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A Survey About Real-Time Location Systems in Healthcare Environments

  • Mobile & Wireless Health
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Abstract

Every year healthcare organizations suffer from several issues, such as unapropriated workflow, thousands of deaths caused by medical errors, counterfeit drugs, and increasing costs. To offer better patient care and increase profit, hospitals could adopt solutions that help remedy these problems. Real-Time Location Systems have the potential to deal with many of these issues, as well as offering means for developing new and intelligent solutions. This kind of system enables tracking assets and people, allowing several improvements. Even though the benefits of such solutions are well known and desired by healthcare providers, their large scale adoption is still distant. In this article, we surveyed Real-Time Location Systems usage in hospitals. While developing this survey, we observed a need for organizing important aspects of healthcare-oriented Real-Time Location Systems. Therefore, we analyzed challenges regarding this topic and a taxonomy proposed. This survey offers researchers and developers ways to comprehend the challenges surrounding this area while proposing a classification of aspects that a Real-Time Location System for healthcare environments must assess for it to be successful.

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References

  1. Abugabah A. (2017) Rfid adoption in healthcare organizations in uae

  2. Antunes R. S., Seewald L. A., Rodrigues V. F., Da Costa C. A., Gonzaga L. Jr, Righi R. R., Maier A., Eskofier B., Ollenschlaeger M., Naderi F., et al.: A survey of sensors in healthcare workflow monitoring. ACM Computing Surveys (CSUR) 51 (2): 1–37, 2018

    Article  Google Scholar 

  3. Ariffin F. N. H., Wan A. T., Suhaili W. S. H.: Psychiatric patients monitoring using rfid: an affordable approach.. In: 2015 IEEE International Conference on Computer and Communications (ICCC). IEEE, 2015, pp 181–185

  4. Boulos M. N. K., Berry G.: Real-time locating systems (rtls) in healthcare: a condensed primer. International Journal of Health Geographics 11 (1): 1–8, 2012

    Article  Google Scholar 

  5. Bowen M. E., Wingrave C. A., Klanchar A., Craighead J.: Tracking technology: lessons learned in two health care sites. Technol. Health Care 21 (3): 191–197, 2013

    Article  Google Scholar 

  6. Christe B., Rogers R., Cooney E.: Analysis of the impact of a radiofrequency identification asset-tracking system in the healthcare setting. J. Clin. Eng. 35 (1): 49–55, 2010

    Article  Google Scholar 

  7. I. E. E. E. Computer Society LAN/MAN Standards Committee, et al. (2007) Ieee standard for information technology-telecommunications and information exchange between systems-local and metropolitan area networks-specific requirements part 11: wireless lan medium access control (mac) and physical layer (phy) specifications IEEE Std 802.11ˆ

  8. Deak G., Curran K., Condell J.: A survey of active and passive indoor localisation systems. Comput. Commun. 35 (16): 1939–1954, 2012

    Article  Google Scholar 

  9. Decia I., Farías A., Szerman D., Grundel L., Briatore D., Piñeyrúa M., Villar A., Simini F.: Camacua: low cost real time risk alert and location system for healthcare environments.. In: VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th-28th, 2016. Springer, 2017, pp 90–93

  10. Ewing A., Rogus J., Chintagunta P., Kraus L., Sabol M., Kang H.: A systems approach to improving patient flow at uva cancer center using real-time locating system.. In: 2017 Systems and Information Engineering Design Symposium (SIEDS). IEEE, 2017, pp 259–264

  11. Farahani S. (2011) ZigBee wireless networks and transceivers. Newnes

  12. Farid Z., Nordin R., Ismail M. (2013) Recent advances in wireless indoor localization techniques and system. Journal of Computer Networks and Communications, 2013

  13. Fernandez-Llatas C., Lizondo A., Monton E., Benedi J.-M., Traver V.: Process mining methodology for health process tracking using real-time indoor location systems. Sensors 15 (12): 29821–29840, 2015

    Article  Google Scholar 

  14. Fisher J. A., Monahan T.: Tracking the social dimensions of rfid systems in hospitals. International Journal of Medical Informatics 77 (3): 176–183, 2008

    Article  Google Scholar 

  15. Fisher J. A., Monahan T.: Evaluation of real-time location systems in their hospital contexts. International Journal of Medical Informatics 81 (10): 705–712, 2012

    Article  Google Scholar 

  16. Gholamhosseini L., Sadoughi F., Safaei A.: Hospital real-time location system (a practical approach in healthcare): a narrative review article. Iranian Journal of Public Health 48 (4): 593, 2019

    PubMed  PubMed Central  Google Scholar 

  17. Ghosh D., Sahu P. K.: Uwb in healthcare.. In: International Conference on Electromagnetics in Advanced Applications (ICEAA). IEEE, 2016, p 2016

  18. Guédon A. C. P, Wauben L. S. G. L., De Korne D. F., Overvelde M., Dankelman J., van Den Dobbelsteen J. J.: A rfid specific participatory design approach to support design and implementation of real-time location systems in the operating room. Journal of Medical Systems 39 (1): 168, 2015

    Article  Google Scholar 

  19. Han G., Klinker G. J., Ostler D., Schneider A.: Testing a proximity-based location tracking system with bluetooth low energy tags for future use in the or.. In: 2015 17th International Conference on E-health Networking, Application & Services (HealthCom). IEEE, 2015, pp 17–21

  20. Hellmich T. R., Clements C. M., El-Sherif N., Pasupathy K. S., Nestler D. M., Boggust A., Ernste V. K., Marisamy G., Koenig K. R., Hallbeck M. S.: Contact tracing with a real-time location system A case study of increasing relative effectiveness in an emergency department. Am. J. Infect. Control 45 (12): 1308–1311, 2017

    Article  Google Scholar 

  21. Hu L., Ong D. M., Zhu X., Liu Q., Song E.: Enabling rfid technology for healthcare: application, architecture, and challenges. Telecommun. Syst. 58 (3): 259–271, 2015

    Article  Google Scholar 

  22. Brumlik C. J., Choudury A., Vaidya M., Nimbolkar R.: Real-time location, position and motion data for healthcare information systems-a patent review. Recent Advances in Communications and Networking Technology (Formerly Recent Patents on Telecommunication) 5 (2): 66–72, 2016

    Article  Google Scholar 

  23. Jones T. L., Schlegel C.: Can real time location system technology (rtls) provide useful estimates of time use by nursing personnel? Research in Nursing & Health 37 (1): 75–84, 2014

    Article  Google Scholar 

  24. Kang H., Hostetler S., Devapriya P., Banciu M., Andrews Z.: Rtls and ehr enabled workflow modeling in the emergency department.. In: IIE Annual Conference. Proceedings, page 3112. Institute of Industrial and Systems Engineers (IISE), 2014

  25. Kapa S., Pierce T., Hayes D. L., Holmes D. R. Jr, Asirvatham S. J.: Electromagnetic interference of magnetic field based auto identification technologies in healthcare settings. International Journal of Medical Informatics 80 (4): 239–250, 2011

    Article  Google Scholar 

  26. Keele S., et al. (2007) Guidelines for performing systematic literature reviews in software engineering. Technical report, Technical report, Ver. 2.3 EBSE Technical Report. EBSE

  27. Kemper J., Linde H.: Challenges of passive infrared indoor localization.. In: 2008 5th Workshop on Positioning, Navigation and Communication. IEEE, 2008, pp 63–70

  28. Laskowski M., Demianyk B., Friesen M. R., McLeod R. D.: Uncertainties inherent in rfid tracking systems in an emergency department.. In: IEEE workshop on health care management (WHCM). IEEE, 2010, p 2010

  29. Mahfouz M. R., Fathy A. E., Kuhn M. J., Wang Y.: Recent trends and advances in uwb positioning.. In: 2009 IEEE MTT-S International Microwave Workshop on Wireless Sensing, Local Positioning, and RFID. IEEE, 2009, pp 1–4

  30. Martin P. D., Rushanan M., Tantillo T., Lehmann C. U., Rubin A. D.: Applications of secure location sensing in healthcare.. In: Proceedings of the 7th ACM International Conference on Bioinformatics, Computational Biology, and Health Informatics, 2016, pp 58–67

  31. McAllister T. D., El-Tawab S., Heydari M. H.: 2017 Systems and Information Engineering Design Symposium (SIEDS). IEEE, 2017, pp 132–137

  32. Mun I. K., Kantrowitz A. B., Carmel P. W., Mason K. P., Engels D. W.: Active rfid system augmented with 2d barcode for asset management in a hospital setting.. In: IEEE International Conference on RFID. IEEE, 2007, p 2007

  33. Najera P., Lopez J., Roman R.: Real-time location and inpatient care systems based on passive rfid. J. Netw. Comput. Appl. 34 (3): 980–989, 2011

    Article  Google Scholar 

  34. Okoniewska B., Graham A., Gavrilova M., Wah D., Gilgen J., Coke J., Burden J., Nayyar S., Kaunda J., Yergens D., et al.: Multidimensional evaluation of a radio frequency identification wi-fi location tracking system in an acute-care hospital setting. J. Am. Med. Inform. Assoc. 19 (4): 674–679, 2012

    Article  Google Scholar 

  35. Weernink C. E. O., Sweegers L., Relou L., Van der Zijpp T. J., Van Hoof J.: Lost and misplaced items and assistive devices in nursing homes: Identifying problems and technological opportunities through participatory design research. Technology and Disability 29 (3): 129–140, 2017

    Article  Google Scholar 

  36. Oztekin A., Pajouh F. M., Delen D., Swim L. K.: An rfid network design methodology for asset tracking in healthcare. Decis. Support. Syst. 49 (1): 100–109, 2010

    Article  Google Scholar 

  37. Pancham J., Millham R., Fong S. J.: Evaluation of real time location system technologies in the health care sector.. In: 2017 17th International Conference on Computational Science and Its Applications (ICCSA). IEEE, 2017, pp 1–7

  38. Pietrabissa A., Poli C., Ferriero D. G., Grigioni M.: Optimal planning of sensor networks for asset tracking in hospital environments. Decis. Support. Syst. 55 (1): 304–313, 2013

    Article  Google Scholar 

  39. Polycarpou A. C., Dimitriou A., Bletsas A., Polycarpou P. C., Papaloizou L., Gregoriou G., Sahalos J. N.: On the design, installation, and evaluation of a radio-frequency identification system for healthcare applications [wireless corner]. IEEE Antennas and Propagation Magazine 54 (4): 255–271, 2012

    Article  Google Scholar 

  40. Porcino D., Hirt W.: Ultra-wideband radio technology: potential and challenges ahead. IEEE Communications Magazine 41 (7): 66–74, 2003

    Article  Google Scholar 

  41. Potyrailo R. A., Surman C., Morris W. G., Ehring H., Wortley T., Pizzi V., Carter J., Gach G.: Passive gamma-resistant rfid tags integrated into gamma-sterilizable pharmaceutical components.. In: 2010 IEEE International Conference on RFID (IEEE RFID 2010). IEEE, 2010, pp 110–117

  42. Rahman F., Md Z. A. B., Ahamed S. I.: A privacy preserving framework for rfid based healthcare systems. Future Generation Computer Systems 72: 339–352, 2017

    Article  Google Scholar 

  43. Rrub J. A., Al-Jabi J., El-Khatib K.: Security model for real time tracking system (rtls) in the healthcare sector.. In: International Conference on Communications and Information Technology (ICCIT). IEEE, 2012, p 2012

  44. Shirehjini A. A. N., Yassine A., Shirmohammadi S.: Equipment location in hospitals using rfid-based positioning system. IEEE Transactions on Information Technology in Biomedicine 16 (6): 1058–1069, 2012

    Article  Google Scholar 

  45. Stübig T., Zeckey C., Min W., Janzen L., Citak M., Krettek C., Hüfner T., Gaulke R.: Effects of a wlan-based real time location system on outpatient contentment in a level i trauma center. International Journal of Medical Informatics 83 (1): 19–26, 2014

    Article  Google Scholar 

  46. Vakili S., Pandit R., Singman E. L., Appelbaum J., Boland M. V.: A comparison of commercial and custom-made electronic tracking systems to measure patient flow through an ambulatory clinic. International Journal of Health Geographics 14 (1): 32, 2015

    Article  Google Scholar 

  47. Van Der Togt R., van Lieshout E. J., Hensbroek R., Beinat E., Binnekade J. M., Bakker P. J. M.: Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. Jama 299 (24): 2884–2890, 2008

    Article  Google Scholar 

  48. Haute T. V., Poorter E. D., Crombez P., Lemic F., Handziski V., Wirström N., Wolisz A., Voigt T., Moerman I.: Performance analysis of multiple indoor positioning systems in a healthcare environment. International Journal of Health Geographics 15 (1): 1–15, 2016

    Article  Google Scholar 

  49. Vanany I., Shaharoun A. B. M., et al.: Barriers and critical success factors towards rfid technology adoption in south-east asian healthcare industry.. In: Proceedings of the 9th Asia Pacific Industrial Engineering & Management Systems Conference, Bali, Indonesia, 2008, pp 148–155

  50. Wamba S. F.: Rfid-enabled healthcare applications, issues and benefits: an archival analysis (1997–2011). Journal of Medical Systems 36 (6): 3393–3398, 2012

    Article  Google Scholar 

  51. Wang B., Toobaei M., Danskin R., Ngarmnil T., Pham L., Pham. H.: Evaluation of rfid and wi-fi technologies for rtls applications in healthcare centers.. In: Proceedings of PICMET’13: Technology Management in the IT-Driven Services (PICMET). IEEE, 2013, p 2013

  52. Want R. (2006) An introduction to rfid technology ieee pervasive computing

  53. Oude Weernink C. E., Felix E., Verkuijlen P. J. E. M., Dierick-van Daele A. T. M., Kazak J. K., Van Hoof J. (2018) Real-time location systems in nursing homes: state of the art and future applications. Journal of Enabling Technologies

  54. Xu W., Lian Z., Yao X.: Integrating rfid with blood supply chain: a technical and business analysis.. In: 2013 IEEE International Conference on Industrial Engineering and Engineering Management. IEEE, 2013, pp 1087–1091

  55. Yao W., Chu C.-H., Li Z.: The adoption and implementation of rfid technologies in healthcare: a literature review. Journal of Medical Systems 36 (6): 3507–3525, 2012

    Article  Google Scholar 

  56. Yazici H. J.: An exploratory analysis of hospital perspectives on real time information requirements and perceived benefits of rfid technology for future adoption. Int. J. Inf. Manag. 34 (5): 603–621, 2014

    Article  Google Scholar 

  57. Ye R., Redfield S., Liu H.: High-precision indoor uwb localization: technical challenges and method.. In: 2010 IEEE International Conference on Ultra-Wideband, vol 2. IEEE, 2010, pp 1–4

  58. Yoo S., Kim S., Kim E., Jung E., Lee K.-H., Hwang H.: Real-time location system-based asset tracking in the healthcare field: lessons learned from a feasibility study. BMC Medical Informatics and Decision Making 18 (1): 80, 2018

    Article  Google Scholar 

  59. Yuehong Y. I. N., Zeng Y., Chen X., Fan Y.: The internet of things in healthcare: an overview. Journal of Industrial Information Integration 1: 3–13, 2016

    Article  Google Scholar 

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Correspondence to Cristiano André da Costa.

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Bazo, R., da Costa, C.A., Seewald, L.A. et al. A Survey About Real-Time Location Systems in Healthcare Environments. J Med Syst 45, 35 (2021). https://doi.org/10.1007/s10916-021-01710-1

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