properly, RFID can significantly aid the medical staff in performing their duties. It can greatly reduce the need for manual entry of records, increase security for both patient and hospital, and reduce errors in administering medication. Hospitals are likely to encounter challenges, however, when integrating the technology into their day-to-day operations. What we present here can help hospital administrators determine where RFID can be deployed to add the most value

IT-Supported Management of Mass Casualty Incidents: The e-Triage Project

Voice, analogue mobile radio, and paper have been successfully used for decades for coordination of emergencies and disasters, but although being simple and robust this approach cannot keep pace with today’s requirements any more. Emerging and established digital communication standards open the door to new applications and services, but the expected benefit needs to be carefully evaluated against robustness, interoperability, and user-friendliness. This paper describes a framework for IT-supported management of mass casualty incidents, which is currently under implementation and study. The four pillars of the concept are handheld devices for use both in daily rescue operations and in disasters, autonomous satellite-based communication infrastructure, a distributed database concept for maximal availability, and psychological acceptance research