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RFID technology as a tool for «careflow processor» implementation in a general hospital

Keywords:

G.I. Nazarenko – Dr.Sc.(Med.), Professor, Director, Medical Center of the Bank of Russia (Moscow)
E.B. Kleymenova – Dr.Sc.(Med.), Deputy Director, Medical Center of the Bank of Russia (Moscow)
I.A. Ladokhin – Head of the Department of Innovative Information Technology Implementation, Medical Center of the Bank of Russia (Moscow)
E.V. Matrosova – Ph.D.(Econom.), Deputy Director of the Medical Center of the Bank of Russia (Moscow)
M.A. Turov – Expert, Department of Innovative Information Technology Implementation, Medical Center of the Bank of Russia (Moscow)
A.A. Fomin – Expert, Department of Innovative Information Technology Implementation, Medical Center of the Bank of Russia (Moscow)
S.A. Pajushik – Head of the Department of Technological Control, Medical Center of the Bank of Russia (Moscow)
L.P. Yashina – Ph.D.(Biol.), Chief technologist, Medical Center of the Bank of Russia (Moscow)


Radio frequency identification (RFID) is a recent innovative technology considered to be the next wave in the IT revolution. In recent years, RFID has been applied in medical organizations for the purpose of managing and tracking medical equipment, monitoring and identifying patients, ensuring that the right medication is given to the right patient. It has been shown to improve patient safety, resource utilization, save healthcare costs and time of hospital staff. Nevertheless, technological limitations, interference concerns, prohibitive costs, lack of global standards and privacy concerns impede the RFID adoption in healthcare. The paper presents first results of RFID-enabled monitoring system implementation in a 300-beds general hospital. First of all, RFID system with tags for personnel, patients and mobile equipment was used to control the patient stay in the Admission Department, time interval between patient’s arrival to the ward and nurse /doctor visit, patient paths, personnel stay in working zones and diagnostic /therapeutic equipment load. First 6 months of system functioning brought 15% increase of bed turnover, 17% increase in operating activity, 32% reduction in the proportion of patients who spend more than 2 hours in the Admission Department. At the second step RFID data were used for semi-automatic control of clinical pathways execution, namely, for monitoring the timeliness and completeness of therapeutic and diagnostic activities. Further RDID system will be integrated into the “medical technological processor” – a complex of software and middleware tools for dynamic careflow-based management of complex clinical systems, including synthesis, re-engineering and optimization of workflow models guided by performance results. In conclusion, RFID technology shows a promising room in the improvement of healthcare quality and safety. Its adoption in medical facility helps to reduce time wastes, disciplines the staff and streamlines careflows. To maximize its potential, RFID should be tightly integrated with EHR, workflow engine and other information systems of healthcare organization.
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June 24, 2020
May 29, 2020

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