Literature Review - NSW Department of Health

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Literature review

Literature search provided by the NSW Department of Health Library.

Articles available full-text through the Library are generally marked and can be retrieved from your

own desktop – search the journal’s name in the catalogue at

http://internal4.health.nsw.gov.au/eureka/index.html and follow the links.

To order any other articles, please use the “Request Article” link in the Library catalogue at

http://internal4.health.nsw.gov.au/eureka/loginLMSID.jsp?

callFrom=toc&callWhat=addCustomRefArticle.jsp .

Further information is also available in the CIAP website providing access to over 400 resources

including full text journals and databases for staff working in the NSW public health system.

Literature search provided by the NSW Department of Health Library.

Is this the right patient? An educational initiative to improve compliance with two patient identifiers.

Implementation of patient safety strategies in European hospitals.

Designing evidence-based patient safety interventions: the case of the UK 's National Health Service

hospital wristbands.

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding

wristband identification of hospital inpatients.

Identify yourself. Using palm vein scanning to ID patients fits right in with the innovative culture at

BayCare.

Who are you? Plucked from science fiction, palm-vein patient authentication is a cutting-edge

technology that can yield major cost avoidance.

Patients tracking and identifying inside hospital: a multilayer method to plan an RFId solution.

Design of RFID based the Patient Management and Tracking System in hospital.

Hospital automation system RFID-based: technology embedded in smart devices (cards, tags and

bracelets).

RFID in the healthcare supply chain: usage and application.

Verifying patient identity and site of surgery: improving compliance with protocol by audit and

feedback.

Medical errors and patient safety. Issue brief.

Smart health cards or health smart cards?[comment].

Health smart cards: differing perceptions of emergency department patients and staff.

Radio frequency identification.

Identity in the palm of your hand.

10/28/2010 Literature review - NSW Department of…

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Unique health ID numbers could aid quality, efficiency.

Swiping savings. MGMA renews push for machine-readable ID cards.

Testing potential interference with RFID usage in the patient care environment.

Much ado about RFID.

Mixed signals. Highlighting potential dangers of RFID in hospitals. Interview by Alan Joch.

Wristband standardization: why we aren't there yet.When a patient has no identification.

Wristband standardization: why we aren't there yet.

'Smart card' speeds triage, boosts safety.

Maximizing patient safety utilizing effective patient identification and image labeling practices .

Ethical implications of implantable radiofrequency identificat ion (RFID) tags in humans.

A new method to guard inpatient medication safety by the implementation of RFID.

Patient misidentification in oncology care.

The challenging nature of patient identifiers: an ethnographic study of patient identification at a

London walk-in centre.

Complying with the 2008 National Patient Safety Goals.

Improving patient safety--everyone's job. Patient identification: an example of how the wrong man

got a bath!.

RFID systems in healthcare. Emerging uses and potential issues.

What are the benefits and risks of fitting patients with radiofrequency identification devices

Patient identification.

Color wristband program seeks to reduce errors.

Risk management. Safety advocates seek to end confusion over color-coded wristbands

Real ID Act and Radio Frequency Identification Devices (RFID): the future of patient identification?.

Technology. Hospitals now use palm readers for patient identification. Registration may be

streamlined, but some wonder if it's worth the cost.

Radio frequency identification for prevention of bedside errors.

Application of bar code technology at the bedside: the Oxford experience.

Hospitals must standardise patients' wristbands to reduce risk of wrong care.

Auto identification technology and its impact on patient safety in the Operating Room of the Future.

This year's models. A look at patient ID in the four newly demonstrated NHIN prototypes.

Identifying patients in hospital: are more adverse events waiting to happen?.

Patient identification: hybrids and doppelgangers.

Is this the right patient? An educational initiative to improve compliance with two patient

identifiers.





Mollon DL, Fields WL

Journal of Continuing Education in Nursing. 40(5):221-7, 2009 May.

A rehabilitation nursing unit implemented an educational initiative to improve compliance with two

patient identifiers. The education consisted of a poster presentation and then, 2 months later, a

mandatory in-service education program. Compliance with two patient identifiers improved, although

more improvement was demonstrated after the mandatory in-service. The results of this performance

improvement project suggest that investing time and money in safety initiatives improves staff

practice patterns.

Implementation of patient safety strategies in European hospitals.

Sunol R, Vallejo P, Groene O, Escaramis G, Thompson A, Kutryba B, Garel P

Quality & Safety in Health Care. 18 Suppl 1:i57-61, 2009 Feb.

CONTEXT: This study is part of the Methods of Assessing Response to Quality Improvement

Strategies (MARQuIS) research project on cross-border care, investigating quality improvement

strategies in healthcare systems across the European Union (EU). AIM: To explore to what extent a

sample of acute care European hospitals have implemented patient safety strategies and mechanisms

and whether the implementation is related to the type of hospital. METHODS: Data were collected on

patient safety structures and mechanisms in 389 acute care hospitals in eight EU countries using aweb-based questionnaire. Subsequently, an on-site audit was carried out by independent surveyors

in 89 of these hospitals to assess patient safety outputs. This paper presents univariate and bivariate

statistics on the implementation and explores the associations between implementation of patient

safety strategies and hospital type using the chi(2) test and Fisher exact test. RESULTS: Structures

and plans for safety (including responsibilities regarding patient safety management) are well

developed in most of the hospitals that participated in this study. The study found greater variation

regarding the implementation of mechanisms or activities to promote patient safety, such as

electronic drug prescription systems, guidelines for prevention of wrong patient, wrong site and wrongsurgical procedure, and adverse events reporting systems. In the sample of hospitals that underwent

audit, a considerable proportion do not comply with basic patient safety strategies--for example,

using bracelets for adult patient identification and correct labelling of medication.

Nursing Management. 40(4):37-41, 2009 Apr.

[back to top

Designing evidence-based patient safety interventions: the case of the UK 's National Health

Service hospital wristbands.

Sevdalis N, Norris B, Ranger C, Bothwell S, Wristband Project Team

Journal of Evaluation in Clinical Practice. 15(2):316-22, 2009 Apr.

RATIONALE, AIMS AND OBJECTIVES: Current evidence suggests that hospital inpatient identification

wristbands are not used optimally. Here we report a project by the National Patient Safety Agency

(NPSA) to inform guidance development to hospitals regarding wristband specifications. METHOD: Asurvey assessed (i) the information on wristbands; (ii) the processes of issuing/checking/applying

wristbands onto patients; (iii) the types/designs of wristbands (including colour-coding); and (iv) the

main problems faced by staff face in relation to wristbanding patients. RESULTS: Responses from 166

staff members from 62 hospitals in England and Wales were collected. Information: most participants

reported using the patients' first and last names, their date of birth and their local hospital number.

The National Health Service (NHS) number, which is a unique identifier for each patient, is used by

37% of the respondents. Issuing process: wristbands are issued on admission or at Emergency

Departments. Trained or untrained staff are involved in issuing/checking/applying wristbands onto

patients, without significant problems. Colour-coding: 29/36 multiple-respondent hospitals and 15/16

single-respondent hospitals use colour-coded wristbands to indicate spec ial patient status (e.g.

allergies). Colour-coding is not used consistently: four colours are used to signal risk of fall; red is





used to signal at least 10 different statuses/risks. CONCLUSION: The NPSA recommends that

wristbands should include patient's last and first name, date of birth and NHS number. They should be

printed/written in black against white background. Only red colour should be used to signal special

patient status. These recommendations are consistent with current developments in patient

identification, and will be evaluated.

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance

regarding wristband identification of hospital inpatients.

Sevdalis N, Norris B, Ranger C, Bothwell S, Wristband Project Team

Journal of Evaluation in Clinical Practice. 15(2):311-5, 2009 Apr.

RATIONALE, AIMS AND OBJECTIVES: Wristbands are essential for accurate patient identification.

Some evidence suggests that missing wristbands is not an infrequent occurrence in acute hospitals.

The National Patient Safety Agency (NPSA) has developed guidance on patient identification forhospitals in England and Wales . Here we report an evaluation of the uptake of the guidance.

METHOD: The evaluation was designed as a 'pre-post' intervention survey. Fifty hospitals (response

rate 67%) responded to the 'pre-guidance' part and 40 hospitals (response rate 43%) responded to

the 'post-guidance' part. RESULTS: The majority of the hospitals use wristbands to identify

inpatients. Fifty-eight per cent of the hospitals in the 'pre-guidance' survey and 50% of them in the

'post-guidance' survey reported not having a patient identification policy before receiving the

guidance. Only one hospital reported not having developed such a policy in the 'post-guidance'survey. Ninety-eight per cent of the hospitals reported that their policies are consistent with the

guidance. Relevant training to staff is provided in about a quarter of the organizations, both before

and after the guidance. Problems in implementing the guidance were reported by 23% of the

hospitals, and included difficulties with staff or patient att itudes, or with the guidance itself, or

difficulty to identify a lead staff member. CONCLUSION: Overall, implementation of NPSA guidance

regarding inpatient identification was satisfactory. The reported problems should be taken into

account, as they likely apply to a range of patient safety interventions. Limitations of evaluatingintervention uptake, rather than efficacy, and relying on self-report are discussed.

[back to top

Identify yourself. Using palm vein scanning to ID patients fits right in with the innovative

culture at BayCare.

Lawrence D

Healthcare Informatics. 26(4):42-5, 2009 Apr.

Quickly identifying patients can give a new EMR more bang for the buck. If you don't have all the

answers, reach out via the Internet and networking. Using a novel approach to demonstrate a new

technology to the organization can have fantastic results. Clarity around patient identification leads

to continuity in care. The culture of innovation starts at the top. An offsite with speakers can

encourage innovative thought. Originality and creativity go hand in hand with risk. Rewarding

behaviors and celebrating success lead to a culture of innovation.

Who are you? Plucked from science fiction, palm-vein patient authentication is a cutting-edge technology that can yield major cost avoidance.

Lawrence D

Healthcare Informatics. 26(3):32, 34-5, 2009 Mar.

Palm vein authentication is a very accurate form of biometric patient identification. One ROI is cost

avoidance of adverse events due to incorrect medical records. Biometrics can position a hospital as a

technology leader in the community. Cradles for scanning the hand should be adjusted depending on

the patient's point of entry. CIOs who are using it say it is an easy implementation with low

maintenance and training.





Patients tracking and identifying inside hospital: a multilayer method to plan an RFId solution

Iadanza E, Dori F, Miniati R, Bonaiuti R

Conference Proceedings: ... Annual International Conference of the IEEE Engineering in Medicine &

Biology Society. 2008:1462-5, 2008.

This paper shows a method to get a patient tracking RFId solution, basing on a multilayer planning

architec ture. This approach is thought to guarantee that the found technical solution is as much as

possible coherent to the very initial idea. Project aims, functional requirements and technical

constraints are defined in order to arrive to an active RFId solution to track and identify patientsinside a hospital. The article also deals with economical issues and physical design aspects. In this

work it's also defined a three phases process for patient tracking, that could serve as a guideline for

different technical solutions to the same problem.

[back to topDesign of RFID based the Patient Management and Tracking System in hospital.

Kim DS, Kim J, Kim SH, Yoo SK


Biology Society. 2008:1459-61, 2008.

The patient location information in managing for patient workflow will be worked efficiently within thehospital. We designed the Patient Management and Tracking System (PMTS) based on RFID with

RSSI(Received Signal Strength Indication) method. This system is able to track the movement of

patient in hospital, and manage the waiting-list of patients at a medical office. Therefore, we are

sure that the PMTS will be useful for decreasing a duty of medical staff and increase a convenience

of patients.

Hospital automation system RFID-based: technology embedded in smart devices (cards,tags and bracelets).

Florentino GH, Paz de Araujo CA, Bezerra HU, Junior HB, Xavier MA, de Souza VS, de M Valentim RA,

Morais AH, Guerreiro AM, Brandao GB


Biology Society. 2008:1455-8, 2008.

RFID is a technology being adopted in many business fields, especially in the medical field. This work

has the objective to present a system for automation of a hospital clinical analysis laboratory. This

system initially uses c ontactless smart cards to store patient's data and for authentication of hospita

employees in the system. The proposed system also uses RFID tags stuck to containers containing

patient's collected samples for the correct identification of the patient who gave away the samples.This work depicts a hospital laboratory workflow, presents the system modeling and deals with

security matters related to information stored in the smart cards.

Identity in the PALM of your hand.

McBride M

Mlo: Medical Laboratory Observer. 41(2):22-3, 2009 Feb

[back to top

RFID in the healthcare supply chain: usage and application.

Kumar S, Swanson E, Tran T

International Journal of Health Care Quality Assurance. 22(1):67-81, 2009.

PURPOSE: The purposes of this study are to first, determine the most efficient and cost effective

portions of the healthcare supply chain in which radio frequency identification devices (RFID) can be





implemented. Second, provide specific examples of RFID implementation and show how these businessapplications will add to the effec tiveness of the healthcare supply chain. And third, to describe the

current state of RFID technology and to give practical information for managers in the healthcare

sector to make sound decisions about the possible implementation of RFID technology within theirorganizations. DESIGN/METHODOLOGY/APPROACH: Healthcare industry literature was reviewed and

examples of specific instances of RFID implementation were examined using an integrated simulation

model developed with Excel, @Risk and Visio software tools. FINDINGS: Analysis showed that the

cost of implementing current RFID technology is too expensive for broad and sweeping implementation

within the healthcare sector at this time. However, several example applications have been identified

in which this technology can be effectively leveraged in a cost-effective way. PRACTICALIMPLICATIONS: This study shows that RFID technology has come a long way in the recent past and

has potential to improve healthcare sector productivity and efficiency. Implementation by large

companies such as Wal-mart has helped to make the technology become much more economical in its

per unit cost as well as its supporting equipment and training costs. ORIGINALITY/VALUE: The

originality of this study lies in the idea that few practical and pragmatic approaches have been taken

within the academic field of study for the implementation of RFID into the healthcare supply chain.

Much of the research has focused on specific companies or portions of the supply chain and not the

entire supply chain. Also, many of the papers have discussed the future of the supply chain that isheavily dependent on advances in RFID technology. A few viable applications of how RFID technology

can be implemented in the healthcare supply chain are presented and how the current state of

technology limits the broad use and implementation of this technology in the healthcare industry.

Verifying patient identity and site of surgery: improving compliance with protocol by audit

and feedback

Garnerin P, Ares M, Huchet A, Clergue F

Quality & Safety in Health Care. 17(6):454-8, 2008 Dec.

BACKGROUND: The potential severity of wrong patient/procedure/site of surgery and the view that

these events are avoidable, make the prevention of such errors a priority. An intervention was set up

to develop a verification protocol for checking patient identity and the site of surgery with periodic

audits to measure compliance while providing feedback. ASSESSMENT OF PROBLEM: A nurse auditor

performed the compliance audits in inpatients and outpatients during three consecutive 3-month

periods and three 1-month follow-up periods; 11 audit criteria were recorded, as well as reasons fornot performing a check. STRATEGY FOR CHANGE: The nurse auditor provided feedback to the health

professionals, including discussion of inadequate checks. RESULTS: 1,000 interactions between

patients and their anaesthetist or nurse anaesthetist were observed. Between the first and second

audit periods compliance with all audit criteria except "surgical site marked" noticeably improved, such

as the proportion of patients whose identities were checked (62.6% to 81.4%); full compliance with

protocol in patient identity checks (9.7% to 38.1%); proportion of site of surgery checks carried out

(77.1% to 92.6%); and full compliance with protocol in site of surgery checks (32.2% to 52.0%).

Thereafter, compliance was stable for most criteria. The reason for failure to perform checks of

patient identity or site of surgery was mostly that the anaesthetist in charge had seen the patient at

the preanaesthetic consultation. LESSONS AND MESSAGES: By combining the implementation of a

verification protocol with periodic audits with feedback, the intervention changed practice and

increased compliance with patient identity and site of surgery checks. The impact of the interventionwas limited by communication problems between patients and professionals, and lack of collaboration

with surgical services.

[back to top

Medical errors and patient safety. Issue brief.

Whitehead A

Issue Brief - Health Policy Tracking Service. :1-21, 2009 Jan 5

Smart health cards or health smart cards?[comment].





Leggat SG

Australian Health Review. 33(1):3, 2009 Feb.

Health smart cards: differing perceptions of emergency department patients and staff

Mohd Rosli R, Taylor DM, Knott JC, Das A, Dent AW

Australian Health Review. 33(1):136-43, 2009 Feb.

An analytical, cross-sectional survey of 270 emergency department patients and 92 staff undertakenin three tertiary referral hospital emergency departments was completed to compare the perceptions

of patients and staff regarding the use of health smart cards containing patient medical records. The

study recorded data on a range of health smart card issues including awareness, privacy,

confidentiality, security, advantages and disadvantages, and willingness to use. A significantly higher

proportion of staff had heard of the card. The perceived disadvantages reported by patients and

staff were, overall, significantly different, with the staff reporting more disadvantages. A significantly

higher proportion of patients believed that they should choose what information is on the card and

who should have access to the information. Patients were more conservative regarding what

information should be included, but staff were more conservative regarding who should have access

to the information. Significantly fewer staff believed that patients could reliably handle the cards.

Overall, however, the cards were considered acceptable and useful, and their introduction would be

supported.

Radio frequency identification.

Westra BL

American Journal of Nursing. 109(3):34-6, 2009 Mar

Identity in the palm of your hand.

McBride M

Health Management Technology . 30(1):16-9, 2009 Jan.

You can access recent issues of this journal online - contact the Library for a password. Click here togo to the journal: http://proquest.umi.com/pqdweb?TS=1092025720&clientId=67476&RQT=317

[back to top

Unique health ID numbers could aid quality, efficiency.

anonymous

Hospitals & Health Networks. 82(12):48, 2008 Dec.

You can access recent issues of this journal online - contact the Library for a password. Click here to

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Swiping savings. MGMA renews push for machine-readable ID cards.

Robeznieks A

Modern Healthcare. 39(2):32, 2009 Jan 12.

Testing potential interference with RFID usage in the patient care environment.

Christe B, Cooney E, Maggioli G, Doty D, Frye R, Short J

Biomedical Instrumentation & Technology. 42(6):479-84, 2008 Nov-Dec.

The use of radio frequency identification (RFID) equipment in the clinical setting has become

prevalent. The exploration of the potential interactions between the equipment used to implement





RFID and medical devices is vital to ensure safe and effective use of both the tracking technology

and the patient care equipment. This study examines the effects of two common RFID antennas,

Near-Field and Far-Field, and five general types of patient care equipment. Data were collected

regarding the function of the patient care equipment in the fields of the antennas. No device

performance alterations were observed.

Much ado about RFID.

DiConsiglio J

Materials Management in Health Care. 17(11):28-30, 2008 Nov.

[back to topMixed signals. Highlighting potential dangers of RFID in hospitals. Interview by Alan Joch.

Berwick DM

Materials Management in Health Care. 17(11):15-7, 2008 Nov.


anonymous

Healthcare Benchmarks & Quality Improvement . 15(12):131-2, 2008 Dec

When a patient has no identification.

Shore E

Medical Economics. 85(19):38, 2008 Oct 3


anonymous

Hospital Peer Review . 33(11):147-8, 2008 Nov.

'Smart card' speeds triage, boosts safety.

anonymous

Ed Management. 20(10):115-6, 2008 Oct.

An internally developed 'smart card' and a kiosk equipped with an electronic reader have helped

Wellington (FL) Regional Medical Center speed up its triage process considerably. The new technology

is extremely popular with the staff, as well as with the patients. Here are some of its benefits:Patients who have the card don't need to provide a detailed history every time they visit the ED.

Nurses don't have to type in the patient's medical information. It automatically "populates" their

computer screen. Security is maintained, because the information is stored in a database, and not onthe card.

[back to top

Maximizing patient safety utilizing effective patient identification and image labeling

practices.

Aloisio JJ

Radiology Management. 30(5):54-9, 2008 Sep-Oct.

Proper patient identification in the radiology setting is increasingly being recognized as a widespread

safety issue. This article discusses the corrective action taken when a mislabeled portable image

contributed to a patient's demise. Annual bedside portable exams at North Shore University Hospital

exceed 60,000 procedures. Managing workload of this volume is extremely difficult and requires





effective patient identification policies and procedures to ensure patient safety. Developing a safety

culture across the radiology department is a critical component of patient safety. Staff education and

ongoing re-enforcement of safety principles are fundamental elements to a successful program.

Ethical implications of implantable radiofrequency identification (RFID) tags in humans

Foster KR, Jaeger J

American Journal of Bioethics. 8(8):44-8, 2008 Aug.

This article reviews the use of implantable radiofrequency identification (RFID) tags in humans,focusing on the VeriChip (VeriChip Corporation, Delray Beach, FL) and the associated VeriMed patient

identification system. In addition, various nonmedical applications for implanted RFID tags in humanshave been proposed. The technology offers important health and nonhealth benefits, but raises

ethical concerns, including privacy and the potential for coercive implantation of RFID tags in

individuals. A national discussion is needed to identify the limits of acceptable use of implantable RFID

tags in humans before their use becomes widespread and it becomes too late to prevent misuse of

this useful but ethically problematic technology.

A new method to guard inpatient medication safety by the implementation of RFID.

Sun PR, Wang BH, Wu F

Journal of Medical Systems. 32(4):327-32, 2008 Aug.

Since life is invaluable, the patient safety is always an important issue. How to reduce the

malpractices and advance the patient safety is the primary goal of many countries. The current

problem is that the hospitals cannot quickly and precisely identify the name of medicine, the position

of patient and staff and the servicing time and dosage taken by patients. The application of Radio

Frequency Identification (RFID) is rocketing in popularity as varieties of expanded uses. However, due

to the investment consideration, there are few cases that practically implement such a technology inhealthcare industries. This paper presents a Wisely Aware RFID Dosage (WARD) system, which based

on an integration of barcodes and RFID tags, to demonstrate effective and safe patient care

environment, for preventing the risk of medication error. Finally, through an evaluation of users'satisfaction, a reliability of 0.92 and a criterion-related validity of 0.82 show that this system is able

to effectively construct the patient-safety-centric environment.

[back to top

Patient identification in three acts.

Fernandes L, O'Connor M

Journal of Ahima. 79(4):46-9; quiz 51-2, 2008 Apr.

Patient misidentification in oncology care.

Schulmeister L

Clinical Journal of Oncology Nursing. 12(3):495-8, 2008 Jun.

Patients with cancer are at risk for patient misidentification, or "wrong patient" incidents. Patient

misidentification can result in medication and transfusion errors, unnecessary testing or procedures,

and, in some cases, death. Pat ients may be misidentified when nurses mispronounce their names,

refer to them by their first or last names only, are complacent and fail to check armbands, or

encounter language or communication barriers. Errors caused by patient misidentification can be

prevented when healthcare providers consistently use two unique patient identifiers (other than the

patient's room, examination, or chair number) to verify identities.

The challenging nature of patient identifiers: an ethnographic study of patient identification at

a London walk-in centre.





Lichtner V, Wilson S, Galliers JR

Health Informatics Journal. 14(2):141-50, 2008 Jun.

The correct identification of a patient's health record is the foundation of any safe patient record

system. There is no building of a ;patient history', no sharing or integration of a patient's data

without the retrieval and matching of existing records. Yet there can often be errors in this process

and these may remain invisible until a safety incident occurs. This article presents the findings of an

ethnographic study of patient identification at a walk-in centre in the UK . We offer a view of patient

identifiers as used in practice and show how seemingly simple data, such as a person's name or date

of birth, are more complex than they may at first appear and how they potentially pose problems forthe use of integrated health records. We further report and discuss a dichotomy between the

identifiers needed to access health records and the identifiers used by practitioners in their everyday

work.

Complying with the 2008 National Patient Safety Goals.

Catalano K, Fickenscher K

AORN Journal. 87(3):547-56, 2008 Mar.

In 2003, the joint commission began publishing National Patient Safety Goals (NPSGs) and requiringaccredited health care organizations to comply with these goals in an effort to reduce the number of

medical errors. THE NPSGS are updated yearly with new requirements to promote specific

improvements in patient safety. This article provides a review of the 2008 NPSGs and suggests waysin which information technology systems can address health care organizations' compliance with some

of these goals.


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[back to top

Improving patient safety--everyone's job. Patient identification: an example of how thewrong man got a bath!.

Reed AS

Home Healthcare Nurse. 26(2):140, 2008 Feb.

RFID systems in healthcare. Emerging uses and potential issues.

Dinh AK

Journal of Ahima. 79(1):62-3, 2008 Jan.

International Journal of Medical Informatics. 77(3):176-83, 2008 Mar.

BACKGROUND: Radio frequency identificat ion (RFID) is an emerging technology that is rapidly

becoming the standard for hospitals to track inventory, identify patients, and manage personnel.METHODS: Research involved qualitative methods including participant observation and interviews

with hospital staff members and industry consultants in the United States . RESULTS: Hospital staff,

especially nurses, expressed concern about the surveillance potential of these tracking technologies.

Additionally, nursing staff frequently experience an intensification of labor as a result of the

implementation of RFID systems because the task of keeping the systems operational often falls upon

them. CONCLUSIONS: The soc ial and organizational factors that contribute to the success or failure

of RFID systems in hospitals must be further analyzed. The implications of RFID systems, such as

privacy concerns and work intensification for nursing and other hospital staff, should be taken into

account from the outset, especially during the design and implementation of the technology.

What are the benefits and risks of fitting patients with radiofrequency identification devices





Levine M, Adida B, Mandl K, Kohane I, Halamka J

PLoS Medicine / Public Library of Science. 4(11):e322, 2007 Nov 27.

Background to the debate: In 2004, the United States Food and Drug Administration approved a

radiofrequency identification (RFID) device that is implanted under the skin of the upper arm of

patients and that stores the patient's medical identifier. When a scanner is passed over the device,

the identifier is displayed on the screen of an RFID reader. An authorized health professional can then

use the identifier to access the patient's clinical information, which is stored in a separate, secure

database. Such RFID devices may have many medical benefits--such as expediting identification of patients and retrieval of their medical records. But critics of the technology have raised several

concerns, including the risk of the patient's identifying information being used for nonmedical

purposes.

[back to top

Patient identification.

Thorpy MJ, Lieberman JA 3rd, Roth T, Owens GS

American Journal of Managed Care. 13(6 Suppl):S132-9, 2007 Nov.

The homeostatic sleep drive and circadian arousal, each opposing the other, form the neurobiological

bases of the sleep and wake states. Many factors can and do disrupt this cycle. Yet, excessivedaytime sleepiness is not only common, and it often goes unrecognized. It can contribute to

accidents, produce or exacerbate health conditions, reduce eff iciency and productivity, interfere with

social relationships, and diminish quality of life. The spectrum of common sleep disorders includes

circadian rhythm changes, shiftwork requirements, obstructive sleep apnea, narcolepsy, and difficulty

in initiating or maintaining sleep, also known as insomnia. In many cases, however, sleep deprivation

is the choice of the patient, chosen in response to long commutes, academic rigor, or occupational

matters. Regardless of the sleep disorder that a patient has, good sleep behavior or "sleep hygiene" is

essential.

Color wristband program seeks to reduce errors.

anonymous

Healthcare Benchmarks & Quality Improvement. 14(12):138-9, 2007 Dec.

Colorado collaborative adapts existing program to fit the needs of staff and patients. Focus is less on

the specific identifying device than on using the appropriate colors. Quality professionals develop the

program and oversee hospital implementation.

Risk management. Safety advocates seek to end confusion over color-coded wristbands

Rollins G

Hospitals & Health Networks. 81(10):14, 16, 2007 Oct.

You can access recent issues of this journal online - contact the Library for a password. Click here togo to the journal: http://proquest.umi.com/pqdweb?TS=1092025720&clientId=67476&RQT=317

Real ID Act and Radio Frequency Identification Devices (RFID): the future of patient

identification?.

Moore DH, French DD

Journal of the American Medical Directors Association. 8(8):551, 2007 Oct.

[back to top

Technology. Hospitals now use palm readers for patient identification. Registration may be

streamlined, but some wonder if it's worth the cost.





McKinney M

Hospitals & Health Networks. 81(9):30, 2007 Sep.


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Radio frequency identification for prevention of bedside errors.

Dzik S

Transfusion. 47(2 Suppl):125S-129S; discussion 130S-131S, 2007 Aug.

Application of bar code technology at the bedside: the Oxford experience.

Murphy MF

Transfusion. 47(2 Suppl):120S-124S; discussion 130S-131S, 2007 Aug

Hospitals must standardise patients' wristbands to reduce risk of wrong care.

Mayor S

BMJ . 335(7611):118, 2007 Jul 21.

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Auto identification technology and its impact on patient safety in the Operating Room of the

Future.

Egan MT, Sandberg WS

Surgical Innovation. 14(1):41-50; discussion 51, 2007 Mar.

Automatic identification technologies, such as bar coding and radio frequency identification, are

ubiquitous in everyday life but virtually nonexistent in the operating room. User expectations, based

on everyday experience with automatic identification technologies, have generated much anticipation

that these systems will improve readiness, workflow, and safety in the operating room, with minimal

training requirements. We report, in narrative form, a multi-year experience with various automaticidentification technologies in the Operating Room of the Future Project at Massachusetts General

Hospital. In each case, the additional human labor required to make these ;labor-saving' technologies

function in the medical environment has proved to be their undoing. We conclude that while

automatic identification technologies show promise, significant barriers to realizing their potential still

exist. Nevertheless, overcoming these obstacles is necessary if the vision of an operating room of thefuture in which all processes are monitored, controlled, and optimized is to be achieved.

This year's models. A look at patient ID in the four newly demonstrated NHIN prototypes.

Rollins G

Journal of Ahima. 78(3):34-7; quiz 39-40, 2007 Mar.

Identifying patients in hospital: are more adverse events waiting to happen?.

Perry DC, Scott SJ

Quality & Safety in Health Care. 16(2):160, 2007 Apr.

Patient identification: hybrids and doppelgangers.

Cummins D

Annals of Clinical Biochemistry . 44(Pt 2):106-10, 2007 Mar.





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Literature Review - NSW Department of Health