Jerry Fahrni

Tag: RFID

  • 4 technologies every hospital pharmacy should be using right now

    There are lots of useful technologies out there for pharmacies, but I see precious few being put to good use. Why? Oh, who the heck knows. It’s a mystery to me. People whine all the time about how bad pharmacy operations are, but they never do anything to fix it. Human nature I suppose. If I were a DOP or CPO I’d be using anything and everything I could get my hands on to improve operations and make life easier for my pharmacists, and in turn easier for “pharmacy” and nursing, which in theory leads to better patient care. It’s the great circle of life. Sort of.

    Here are four things I think every hospital pharmacy should be using, in no particular order:
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  • Infographic for future of RFID

    Found this little jewel over at the ThinkMagic website.

    According to the commentary: “There is no doubt that over the next decade, RFID systems will become an integral part of the consumer and business experience. The convergence of wireless technologies will be augmented by RFID systems. The development of passive RFID as part of this platform will be driven by the potential to measure, report and monetize a growing number of transactions in the physical world.  Purpose-built systems will incorporate passive sensors and computational systems will emerge.  In certain applications, it is hard to imagine everyday physical objects without “built-in” RFID.” – RFID is one of those technologies that should be used more in healthcare, but isn’t. It’s inexplicable.
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  • Saturday morning coffee [July 28 2012]

    So much happens each and every week that it’s hard to keep up sometimes. Here are some of the taps that are open in my browser this morning along with some random thoughts….

    The coffee mug to the right isn’t a coffee mug at all, it’s a coffee cup from the Starbucks in the lobby of our hotel. The Fahrni crew is on vacation this week. We’re running all over Texas having a great time. Feel free to read about what we’ve been up to here.

    - Dark Knight Rises was #1 at the box office last weekend. My family and I saw it. Good movie, but I was a little disappointed. The movie fell short in several areas in my opinion.

    – I’ve heard an awful lot about the Olympics this week. Is it just me or are the Olympics losing their appeal? I can’t seem to muster any interest. However, it you have an interest in keeping up with the Olympics you can always do so on your smartphone with this list of Olympics 2012 Android and iOS Apps at Lockergnome.
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  • RFID tracking of refrigerated meds in the pharmacy

    I don’t understand why RFID technology isn’t used more frequently in pharmacies. I’ve talked with a few people about RFID technology, and there’s really not much interest. It’s a shame really.

    Consider this:
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  • RFID refrigerated storage

    Think high-value items in a pharmacy refrigerator. Just sayin’

     

  • RFID technology to monitor football players to prevent overheating on the field

    This is simply cool. There’s no other way to put it.

    Barcode.com: “On the football field, for example, heat prostration has led to several fatalities over the past few years. The problem starts during pre-season practices that take place under the intense summer sun. Identec has already developed a headband with an embedded heat-sensing chip. The RFID chips embedded in helmets developed by HotHead Technologies, combine RFID with a heat-sensing thermistor, offering plenty of range.”

    From the hotheads technology website:

    The H.O.T. System is a patent-pending, two-component package that embeds a heat sensing unit inside the helmet of an individual and collects and relays periodic temperature readings from that person’s skin to a portable data collector (A ruggedized PDA or Laptop Computer). The portable device is used to alert the individual or an observer that the person has exceeded an allowable temperature while the subject’s helmet is on.

    If skin temperature ranges outside of the set parameters then the data collector will alert the sensor unit in the helmet to take temperature readings at a faster rate. The alert will be displayed on the data collector so the operator of the data collector can make a decision on whether to stop the current activity and seek to receive further observation from a professional and take measures to cool their temperature down. The alert will be automatically removed from the data collector as soon as the skin temperature falls back into the normal parameters.

    There’s also a short video that shows the basic idea here.

  • #HIMSS12 Day 3

    Actually Day 3 was yesterday, but I’m just now getting around to putting some thoughts on paper.

    Best session I attended was Care Coordination in Practice: Managing Data Volume and Data
    Reconciliation    . The presentation was all about big data and how we’re failing to use it appropriately in healthcare. The slide deck was great. It’s available here if you’re interested.

    A couple of things I found interesting in the presentation:

    1. There are approximately 1-2 billion clinical documents produced in the United States each year. That’s mind boggling if you stop and think about for a minute.
    2. More than 60% of key clinical data are not found in coded lists.The remainder of the information is found in free text, scanned documents, etc. That’s a problem because a lot of clinical decision support is based on information in coded lists. So what are we missing? A lot.

    The takeaway from the presentation: “Get massive amounts of data flowing, then build structure slowly and incrementally. Don’t wait.” The presenter referred to this as “the Google approach to data”. I’m a fan of all things Google so that works for me.

    I had coffee with Pauline Sweetman yesterday (@psweetman). Pauline is a pharmacist from the UK that I’ve been tweeting back and forth with for a couple of years. We had a pretty interesting conversation around the differences and similarities between hospital pharmacy practice in the U.S. and UK. Good stuff.

    I also had a great conversation with Dr. Heather Leslie (@omowizard), a physician out of Melbourne, Austrialia that’s doing a lot of work with the openEHR project. During our short visit she persuaded me to participate in their Adverse Reaction archetype review; as a pharmacist of course.She’s always looking for additional help if anyone is interested. It’s a worthwhile project so at least have a look.

    I spent more time roaming around the exhibitor area, specifically looking at RFID technology. I’m a fan of RFID, but it doesn’t seem to be catching on in healthcare. There are several reasons why, but we should still be looking hard at it’s application. I’m not sure whether RFID will become important or it it’s a bridge technology to something else. But the only way to find out is start using it and see where it goes.

    One product that uses RFID technology that I found particularly interesting comes from a company called MEPS Real Time, Inc. Their product features a dispensing cabinet with real-time RFID driven inventory management to go along with a RFID med tray tracking system. Of course you wouldn’t use RFID for everything because it would be labor intensive and expensive, but for high dollar drugs it might make sense. It was pretty impressive.

    MEPS_HIMSS12

  • RFID-initiated workflow control [article]

    RFID-initiated workflow control to facilitate patient safety and utilization efficiency in operation theater1

    Abstract
    Objective
    To control the workflow for surgical patients, we in-cooperate radio-frequency identification (RFID) technology to develop a Patient Advancement Monitoring System (PAMS) in operation theater.
    Methods
    The web-based PAMS is designed to monitor the whole workflow for the handling of surgical patients. The system integrates multiple data entry ports Across the multi-functional surgical teams. Data are entered into the system through RFID, bar code, palm digital assistance (PDA), ultra-mobile personal computer (UMPC), or traditional keyboard at designated checkpoints. Active radio-frequency identification (RFID) tag can initiate data demonstration on the computer screens upon a patient’s arrival at any particular checkpoint along the advancement pathway.
    Results
    The PAMS can manage the progress of operations, patient localization, identity verification, and peri-operative care. The workflow monitoring provides caregivers’ instant information sharing to enhance management efficiency.
    Conclusion
    RFID-initiate surgical workflow control is valuable to meet the safety, quality, efficiency requirements in operation theater.

    I like the concept that the article presents, but take a look in the methods section and note the presence of “palm digital assistance (PDA)”. That made me a little suspicious about the age of the article. Even though it was published in December 2011, it was received by the journal December 4, 2009; received in revised form August 16, 2010; accepted August 27, 2010 and finally published more than a year later in December 2011. So it took two years from the time the article was received until it was published. This just fuels my opinion that methods used to disseminate medical and scientific information is completely outdated.

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    1. Computer Methods and Programs in Biomedicine Vol. 104, Issue 3, Pages 435-442, December 2011

  • Cool Pharmacy Technology–KitCheck

    Anyone that’s ever worked in an acute care pharmacy knows about med trays, code trays, transport boxes, intubation kits, etc. They’re a bit of a headache because all the medications inside each kit has to be manually manipulated and tracked, including the dreaded lot number and expiration date of everything in the trays.

    Well, KitCheck is a system that uses RFID technology to track the medications found in all those different med trays, code boxes, etc. I thought it was pretty cool. It’s a great idea. Wish I would have thought of it.

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  • Metal RFID tags for surgical instruments

    Barcode.com:

    imageThe problem addressed by metal RFID of forgotten surgical tools, sponges and towels is a serious one. The Healthcare Informatics Company found in 2008 that in one out of every eight operations, surgical tools are not properly accounted for. Other statistics indicate such items are left inside a patient’s body in between 1 out of every 1,000 and 1 out of every 5,000 operations. When this happens, they can cause infections and require additional operations, putting a patient’s health at risk and costing a hospital time and money. Until now, hospital operating table personnel had to manually count each small item.

    The solution comes from a new generation of small RFID tags. These new metal RFID tags are robust enough to be inserted into surgical instruments, towels and sponges at the time of manufacture and can be read from distances of up to two meters. However, they remain compatible with, and safe for the human body. Xerafy, a Hong Kong company specializing in this technology, has recently introduced a new range of such RFID metal tags. Now RFID for surgical instruments allows them to be tracked automatically, through the operation itself and even throughout sterilization and disposal.

    Xerafy offers a couple of whitepapers on the subject worth reading. They can be found here.