RFID: Bar coding???s replacement?

Roark, Darin C.; Miguel, Karen

doi:10.1097/00006247-200602000-00009

Cited by 15 publications

(3 citation statements)

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“…In 2004, the US Food and Drug Administration issued a rule that required bar codes on most prescription drugs and certain over‐the‐counter medications (13). The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires, as part of its accreditation process, all hospitals to implement bar‐coded patient identification systems (14). The implementation of CPOE reduces medication turn‐around times and medication errors in Cordero’s study (15).…”

Section: Discussionmentioning

confidence: 99%

A 3-year study of medication incidents in an acute general hospital

et al. 2008

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Section: Discussionmentioning

confidence: 99%

A 3-year study of medication incidents in an acute general hospital

et al. 2008

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“…Modelling the Clinical Risk: RFID vs Barcode 65 3.2 The active "atient Data M"del The adoption of RFID as a tool for automatic patient identification can be considered as a central "active" entity of the whole model (Roark & Miguel, 2006). The alternative, presented in the associated diagram (Figure 3), is characterized by a simplification of reality in terms of observable entities; this means reducing the risk of information duplication that the traditional model shows (Brenni et al, 2007).…”

Section: Wwwintechopencommentioning

confidence: 99%

Modelling the Clinical Risk: RFID vs Barcode

Lecce¹,

Calabrese²,

Quarto³

et al. 2010

Modeling Simulation and Optimization - Focus on Applications

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Intr"ducti"nThis chapter proposes an approach that can improve the identification of patients, products, equipment and so on in a hospital. The aim is to better the management of the clinical risk by automating the process through the use of Radio Frequency IDentification (RFID). The clinical risk management refers to the procedures for avoiding risks associated with direct patient care. It is the analysis about the probability of a patient being victim of an adverse event or inconvenience resulted, although involuntary, from improper medical care provided during the hospitalization. Research defines that the common denominator of almost all adverse clinical events is the lack of the patient traceability. In the specific context of a hospital, "traceability of patients" means managing a whole set of input and output data related to those processes defined as critical for clinical facilities. In this work we will discuss a model to archive and manipulate data concerning the proposed system. RFID is, in fact, identified as a method for storing and retrieving data remotely by using small and cheap devices called RFID tags or transponders. For applying this technology in hospital environment it is necessary to build a network of these objects, each one with a unique number. So, only if there is a valid model to manage the produced output, one can easily retrieve information and realize an interesting use case. In the proposed model, the adoption of an active instrument for automatic patient identification and assistance can be considered as the central entity of the process: "medical treatment of a patient", this includes potentially every activity from initial consultation through discharge of a surgical patient. In particular, this approach allows for simplifying the reality in terms of observable entities and supporting a higher degree of interconnection among those sections that traditionally are called "functional areas" of the hospital organization. Indeed, a lot of different actors characterize a clinical environment and the use of RFID seems to be capable to track all of them and optimize their interaction (Liao et al., 2006). The proposed RFID applications are targeted to the:  Verification of positive patient identification. This is realized by means of a smart wristband for each patient. The tag contains information about the patient name, date of * corresponding author 4 www.intechopen.com Modeling, Simulation and Optimization -Focus on Applications 54birth, surgical information, allergic reactions, medication requirement, blood type, health condition;  Monitoring of surgical equipment before and after the operations. This application is aimed to grant a more efficient knowledge of the hospital instrument thus avoiding the stealing and misuse of equipment; Asset identification, such as blood transfusion, pharmaceutical units, charts and specimen; Bed inventory;  Tracking of hospital staff and patients. Scientific works demonstrate, in fact, that geographical location of transponders is realizable by...

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“…The substeps of administration (usually performed by a nurse within inpatient environments) include receipt of drug doses from the pharmacy, storage of medication doses before final delivery, scheduled dose retrieval and preparation, identification of patient/drug/dose/form/ route ("5 rights"), and final dose delivery. Radio frequency identification [60][61][62] and bar-coding 63,64 systems are used to verify and record identification of patient and drug dose and to track inventory. "Smart" infusion pumps programmed for specific workflows with appropriate drug doses and alerts may be useful in pediatrics 65 but require caution in deployment because of poor compliance with alerts by human operators.…”

Section: Context Purpose and Functionsmentioning

confidence: 99%

Pediatric Aspects of Inpatient Health Information Technology Systems

Lehmann¹

2008

Pediatrics

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US adoption of health information technology as a path to improved quality of patient care (effectiveness, safety, timeliness, patient-centeredness, efficiency, and equity) has been promoted by the medical community. Children and infants (especially those with special health care needs) are at higher risk than are adults for medical errors and their consequences (particularly in environments in which children are not the primary patient population). However, development and adoption of health information technology tools and practices that promote pediatric quality and patient safety are lagging. Two inpatient clinical processesmedication delivery and patient care transitions-are discussed in terms of health information technology applications that support them and functions that are important to pediatric quality and safety. Pediatricians and their partners (pediatric nurses, pharmacists, etc) must develop awareness of technical and adaptive issues in adopting these tools and collaborate with organizational leaders and developers as advocates for the best interests and safety of pediatric patients. Pediatric health information technology adoption cannot be considered in terms of applications (such as electronic health records or computerized physician order entry) alone but must be considered globally in terms of technical (health information technology applications), organizational (structures and workflows of care), and cultural (stakeholders) aspects of what is best. Pediatrics 2008;122:e1287-e1296 INTRODUCTION US adoption of health information technology (HIT) has been advocated by federal agencies, health care industry groups, and patient-advocacy organizations as a major approach to improve patient safety through reduction and prevention of medical errors. 1-5 Adoption of HIT tools such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) is increasing, and although current implementation of all these HIT tools is not yet widespread in US hospitals, 6,7 most hospitals that provide care for children and infants use some form of an electronic information system to manage personal health information and other data that affect children's health. 8 Children and infants have vulnerabilities and needs that are distinct from adults with regard to the management of their clinical care and its associated information. The extended normal ranges of body weights, sizes, and physiologic responses require modifications of clinical, technical, and information workflows to provide pediatricspecific care that is safe. A systematic evidence base for design and implementation of effective HIT that improves care quality and safety is needed but lacking, 9 and recent observations and experience indicate that changes (such as the adoption of information technology) can introduce new and unanticipated errors. [10][11][12]

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RFID: Bar coding???s replacement?

Cited by 15 publications

References 2 publications

A 3-year study of medication incidents in an acute general hospital

A 3-year study of medication incidents in an acute general hospital

Modelling the Clinical Risk: RFID vs Barcode

Pediatric Aspects of Inpatient Health Information Technology Systems

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