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RIFD (Radio Frequency Identification) in the Medical Field. By: Michelle Kofel Keith Lashinski. Objectives After finishing this presentation you should be able to:. Describe and Understand Radio Frequency Identification
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RIFD (Radio Frequency Identification) in the Medical Field By: Michelle Kofel Keith Lashinski
ObjectivesAfter finishing this presentation you should be able to: • Describe and Understand Radio Frequency Identification • Describe and evaluate the hardware and software utilized with this trend. • Describe and evaluate the information system used with this trend. • Assess the role and functions of the nurse informaticist when working with this trend. • Examine related legal/ethical issues. • Discuss the Advantages/Disadvantages from nursing perspective.
Overview of RIFD • RFID stands for Radio Frequency Identification • Uses radio waves to exchange data • Information can be stored within the transmitter • Special receivers pick up the frequency (RFID in Healthcare, 2008)
Overview Cont’d • That frequency is translated into information • That information is then computer generated • Transmitter has an antenna to add or update information (RFID in Healthcare, 2008)
Common Hardware of RIFD • Smart Bands • Smart Labels • Smart Cards • Smart Key Fobs • Smart Wrist Tag (similar to fobs) • Animal ID/Dog tags (Precision Dynamics Corporation, 2007)
RFID Smart Bands • Instant & accurate data collected and verified • Insures the “5 Rights of Medication Administration” • Positive Patient ID, Correct Patient identity, and confidentiality • Help Improve system efficiency, tracking, and communication • Easy Detection • Data can be transferred from Wristbands to specialized thermal printers • No Health Risks associated with RFID and Radio Waves (Precision Dynamics Corporation, 2007)
Common Support Systems of RFID • Middleware • Supply Insight • Oracle Certified Solution Partner • EPC Solutions (Precision Dynamics Corporation, 2007)
Supply Insight …The Rplatform • Adapter • provides a uniform interface to disparate hardware devices • Analyzer • collects filters and aggregates RFID data from multiple adapters and analyzes them for business relevance • Enterprise Business Server • collects meaningful RFID information from Analyzer, associates appropriate business semantics and integrates with enterprise systems and trading partners (Supply Insight, 2007)
The Rplatform • The Architecture
Evaluation of the RPlatform • Slow adaptation due to: • Technology costs • Lack of demonstrated return on investment (ROI) • Security/privacy concerns • Unreliable read rates (Supply Insight, 2007)
Description of Information • Designed to address the challenges of the healthcare industry • Incorporates existing standards and processes • Helps healthcare facilities gain enterprise • Increased visibility to improve: • decision making • operational efficiency • risk management • cost control (Supply Insight, Inc)
Threats to Information • Top threats include: • Unauthorized access • Tracking of objects via data • Retrieving social networks • Technology paternalism • Making people responsible for objects (Van Lieshout et al., 2007)
Threats Cont’d • Due to “enabling”, RFID can be used anywhere • Any person with the correct equipment can pick up the signal • With the signal, any information can be stolen. (Van Lieshout et al., 2007)
Advantages/Disadvantages for Nursing Care • Disadvantages in 2 categories: • Maladaptation of the technological system to the hospital • Organizational challenges for hospitals (Fisher & Monahan, 2007)
Disadvantages Cont’d • Need for customizable systems • Non-compliant with current medical regulations • Nurses complain of intensification of labor • Ability to steal information (Fisher & Monahan, 2007)
Advantages • Track inventory • Identify patients • Ability to collect data in real time • Reduce medication errors (Fisher & Monahan, 2007)
Evaluation of the Rplatform • Not recognized as a clinical information system • This is recognized as an administrative system • No healthcare professional can use this system* • Functions of Rplatform: • Collects, manages, and integrates chosen data* • Several Configurations Used* • No data standards are used* • This Information system would not be recommended to others to use* (Supply Insight, 2007)
Competencies • Skills required: • Computer literate • Able to comprehend the scanning technique • Able to read and gather information from a computer screen • Able to interpret the terminology • Able to troubleshoot
Competencies Cnt’d • Provide a nursing perspective • Showcases nursing values and beliefs • Produces unique knowledge • Distinguishes groups of practitioners • Emphasizes the interest for nursing • Provides needed nursing language and word context. (McGonigle and Mastrian, 2008)
Summary • RFID is a growing way of information sharing in the health care continuum • An easy way to get information on a specific client anywhere in the hospital setting • Threats of information stealing exist and need to be addressed • User must be computer literate
Conclusion • Ask yourself 2 questions: • What effects do technological systems have upon organizational roles and relations? • What are the surveillance potentials of technological systems? (Fisher & Monahan, 2007)
References • Fisher, J. A., & Monahan, T. (29). Tracking the Social Dimensions of RFID Systems in Hospitals. Retrieved September 4, 2008, from Elsevier Web site: http://torinmonahan.com/papers/Fisher_Monahan_RFID_IJMI.pdf • McGonigle, D. & Mastrian, K. (2008). Nursing informatics and the foundation of knowledge.Sudbury,Ma: Jones & Bartlett Publishers. • RFID in Healthcare. (2008). RIFD in health care: Taking the first steps, Retrieved September 2, 2008, from http://www.health-rfid.com/index_en.html • Van Lie shout, M., Grossi, L., Spinelli, G., Helmus, S., Kool, L., Pennings, L., et al. (2007). RFID: Technologies: emerging Issues, Challenges and Policy Options. Retrieved September 4, 2008, from http://www.stop-project.eu/portals/1/publications/eur22770en.pdf • Precision Dynamics Corporation. (2007). Retrieved September 15, 2008 from http://www.pdcorp.com/en-us/index.html • Supply Insight (2008) Rplatform-the RFID platform, Retrieved on September 17, 2008 from http://www.supplyinsight.com/rplatform.htm • Supply Insight (2008) . Rplatform 2.2, Retrieved on October 13, 2008 from http://www.supplyinsight.com/downloads/rPlatform.pdf • Supply Insight. (2008). Sustainable asset management. Retrieved on October 13, 2008 from http://www.supplyinsight.com/sam.htm