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Improving Patient Safety and Control in Operating Room by Leveraging RFID Technology

Abstract

Patient safety has become a growing concern in health care. The U.S. Institute of Medicine (IOM) report "To Err Is Human: Building a Safer Health System" in 1999 included estimations that medical error is the eighth leading cause of death in the United States and results in up to 100,000 deaths annually. However, many adverse events and errors occur in surgical practice. Within all kinds of surgical adverse events, wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events are the most devastating, unacceptable, and often result in litigation. Much literature claims that systems must be put in place to render it essentially impossible or at least extremely difficult for human error to cause harm to patients. Hence, this research aims to develop a prototype system based on active RFID that detects and prevents errors in the OR. To fully comprehend the operating room (OR) process, multiple rounds of on site discussions were conducted. IDEF0 models were subsequently constructed for identifying the opportunity of improvement and performing before-after analysis. Based on the analysis, the architecture of the proposed RFID-based OR system was developed. An on-site survey conducted subsequently for better understanding the hardware requirement will then be illustrated. Finally, an RFID-enhanced system based on both the proposed architecture and test results was developed for gaining better control and improving the safety level of the surgical operations.

참고문헌 (6)

  1. Kohn, L. T., Corrigan, J. M., and Donaldson, M. S. (2000), To Err is Human, Building a Safer Health System, National Academy Press, Washington, DC 
  2. Seiden, S. C. and Barach, P. (2006), Wrong-Side/Wrong-Site, Wrong-Procedure, and Wrong-Patient Adverse Events, Archives of Surgery, 141(9), 931-939 
  3. Bates, D. W. (2004), Using information technology to improve surgical safety, British journal of surgery, 91(8), 939-940 
  4. Gawande, A. A., Zinner, M. J., Studdert, D. M., and Brennan, T. A. (2003), Analysis of errors reported by surgeons at three teaching hospitals, Surgery, 133(6), 614-621 
  5. Institute of Medicine (2001), Committee on Quality of Health Care in America, Crossing the Quality Chasm: A New Health Care System for the 21st Century, National Academy Press, Washington, DC 
  6. The Joint Commission: The Joint Commission Home Page, http://www.jointcommission.org 

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