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

Technology Target Studies: Technology Solutions to Make Patient Care Safer and More Efficient

Presents findings on technologies that could enhance care delivery, including patient records and medication processes; features and functionality nurses require, including tracking, interoperability, and hand-held capability; and best practices

Communication Architecture for Tracking and Interoperable Services at Hospitals: A Real Deployment Experience

Any new hospital communication architecture has to support existing services, but at the same time new added features should not affect normal tasks. This article deals with issues regarding old and new systems’ interoperability, as well as the effect the human factor has in a deployed architecture. It also presents valuable information, which is a product of a real scenario. Tracking services are also tested in order to monitor and administer several medical resources

Enhancing pharmaceutical packaging through a technology ecosystem to facilitate the reuse of medicines and reduce medicinal waste

The idea of reusing dispensed medicines is appealing to the general public provided its benefits are illustrated, its risks minimized, and the logistics resolved. For example, medicine reuse could help reduce medicinal waste, protect the environment and improve public health. However, the associated technologies and legislation facilitating medicine reuse are generally not available. The availability of suitable technologies could arguably help shape stakeholders’ beliefs and in turn, uptake of a future medicine reuse scheme by tackling the risks and facilitating the practicalities. A literature survey is undertaken to lay down the groundwork for implementing technologies on and around pharmaceutical packaging in order to meet stakeholders’ previously expressed misgivings about medicine reuse (’stakeholder requirements’), and propose a novel ecosystem for, in effect, reusing returned medicines. Methods: A structured literature search examining the application of existing technologies on pharmaceutical packaging to enable medicine reuse was conducted and presented as a narrative review. Results: Reviewed technologies are classified according to different stakeholders’ requirements, and a novel ecosystem from a technology perspective is suggested as a solution to reusing medicines. Conclusion: Active sensing technologies applying to pharmaceutical packaging using printed electronics enlist medicines to be part of the Internet of Things network. Validating the quality and safety of returned medicines through this network seems to be the most effective way for reusing medicines and the correct application of technologies may be the key enabler

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

Using Radio Frequency Identification Technology In Healthcare

In the healthcare industry, medical treatment can be a matter of life and death, so that any mistakes may cause irreversible consequences. As hospitals have sought to reduce these types of errors, Radio Frequency Identification Technology (RFID) has become a solution in the healthcare industry to address these problems. Since 2005, RFID has generated a lot of interest in healthcare to make simpler the identification process for tracking and managing medical resources to improve their use and to reduce the need for future costs for purchasing duplicate equipment. There are rising concerns linked to the privacy and security issues, when RFID tags are used for tracking items carried by people. A tag by its design will respond to a reader\u27s query without the owner\u27s consent and without the owner even noticing it. When RFID tags contain patients\u27 personal data and medical history, they have to be protected to avoid any leaking of privacy-sensitive information. To address these concerns, we propose an Intelligent RFID System which is a RFID card system that embeds smart tags in insurance cards, medical charts, and medical bracelets to store medical information. Patient data is sent to the insurance providers by way of a clearinghouse that translates the information from the healthcare facility into a format that the insurance company can process. To ensure data protection, an additional security layer was added to secure the communication between the tags and the readers. This security layer will allow only authorized readers to poll tags for the patient\u27s medical tags and prevent unauthorized access to tag data. It will simplify the maintenance and transfer of patient data in a secure, feasible and cost effective way