Patient identification and tracking for chemotherapy delivery: Use of RFID or barcode technologies for automated self check-in.

316 Background: The Odette Cancer Centre (OCC) is the sixth largest cancer institution in North America and manages over 24,000 chemotherapy patient visits/year. We initiated an automated kiosk system whereby patients can “actively” self-check-in to the chemotherapy unit as part of a quality initiative to improve one of the most complex processes in patient care. Methods: From January-May 2012, consecutive patients receiving >2 cycles of chemotherapy were randomly assigned to either radio-frequency identification (RFID) or barcode technologies to facilitate self check-in and time-in-motion studies. In parallel, the former manual check-in system (with OCC staff) continued. The primary outcome was the proportion of patients with more 3 or more scheduled appointments who used the self-check system at least 2 times. Patient satisfaction was attained with baseline and post-study surveys. Results: The study accrued 81 patients (43 patients using RFID and 38 patients using barcodes). Mean age was 59 (20-81 years). Of 48 patients who completed baseline surveys, most had regular access to a computer (87.5%) and used the internet at least >1 hour/day (50%). However, 21% at baseline felt a person-to-person check-in was preferable to an automated option. With implementation of the study, 24 of 81 patients (29%) have used the kiosk only once. Of individuals with multiple scheduled appointments (at least 3), 50% assigned to the RFID group and 52.6% assigned to the barcode group used the kiosk at least 2 times (p=0.827; Fisher’s exact). In follow-up, 96.7% of patients agreed or strongly agreed that the kiosks were easy to use although only one-third (33.3%) of patients felt the new system improved the efficiency of care. Conclusions: An automated check-in process is feasible for a diverse population of patients receiving chemotherapy. Multiple uses of the kiosk technology suggest appropriate uptake and retention of the technology. Continued use of the system was not different between RFID and barcode technologies. Patient satisfaction was high despite the lack of improvement in efficiency. The next phase will incorporate patient tracking and real-time status updates to address these concerns.

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Performance Modeling and Analysis of Surgery Patient Identification Using RFID

Information Systems and New Applications in the Service Sector ◽

10.4018/978-1-60960-138-6.ch016 ◽

2011 ◽

pp. 279-292 ◽

Cited By ~ 1

Author(s):

Byungho Jeong ◽

Chen-Yang Cheng ◽

Vittal Prabhu

Keyword(s):

Information Flow ◽

Radio Frequency Identification ◽

Performance Model ◽

Patient Identification ◽

Modeling And Analysis ◽

Concept System ◽

Surgery Patient ◽

Patient Waiting Time ◽

Frequency Identification ◽

And Performance

This paper proposes a workflow and performance model for surgery patient identification using RFID (Radio Frequency Identification). Certain types of mistakes may be prevented by automatically identifying the patient before surgery. The proposed workflow is designed to ensure that both the correct site and patient are engaged in the surgical process. The performance model can be used to predict patient waiting time and service duration time with RFID implementation. A proof-of-concept system is developed to understand the information flow and to use information in RFID-based patient identification. Performance model indicates the response time to patients can be reduced to 38% after four hours using the proposed RFID based workflow.

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Long-term Results of Hemiarthroplasty for Osteoarthritis of the First Metatarsophalangeal Joint

Foot & Ankle Orthopaedics ◽

10.1177/2473011417s000118 ◽

2017 ◽

Vol 2 (3) ◽

pp. 2473011417S0001

Author(s):

Stefan Beekhuizen ◽

Ron Onstenk

Keyword(s):

Patient Satisfaction ◽

Scale Score ◽

Operative Treatment ◽

Primary Outcome ◽

Metatarsophalangeal Joint ◽

Long Term Results ◽

First Metatarsophalangeal Joint ◽

Satisfaction Rates

Category: Big toe, MTP-1 joint osteoarthritis Introduction/Purpose: Osteoarthritis of the first metatarsophalangeal joint is the second most common disorder affecting the hallux. If non-operative treatment is not efficacious, operative treatment should be considered. Arthrodesis is considered standard care for grade III and IV osteoarthritis of the first metatarsophalangeal joint. If preservation of joint mobility is preferred, implant arthroplasty could be considered. Total arthroplasty is less recommendable because of high failure rates. However, recent studies showed similar short term results after arthrodesis and hemi joint replacement with greater satisfaction rates, as well as low postoperative pain, after hemiarthroplasty. In our study we mainly focussed on long-term subjective results like patient satisfaction as well as patient recommendation for the performed procedure including our primary outcome; the postoperative AOFAS HMI score. Methods: We therefore evaluated primary arthrodesis and hemiarthroplasty as treatment for arthritis of the first metatarsophalangeal joint. All 102 patients operated between January 2005 and December 2011 were asked to participate in our study, sixty-seven patients responded and were included. Forty-seven arthrodesis were performed in 40 patients using different fixation techniques and thirty-one hemiarthroplasties were performed in 27 patients using the BiopPro® First MPJ implant. Both procedures performed for stage 3 or 4 osteoarthritis and patients had been followed for at least five years, the American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Interphalangeal (AOFAS-HMI) scale score was measured as primary outcome. Secondary outcomes addressed satisfaction rates, recommendation of the performed procedure, number of unplanned surgical repeat procedures, return to daily activities (work as well as sports), and influence of smoking and diabetes mellitus on postoperative results. Finally, financial costs for both procedures were calculated. Results: The 47 primary arthrodeses and 31 hemiarthroplasties performed between January 2005 and December 2011 were evaluated. After a mean follow-up of 8.3 years (range 5-11.8) the mean AOFAS-HMI scale score after arthrodesis and after hemiarthroplasty were 72.8±14.5 and 89.7±6.6 respectively (p =.001). Patients were significantly more pleased after hemiarthroplasty (p<.001) and this procedure was better recommended (p<.001). The number of unplanned repeat surgical procedures did not differ between the two groups. No differences were found in postoperative work resumption, but patients returned to sports significantly sooner after hemiarthroplasty (p=.002). No association was found between smoking and the total AOFAS-HMI score. Overall costs, the sum of procedure costs as wel as additional costs, were quite similar for both procedures. Conclusion: Higher postoperative AOFAS HMI scores after a long-term follow-up (mean 8.3 years, range 5-11.8 years) were found after hemiarthroplasty compared to arthrodesis of the MTP-1 joint. Also greater patient satisfaction and better recommendation is seen after hemiarthroplasty. However return to work showed no differences, a significantly faster return to sports was seen after hemiarthoplasty. Based on these long-term results we could recommend hemiarthroplasty in future patient with osteoarthritis of the MTP-1 joint, with modest preference for the younger, more active patients.

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Modeling and Analysis of Surgery Patient Identification Using RFID

Health Information Systems ◽

10.4018/978-1-60566-988-5.ch059 ◽

2011 ◽

pp. 945-957

Author(s):

Byungho Jeong ◽

Chen-Yang Cheng ◽

Vittal Prabhu

Keyword(s):

Radio Frequency ◽

Information Flow ◽

Radio Frequency Identification ◽

Reliability Model ◽

Proof Of Concept ◽

Patient Identification ◽

Modeling And Analysis ◽

Concept System ◽

Surgery Patient ◽

Frequency Identification

This article proposes a workflow and reliability model for surgery patient identification using RFID (Radio Frequency Identification). Certain types of mistakes may be prevented by automatically identifying the patient before surgery. The proposed workflow is designed to ensure that both the correct site and patient are engaged in the surgical process. The reliability model can be used to assess improvements in patients’ safety during this process. A proof-of-concept system is developed to understand the information flow and to use information in RFID-based patient identification. Reliability model indicates the occurrences of patient identification error can be reduced from 90 to as low as 0.89 per 10,000 surgeries using the proposed RFID based workflow.

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Analgesia in the emergency department: why is it not administered?

Emergency Medicine Journal ◽

10.1136/emermed-2018-207629 ◽

2018 ◽

pp. emermed-2018-207629

Author(s):

Joyce Kant ◽

Mahesha Dombagolla ◽

Fiona Lai ◽

Andreas Hendarto ◽

David McDonald Taylor

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Pain Management ◽

Side Effects ◽

Prospective Observational Study ◽

Primary Outcome ◽

Tertiary Referral ◽

Convenience Sample ◽

Patient Refusal

ObjectivePain management in the ED is often suboptimal, with many patients not receiving analgesia. We aimed to determine why some patients refuse it, why others do not receive it, and whether these variables impact on patient satisfaction with their pain management.MethodsWe undertook a prospective, observational study in a large, Australian, tertiary referral ED (February–May 2017). A convenience sample of consecutive adult patients with a triage pain score of ≥4 were examined. Data were collected from the medical record and the treating nurses. At follow-up at least 48 hours postdischarge, patients were asked if they received analgesia in the ED (if not, then why not) and how satisfied they were with their pain management (very dissatisfied/dissatisfied/slightly dissatisfied/slightly satisfied/satisfied/very satisfied). The primary outcome was why patients refuse analgesia.ResultsOf the 651 enrolled patients, 171 (26.3%) did not receive analgesia; for 30 (17.5%), patients and their nurses agreed that analgesia was refused. Patients mainly refused analgesia because their pain was not bad enough, they had recent analgesia intake, and concerns about side effects and interactions. Patients who received analgesia were more likely to be ‘very satisfied’ with their pain management (difference in proportions 10.8%, 95% CI 2.1 to 19.4). The satisfaction of patients who refused analgesia and those who did not receive analgesia for other reasons did not differ.ConclusionPatient refusal is the most common reason for patients not receiving analgesia. Analgesia receipt is associated with greater patient satisfaction. However, a patient’s knowledge of their analgesia receipt status may be incorrect. Disregard of the reasons for patients not receiving analgesia may underestimate the number offered analgesia.

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Green Technology Wrist Band with Patient Identification Near Field Communication (NFC) or Radio Frequency Identification (RFID) Security Features

Advanced Science Letters ◽

10.1166/asl.2017.7369 ◽

2017 ◽

Vol 23 (6) ◽

pp. 5329-5332

Author(s):

Muhammad Mursyidan Mah Dahwi ◽

Waidah Ismail ◽

Radhi Rafiee Afandi ◽

Azlan Husin ◽

Rosline Hassan ◽

...

Keyword(s):

Radio Frequency ◽

Radio Frequency Identification ◽

Near Field ◽

Green Technology ◽

Near Field Communication ◽

Patient Identification ◽

Rfid Security ◽

Frequency Identification

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Long term efficacy of mobilisation with movement on pain and functional status in patients with knee osteoarthritis: a randomised clinical trial

Clinical Rehabilitation ◽

10.1177/0269215520946932 ◽

2020 ◽

pp. 026921552094693

Author(s):

Aishwarya Nigam ◽

Kiran H Satpute ◽

Toby M Hall

Keyword(s):

Patient Satisfaction ◽

Confidence Interval ◽

Knee Osteoarthritis ◽

Usual Care ◽

Primary Outcome ◽

Mean Difference ◽

Symptomatic Knee Osteoarthritis ◽

Symptomatic Knee

Objectives: To evaluate the long term effect of mobilisation with movement on disability, pain and function in subjects with symptomatic knee osteoarthritis Design: A randomised controlled trial. Setting: A general hospital Subjects: Forty adults with knee osteoarthritis (grade 1–3 Kellgren–Lawrence scale). Interventions: The experimental group received mobilisation with movement and usual care (exercise and moist heat) while the control group received usual care alone in six sessions over two weeks. Main Measures: The primary outcome was the Western Ontario McMaster University Osteoarthritis index, higher scores indicating greater disability. Pain intensity over 24 hours and during sit to stand were measured on a 10 centimetre visual analogue scale. Functional outcomes were the timed up and go test, the 12 step stair test, and knee range of motion. Patient satisfaction was measured on an 11 point numerical rating scale. Variables were evaluated blind pre- and post intervention, and at three and six months follow-up. Results: Thirty five participants completed the study. At each follow-up including six-months, significant differences were found between groups favouring those receiving mobilisation with movement for all variables except knee mobility. The primary outcome disability showed a mean difference of 7.4 points (95% confidence interval, 4.5 to 10.3) at six-months and a mean difference of 13.6 points (95% confidence interval, 9.3 to 17.9) at three-months follow-up. Conclusion: In patients with symptomatic knee osteoarthritis, the addition of mobilisation with movement provided clinically significant improvements in disability, pain, functional activities and patient satisfaction six months later.

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Implanting inequality: Empirical evidence of social and ethical risks of implantable radio-frequency identification (RFID) devices

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462310001133 ◽

2010 ◽

Vol 26 (4) ◽

pp. 370-376 ◽

Cited By ~ 11

Author(s):

Torin Monahan ◽

Jill A. Fisher

Keyword(s):

Radio Frequency ◽

Radio Frequency Identification ◽

Observational Studies ◽

Care Providers ◽

Structured Interviews ◽

Patient Identification ◽

Ethical Implications ◽

The Social ◽

Frequency Identification ◽

Healthcare Technologies

Objectives: The aim of this study was to assess empirically the social and ethical risks associated with implantable radio-frequency identification (RFID) devices.Methods: Qualitative research included observational studies in twenty-three U.S. hospitals that have implemented new patient identification systems and eighty semi-structured interviews about the social and ethical implications of new patient identification systems, including RFID implants.Results: The study identified three primary social and ethical risks associated with RFID implants: (i) unfair prioritization of patients based on their participation in the system, (ii) diminished trust of patients by care providers, and (iii) endangerment of patients who misunderstand the capabilities of the systems.Conclusions: RFID implants may aggravate inequalities in access to care without any clear health benefits. This research underscores the importance of critically evaluating new healthcare technologies from the perspective of both normative ethics and empirical ethics.

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Modeling and Analysis of Surgery Patient Identification Using RFID

International Journal of Information Systems in the Service Sector ◽

10.4018/jisss.2009062901 ◽

2009 ◽

Vol 1 (4) ◽

pp. 1-14 ◽

Cited By ~ 6

Author(s):

Byungho Jeong ◽

Chen-Yang Cheng ◽

Vittal Prabhu

Keyword(s):

Radio Frequency ◽

Information Flow ◽

Radio Frequency Identification ◽

Reliability Model ◽

Proof Of Concept ◽

Patient Identification ◽

Modeling And Analysis ◽

Concept System ◽

Surgery Patient ◽

Frequency Identification

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Design a Cloud Roll Check System via RFID

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.764-765.868 ◽

2015 ◽

Vol 764-765 ◽

pp. 868-871

Author(s):

Jia Shing Sheu ◽

Yi Hsin Chuang

Keyword(s):

Radio Frequency Identification ◽

High Reliability ◽

Database Systems ◽

Extension Education ◽

Identification System ◽

Materials Management ◽

Frequency Identification ◽

Check System ◽

Electronic Tags ◽

And Control

The Radio Frequency Identification System (RFID) is widely used in a variety of materials management for small amount deductions, tracking and control. A RFID system consists of electronic tags, transceivers, and tag reader. The advantages of RFID tags are unitary that can be record data. The data also can be either read or wrote. The purpose of the paper is to develop a RFID Roll Check System. It also combines with an existing database systems in a cloud environment. The design of RFID Roll Check System developed in this paper to improve the performance of the current roll check system. Every student is allocated an electronics tag, that the tags have detailed courses information for system’s contract. All technology and system engineering method have successfully applied in the children's summer camp courses which were held by Center for Extension Education of school. Meanwhile, the RFID Roll Check System has completed 2,500 people for roll check reliability test. The final results prove that this system has high reliability.

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