J Korean Soc Med Inform.  2009 Dec;15(4):433-444.

Development and Application of the RFID System for Patient Safety

• Jung EY
• Park RW
• Lim YS
• Hwang H
• Lee YH
• Jeong KS
• Park DK

Abstract

OBJECTIVE
A system for reinforcing the patient safety has been established based on RFID (Radio Frequency Identification) technology in order to minimize a variety of potential medical errors which can take place in hospitals. The system is intended to prevent simple errors or misunderstandings attributed to manifold surgery, transfusion, and medication errors. METHODS: The RFID system was developed and established in one general hospital. The system was applied to managing the patient in the run-up to surgery during anesthesia preparation, transfusion, and anticancer medications, of which procedure information and the patient information are rechecked for assurance, respectively. RESULTS: With regard to the technological aspects, the system used 13.56 MHz of spectrum bandwidth and tags complying with ISO 15693 standard. The tag readers varied with the work, PDAs in the intensive care unit, and laptop computers in the anesthesiology department and on the general wards. After applying the system, we surveyed user's usage and satisfaction. CONCLUSION: The results of our survey indicated a high level of satisfaction with the RFID system in terms of reinforcing the patient's safety in medical environments. Respondents stated that patients were likely to wear an electronic bracelet, even if inconvenient, with their information revealed on the wrist and while going through extended medical procedures. Nurses had intentions to utilize the RFID system for managing hospital assets and tracking patients. A revitalization of the RFID system would be network stability, including the network environment, as well as quantitative effectiveness analysis.

Keyword

RFID System; Patient Safety; Medical Error

MeSH Terms

Anesthesia
Anesthesiology
Surveys and Questionnaires
Electronics
Electrons
Hospitals, General
Humans
Hypogonadism
Intensive Care Units
Intention
Medical Errors
Medication Errors
Mitochondrial Diseases
Ophthalmoplegia
Patient Safety
Patients' Rooms
Radio Frequency Identification Device
Track and Field
Wrist
Hypogonadism
Mitochondrial Diseases
Ophthalmoplegia

Figure

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  Figure 1 RFID system configuration

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  Figure 2 RFID system network configuration

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  Figure 3 RFID system work flow (printing)

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  Figure 4 RFID system work flow (notebook)

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  Figure 5 RFID tag pattern

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  Figure 6 Access from ward

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  Figure 7 Access from Intensive care unit

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  Figure 8 Access from department of anesthesia

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  Figure 9 RFID system management program

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  Figure 10 Equipment status inquiry

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  Figure 11 Effects of RFID system

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  Figure 12 Downside of RFID system

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  Figure 13 Where do nurses want to apply RFID system to?

Reference

1. Ahluwalia J, Marott L. Critical incident reporting systems [abstract]. Seminars in Fetal and Neonatal Medicine. 2004. 10:31–37.

2. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. 1999. Washington, DC: National Academy Press.

3. Sheldon T. Dutch study shows that 40% of adverse incidents in hospital are avoidable. BMJ. 2007. 334(7600):925.

4. Park DK, Jung E, Jeong K. Status of RFID/USN Application in Health Care. KICS. 2008. 25:1–8.

5. Min DK, Kim EJ, Lee EJ, Seol TR. Research on an application model of RFID technology for Patient safety: a case of Y Hospital. EJIT. 2006. 5:91–103.

6. Korea Internet & Security agency. Report of Policy & Technology for RFID. 2006. 10.

7. Park DK. Strategies for application of ubiquitous technology. The Official Journal of the IHF. 2009. 45:8–11.

8. Kim DS, Kim JC, Kim SH, Yoo SK. A study on the patient location monitoring system based on RFID-RSSI. JKSMI. 2009. 15:41–48.

9. Cha MI, Oh BJ, Yeo WH, Min SW, Lee SW, Kim W, et al. The development and application of active RFID entrance management system for emergency patient safety. JKSMI. 2008. 14:257–266.