Healthcare versus Biochemical Industries
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- Lynne Turner
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1 RFID in Healthcare Healthcare versus Biochemical Industries Where is the infusion pump? Where is patient Brown? Has Mrs. Jones already left the department? I cannot find the device that needs maintenance! How many pieces of equipment have been used? Where is the patient dossier? Can this blood be used for this patient? How many stretchers are there in ER? Who is now in area K? Where is sample no. 134? Can I enter this area? How long did Mr. White remain in compound A? How many people are evacuated from zone E? Who was in zone T on that specific day? 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 1
2 Location Matters 2007 Geodan - All rights reserved 3 Context of the project Blood products Patients and OR personnel Disposables 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 2
3 Equipment tracking Issues Movida proposition 20-20% of equipment is lost, misplaced, stolen Staff wastes time looking for equipment. Valuable equipment is not available when needed Inventory is larger than necessary Maintenance is hampered by unknown location. Locate every piece of equipment in real-time, detect misplacement Position is known immediately, availability is immediate Reduce inventory to the optimal level thanks to complete asset visibility Locate every device that needs maintenance, proactive alerts 2007 Geodan - All rights reserved 5 Blood Transfusion Chain Issues Movida proposition Difficult to fulfil the EC directive for traceability of blood products Quality audit, in particular temperature, is hard to implement Bed side testing not 100% waterproof Paper based intra-hospital registration is not 100% waterproof Multiple systems containing duplicate, incomplete information Actual location and status of product in the supply chain to fulfil EC guidelines Continued monitoring and realtime alerting for quality protection Blood-patient automatic control and association verification Automatic registration of all history and quality of the blood product One single source for quality information of the blood product 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 3
4 Patient and staff logistics Issues Existing information systems do not provide the information needed for optimizing patient flows. Starting times, leaving times etc. are not registered accurately. Identification of individual patients is not always accurate. Monitoring of contamination risk not sufficient / unknown. Rapid location of staff in case of need is not feasible. Movida proposition Accurate registration of location and time that provide full visibility of patient flows. Accurate and automatic registration, which reduces errors and administrative burden. Exact identification of the right patient. Precise location and flows detection to identify key variables for risk assessment Real-time location of staff in case of need Geodan - All rights reserved 7 Technology components Advise and design services Assess work processes and the added value of pervasive computing. Select best RFID. Smart buildings - smart workplaces Buildings, infrastructures equipped with sensors that are able to identify and location people and objects that carry tags. Tags Radio tags that allow identification and location in smart buildings. They are associated to people or objects. Middleware and application software Software that ingests identification and location information and implements the business logic. Integration and managed services Integration with legacy systems and maintenance of the overall mission critical system Geodan - All rights reserved Geodan Mobile Solutions B.V. 4
5 Technology components Advise and design services Assess work processes and the added value of pervasive computing. Select best RFID. Smart buildings - smart workplaces Buildings, infrastructures equipped with sensors that are able to identify and location people and objects that carry tags. Tags Radio tags that allow identification and location in smart buildings. They are associated to people or objects. Middleware and application software Software that ingests identification and location information and implements the business logic. Integration and managed services Integration with legacy systems and maintenance of the overall mission critical system Geodan - All rights reserved 9 Identification and location technologies supported by Movida 1 km 100 m Telecom Based 10 m UHF MW 1 m GPS - AGPS LF-HF RFID Active 10 cm UWB RFID passive 1cm Open space Semi urban Urban Building Room Object 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 5
6 Identification and location devices Patient Patient Worker Inmate Badge Label Sensors Car box AGPS phone Navigators Camera Asset tag 2007 Geodan - All rights reserved 11 Lessons learned Interference between RFID and medical equipment 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 6
7 General issues Interference by RFID on some critical care medical equipment forced us to Minimize the powerlevels of some parts of the infrastructure on sight, especially for the passive technology operating at 868 MHz Prevent using RFID at some locations on sight Implementing the RFID infrastructure Adjusting the infrastructure is simple Room discrimination in small areas in though because of overlapping radio fields Total failure (melt down) when active infrastructure was implemented and adjusted 2007 Geodan - All rights reserved 13 Technology components Advise and design services Assess work processes and the added value of pervasive computing. Select best RFID. Smart buildings - smart workplaces Buildings, infrastructures equipped with sensors that are able to identify and location people and objects that carry tags. Tags Radio tags that allow identification and location in smart buildings. They are associated to people or objects. Middleware and application software Software that ingests identification and location information and implements the business logic. Integration and managed services Integration with legacy systems and maintenance of the overall mission critical system Geodan - All rights reserved Geodan Mobile Solutions B.V. 7
8 Sensor Network Wakeup Unit Antenna Reader Wakeup Unit Antenna ID Wakeup Unit at 125 KHz (LF) ID tag & ID Wakeup Unit & Temp at 868 MHz (UHF) Temperature LAN Wakeup Field 2007 Geodan - All rights reserved 15 Implementation 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 8
9 Movida for blood tracking Active (black) tag Data-unit for active tags Scanning plate for passive tags Blood badg Barcode scanner Passive (white) tag tags back of tags 2007 Geodan - All rights reserved 17 Technology components Advise and design services Assess work processes and the added value of pervasive computing. Select best RFID. Smart buildings - smart workplaces Buildings, infrastructures equipped with sensors that are able to identify and location people and objects that carry tags. Tags Radio tags that allow identification and location in smart buildings. They are associated to people or objects. Middleware and application software Software that ingests identification and location information and implements the business logic. Integration and managed services Integration with legacy systems and maintenance of the overall mission critical system Geodan - All rights reserved Geodan Mobile Solutions B.V. 9
10 Location, Identification, Status 2007 Geodan - All rights reserved 19 Movida health care frameworks Asset management Tag and locate equipment Patient logistics ID and location registration for patients real-time location equipment location history theft prevention inventory visibility position and sensor-based alerts real-time location patients location and presence history staff association alerts and synchronization space management Blood supply management Tracking and quality control Staff and patient safety Panic and alert management end-to-end location temperature monitoring alerts and audit trail real-time location of staff and/or patients automatic alerting based on location panic alerting 2007 Geodan - All rights reserved Geodan Mobile Solutions B.V. 10
11 Technology components Advise and design services Assess work processes and the added value of pervasive computing. Select best RFID. Smart buildings - smart workplaces Buildings, infrastructures equipped with sensors that are able to identify and location people and objects that carry tags. Tags Radio tags that allow identification and location in smart buildings. They are associated to people or objects. Middleware and application software Software that ingests identification and location information and implements the business logic. Integration and managed services Integration with legacy systems and maintenance of the overall mission critical system Geodan - All rights reserved Geodan - All rights reserved Geodan Mobile Solutions B.V. 11
12 2007 Geodan - All rights reserved Geodan - All rights reserved Geodan Mobile Solutions B.V. 12
13 2007 Geodan - All rights reserved Geodan - All rights reserved Geodan Mobile Solutions B.V. 13
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