Taiwan"Three armies"General Hospital uses RFID to improve the safety of inpatients
chrispeng [ad_1]
Walking into the inpatient ward of the General Hospital of the Three Armed Forces, a nurse was pushing a mobile nursing car to administer medicine to the patients in room XX. When preparing the medicine, the nurse used the computer on the mobile nursing car to open the medicine in the RFID patient security system. Check the screen, pick up the medicine to check with the computer screen to confirm that the medicine is correct, and then go to the XX ward. When in the XX ward, the nurse picks up the RFID reader in his hand, confirms the patient’s identity, and delivers the medicine to the patient. This is one of the links in the General Hospital of the Tri-Services, using mobile + RFID technology to improve medical safety for inpatients.
Import it there where the most benefit is
The General Hospital of the Three Armed Forces that introduced RFID in the inpatient ward, of course, did not rush to build an RFID system in order to catch up with the epidemic. Instead, it followed the correct system introduction process. Before RFID was built, it was carefully evaluated and the target was determined, and then decided which one to organize in. Link import.
The hospital is so big, why choose to introduce RFID in the inpatient ward? Huang Yuanjie, director of the Information Management Department of the General Hospital of the Tri-Services, pointed out that before the General Hospital of the Tri-Services used RFID in the inpatient ward, the hospital had already conducted RFID application trials in the emergency room, operating room, and baby room. After multi-point application testing and benefit evaluation, considering that the inpatient ward can get a greater benefit, it was finally decided to introduce it in the inpatient ward.
Huang Yuanjie further explained that where to import RFID, it is mainly evaluated by Key Performance Indicators (KPI). Although it is said that the introduction of RFID in emergency rooms, surgical wards, and inpatient wards is all to achieve patient safety, but because The use of RFID in the inpatient ward takes a long time and the medical procedures involved are more complicated, so it was decided to use it in the inpatient ward.
For example, Huang Yuanjie said that each emergency patient stays in the hospital for an average of only 4 hours, and some even leave within an hour, but each inpatient has an average hospital stay of 9 days. RFID tags of the same price are used on inpatients. Of course it will be more time-efficient. Comparing the operation room with the hospitalization, if it is used for the patients in the operation room, because RFID is not used from the source, there may be insufficient patient data. In contrast, for the inpatients, because the patients are hospitalized From that moment, all relevant information is fully grasped.
Analyzing the use link again, emergency patients may leave after bandaging their wounds, but for inpatients, medical behaviors may include examination, examination, surgery, and medication. The staff involved include doctors, nurses, and medical technicians. Because the links and personnel involved are more complicated, the possibility of negligence is relatively high. Therefore, the introduction of RFID on inpatients has a wider scope for improving medical safety.
RFID and HIS system integration
Since Huang Yuanjie believes that it is feasible to introduce RFID in inpatients, the hospital applied to the “Executive Yuan” science and technology advisory group for NT$13 million for specialties in order to save costs. The Tri-Service General Hospital introduced RFID applications, which are mainly integrated with the back-end Healthcare Information System (HIS) of the hospital, including the nursing system, drug management system, and radiology department management system in the HIS system, which can all be integrated and applied. As for the RFID hardware and software, since most information personnel are less involved in RFID, the General Hospital of the Three Armed Forces has outsourced software companies to develop RFID applications and integrate back-end systems.
The RFID tags used by the General Hospital of the Three Armed Forces are active high-frequency tags. Since the price of active RFID tags is not cheap, Huang Yuanjie asked if it is possible to recycle RFID. He said that he was concerned about the possibility of disease transmission. Therefore, every one Used RFID tags cannot be reused; once, the hospital also considered whether to use disinfection to make RFID reusable. However, disinfection must be done at high temperatures, which cannot withstand RFID. In addition, the disinfection work is troublesome and does not cover the cost. Finally, give up the idea of reuse.
Use RFID instead of manual to improve medical safety
At present, the application process of the RFID system of the General Hospital of the Three Armed Forces starts from the process of hospitalization, to the process of medical care and treatment, and even to discharge. The expected goals include: strengthening the identification of patients in clinical care, maintaining the safety of hospitalization, improving the quality of patient medical care, and improving patient satisfaction To improve the work efficiency of medical staff, and count the efficiency of using high-priced instruments.
The General Hospital of the Three Armed Forces first uses RFID in the inpatient ward on the 13th to 15th floors. The nursing operation process in the ward includes: outpatient confirmation→inpatient counter→entering the ward→making a hand ring→inspection room→operating room→recovery room→returning to the ward→discharging Etc., in the absence of RFID, all work processes are manual operations, starting from the patient’s hospitalization procedures, including manual identification of the patient’s identity, manual filling of the hand circle, manual preparation of medicine, manual drug delivery, manual reminder of important nursing work As well as the time when the specimen was collected by the person attacking and recording the specimen. Since it is all performed manually, Huang Yuanjie said that errors are more likely to occur.
After using RFID, the patient will be put on the RFID tag immediately after completing the hospitalization procedures. Through the automatic scanning function of the RFID tag, many original manual tasks can be replaced, such as RFID identification of the patient, RFID tag instead of manual filling in the hand circle , And the application of RFID-integrated mobile nursing vehicle can be used to prepare and administer medicines by computer, supplemented by pictures of medicines for verification, and remind the nursing staff of important tasks through the computer, and the computer records the time of specimen collection and prints labels. In addition, patients who use RFID tags can also have computers equipped with RFID readers near the ward to automatically inquire about the hospitalization expenses and know what to do or have already done.
There are many ward security links that can be improved by RFID. Take the medicine preparation and drug delivery process as an example. Through RFID+mobile nursing car, when preparing medicine, nurses can use the RFID patient safety system to find out according to the patient’s medicine preparation information. The photo of the medicine. The photo mainly provides the nursing staff to confirm whether the medicine is wrong, and then go to the ward to administer the medicine. In the ward, the nursing staff will first confirm the identity of the patient with RFID before administering the medicine. The personnel can find out the drug attributes on the RFID patient safety system for the nurses to inquire and answer the patient’s questions.
In fact, after the system went live, it did not mean that the project was over. Huang Yuanjie said that the nursing department of the unit later derives many needs, such as hoping to integrate the system with the safety management of patient specimen collection. In addition to the needs of users, the Ministry of Information should also think about how to expand the benefits of the RFID system; in the future, the General Hospital of the Three Armed Forces will use RFID in the scope of radiological inspection safety management.
Integrating radiological examination management system (RIS) and medical imaging and acquisition and transmission (Picture Archiving and Communication System; PACS) PACS system through RFID, in addition to verifying the identity of patients to be examined and integrating radiology patient scheduling, It is also possible to grasp the utilization rate of the instrument and perform cost-benefit analysis of the instrument. However, Huang Yuanjie emphasized that since the current RFID implementation ward has not been expanded to the whole hospital, this application is not yet feasible.
Huang Yuanjie finally said that the main function of RFID is to provide identification, and the most important job of the information department is how to link the identification function of RFID with the enterprise back-end information system, so as to take advantage of the benefits of RFID identification.
Schematic diagram of wearing RFID process:
1. The patient reports to the inpatient counter
2. Establishment of basic patient data
3. The basic information of the patient is established, and the RFID tag is listed in the system
4. Deliver RFID wristbands to patients or family members
5. The patient reports to the nursing station
6. The patient goes to the first nursing station of the ward to go through the hospitalization procedures and deliver the RFID hand ring to the nursing staff
7. The nursing staff check whether the RFID wristband and HIS data are consistent and encrypt it
8. Nursing staff wear RFID wristbands for patients
◎Schematic diagram of medicine preparation and administration application:
1. Nursing staff prepare medicine daily
2. The RFID patient safety system can take out the drug photos based on the patient’s drug preparation information
3. Provide drug attributes for nurses to inquire and patients’ questions about drugs
4. Nursing staff conduct daily administration
5. Nursing staff read the RFID wristband to confirm the identity of the patient
6. Nursing staff give medication
[ad_2]
