A comprehensive RFID solution to enhance inpatient medication safety

Errors involving medication administration can be costly, both in financial and in human terms. Indeed, there is much potential for errors due to the complexity of the medication administration process. Nurses are often singled out as the only responsible of these errors because they are in charge of drug administration. Nevertheless, the interventions of every actor involved in the process and the system design itself contribute to errors (Wakefield et al. (1998) [23]). Proper inpatient medication safety systems can help to reduce such errors in hospitals. In this paper, we review in depth two recent proposals (Chien et al. (2010) [7]; Huang and Ku (2009) [12]) that pursue the aforementioned objective. Unfortunately, they fail in their attempt mainly due to their security faults but interesting ideas can be drawn from both. These security faults refer to impersonation and replay attacks that could produce the generation of a forged proof stating that certain medication was administered to an inpatient when it was not. We propose a leading-edge solution to enhance inpatient medication safety based on RFID technology that overcomes these weaknesses. Our solution, named Inpatient Safety RFID system (IS-RFID), takes into account the Information Technology (IT) infrastructure of a hospital and covers every phase of the drug administration process. From a practical perspective, our system can be easily integrated within hospital IT infrastructures, has a moderate cost, is very ease to use and deals with security aspects as a key point.This work was partially supported by the Netherlands Organization for Scientific Research (NWO) under the RUBICON grant "Intrusion Detection in Ubiquitous Computing Technologies" awarded to Aikaterini Mitrokotsa.Publicad

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

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.

Use of Radio Frequency Identification Technology in Reducing Overcrowding at Hospital Emergency Departments

Australian emergency departments (ED) are experiencing challenges due to overcrowding despite the government implementation of an improved model of care. This paper explores the opportunity for the use of Radio Frequency Identification (RFID) technology in Australian hospital ED to reduce overcrowding. The Australian ED model of care with Triage scale and improved patient journey were studied. The best possible RFID integration was sought and evaluated against the applied Australian Hospital’s domain model of care. Potential indicators of suitability were ED length of stay, ED wait times. Ambulance diversions were studied and contrasted from the start of the patient journey to the end of the patient’s treatment cycle, to find opportunities for the implementation of RFID technology. Based on the results of the study, it is recommended that RFID implementation be tested in actual scenarios. Only then can the benefits of the concept be validated

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

Health Technology Scenarios and Implications for Spectrum

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Adoption of Medication Management Technologies by U.S. Acute Care Hospitals after the HITECH Act

Medication errors and adverse drug events (ADEs) are a significant public health concern in the United States as they pose a threat to patient safety. The medication management process is a complicated process in U.S. acute care hospitals, consisting of a series of steps such as ordering, transcribing, dispensing and administration and each step is prone to medication errors.The use of technology is considered to be an important intervention in improving the medication management process and thereby reducing medication errors and ADEs and further improve patient safety. The Health Information Technology for Economic and Clinical Health (HITECH) Act, implemented in the year 2011, is the most important regulation in recent years focused on enhancing the use of IT in the health care system.This study examined the organizational and environmental correlates of the adoption of Medication Management Technologies (MMTs) by U.S. acute care hospitals after the HITECH Act. The rational adaptation perspective of the resource dependence theory is utilized in this study, using panel data from 2009 to 2013 with a one-year lag for independent variables and mixed-effects regression models for analyses. The study operationalized adoption of MMTs through seven measures: global adoption of MMTs, adoption of closed loop medication management, adoption of meaningful use MMTs and adoption-levels for the four steps of the medication management process: ordering, transcribing, dispensing and administration. Hospitals were more likely to adopt MMTs in the time after the implementation of the HITECH Act (2012, 2013) and were less likely to adopt MMTs before the implementation of the HITECH Act (2009, 2010) as compared to the HITECH Act implementation period (2011). The study further found that the resource dependence construct of munificence, operationalized through organizational size, and the construct of interdependence, operationalized through private payer mix was significantly associated with the adoption of MMTs

Telepharmacy and Access to Pharmaceutical Services in Rural Areas

Access to pharmaceutical services in rural areas has been affected by a national shortage of pharmacists. Telepharmacy, a subspecialty of telemedicine, has involved the utilization of telecommunications to deliver pharmaceutical services to consumers located at a distance. The number of telepharmacy programs in the United States and worldwide has been progressively increasing. The purpose of this research project was to examine the effect of the utilization of telepharmacy on rural hospitals’ access to pharmaceutical services. The methodology of this qualitative study was a literature review. Four electronic databases were employed to retrieve peer-reviewed journal articles, and three websites were accessed for pertinent information. Sixy-six articles were utilized as references. The findings demonstrate that telepharmacy networks have provided some benefits through which pharmaceutical access to rural areas has been enhanced. Networks have hastened medication order entry and order processing, increased on-call consultations and after-hours orders, and reconciled medications. Various states have reported promising results after implementing these networks. Moreover, networks have also permitted thorough checking of orders in both urban and rural pharmacies, thereby limiting medication errors. Overall, telepharmacy has had a positive effect on access to pharmaceutical services in rural areas. Such networks could diminish the problem of rural pharmacist understaffing, especially after hours and during vacations. Telepharmacy could also aid in reducing medication errors, which have increased as a result of the inability to recruit and retain pharmacists in rural areas. Telepharmacy should be utilized as a tool to maintain the pharmacist-consumer relationship