Diamonds In The Rough? The Use of RFID Tags in Global Health
Diamonds In The Rough? The Use of RFID Tags in Global Health Created by: Angel V. Shannon, RN Objectives
Define Global Health Describe the use of RFID tags for disease surveillance in global health Describe the hardware used with RFID tag disease surveillance Describe the software used with RFID disease surveillance Evaluate usability of the software Describe and evaluate the Information System used for RFID tags
Objectives List the advantages and disadvantages of RFID tags in global health Describe the current ethical and legal issues of RFID tags in global health Discuss the informatics competencies
required of a professional nurse working with RFID tags Discuss the functions and responsibilities of an informatics nurse specialist (INS) working with RFID tags What is Global Health? Global health is an area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide. (Koplan, 2009, pg 1994)
Global Health focuses on: Health Promotion Disease Prevention A Major Trend to Achieve These Goals is the use of Radio Frequency Identification tags (RFID) for disease surveillance QuickTime anddecompressor a TIFF
are (Uncompressed) needed to see this picture. RFID tags are currently being used in developing countries to identify people with certain communicable diseases How Do RFID tags work? RFID hardware includes three main components: RFID tag
RFID reader Antenna RFID Building Blocks: RFID tags:
vary in size, shape, and format depending upon the intended application are either active or passive active tags: have embedded battery power passive tags: rely on antenna to collect power RFID Building Blocks
The RFID reader: is known as the interrogater receives data from the tags and passes it along to the associated software captures the tags unique identifier RFID Building Blocks RFID antenna: receives and transmits data to the reader
collects power for tag functioning (passive tags) RFID Building Blocks Once they are placed, RFIDs can be monitored with handheld devices such as: Smartphones - iPhone, Blackberry
Palm PDAs Pocket PCs RFID Building Blocks Software The Critical Link
RFID Building Blocks RFID software is used for: creating barcodes and readable text codes processing unique identifier data managing distribution of vaccines and medicines remotely monitoring patients via implant using nano-sensor technology RFID Building Blocks Current Operating Systems include: Windows Server 2003
Windows Mobile Solaris 9 or 10 Linux Mac OS Pocket PC Palm OS Software Solutions: Palm OS A leading application used in RFID disease surveillance Advantages:
Mobility: used on handheld Palm PDAs Integration: bundled with office suite applications such as Excel, Word, and Powerpoint integrates with MS Outlook for email integrated digital imaging
Software Solutions: Palm OS Advantages: Simplicity: Intuitive interface. Known as the little cousin to Windows Short learning curve due to Windows format Usability: recognition Equipped with handwriting and on-screen keyboard
RFID Information Systems To be effective and efficient, RFID systems employ a variety of computer-based information systems (CBISs). A CBIS is: a combination of hardware, software, and telecommunications networks that people build and use to collect, create, and distribute useful data, typically in organizational settings. (Jessup and Valacich, 2008, p10)
RFID Information Systems Information systems most often used in global health include: Clinical Information Systems (CISs) Example: VesaliusCIS Resource Management Information Systems Example: MASCAL
RFID Information Systems MASCAL developed for the U.S. Navy in 2005 Is an integrated software-hardware system designed to enhance management of resources during a mass casualty incident (MCI) uses active 802.11b asset tags to track patients, equipment and staff during the response to a disaster RFID Information Systems utilizes wireless Internet and geo-positioning
technologies also uses an Oracle 9i database, a Lightweight Directory Access Protocol (LDAP) server and an Oracle 9i application server improves communications between care providers and helps to coordinate overall disaster response and emergency medical care (Fry and Lenert, 2005, p261) RFID Information Systems includes interfaces for a hospital command center, local area managers (ERs, ORs,
radiology, etc.) Advantages of RFID Tags Effective: enables reliable collection, storage, and categorization of large volumes of vital clinical information Efficient: minimal hardware and software makes it a cost-efficient means of tracking and containing diseases and outbreaks in developing countries Sustainable: uses web-based technology for realtime communication, disease management and outcome evaluation across geographically disparate locations
Disadvantages of RFID Tags high risk of tag migration and subsequent adverse tissue reaction when implanted in humans can only be read within a specified range and are subject to interference from other radio wave transmissions data can be read erroneously if the tag becomes damaged or subjected to harsh environments, metals or liquids
Legal/Ethical Issues of RFID Tags Most significant concerns relate to: invasion of privacy: how much data is truly being collected? Could there be any data being collected that is not disclosed to the consumer? ownership: who retains the rights to the data that is collected from citizens, patients, study-subjects, etc? is data being stored for future use? confidentiality: how does HIPAA apply to global health?
Informatics Competencies Nurses working with RFID tags must: understand and identify essential components of computer systems including software and hardware have basic data entry, computer technology and information management skills demonstrate ability to access and use the internet for information transmission and retrieval Role of the Informatics Nurse The Informatics Nurse Specialist working with RFID technology
must: demonstrate competence and fluency in clinical nursing, continuous quality improvement, and health information technology demonstrate ability to implement, evaluate, and troubleshoot user-centered design principles and methods for clients and users (Senseimer,
2010, pg 64) Diamonds In the Rough? RFID tags: have a wide range of applications use minimal hardware and software are cost-effective and sustainable But in humans, are they diamonds in the rough or an invasion of privacy? While human usage of RFID tags remains controversial, nurses and Informatics Nurse Specialists will play a key role in shaping public opinion by ensuring patient safety
and adhering to evidence-based standards of care References Fry EA and Lenert LA. (2005) MASCAL: RFID tracking of patients, staff and equipment to enhance hospital response to mass casualty events. AMIA Annual Symposium Proceedings, 261265. Jessup, L., and Valacich, J. (2008). Information systems today (3rd ed). Upper Saddle River, NJ: Pearson Prentice Hall. Koplan, JP., Bond, TC., Merson, MH., & Reddy, KS. (2009). Towards a common definition of global health. The
Lancet, 373(9679), 1993-1995. References Sensmeier, J. (2010). Statement to the Robert Wood Johnson foundation initiative future of nursing: acute care, focusing on the area of technology, october 19, 2009. Computer Informatics Nursing, 28(1), Retrieved April 15, 2010 from http://journals.lww.com/cinjournal/Citation/201 0/01000/Alliance_for_Nursing_Informatics_Stat ement_to_the.13.aspx doi:
: Awake, alert, with diaphoresis and increased work of breathing and some nasal flaring PITA Score Read the case carefully and then, using the PITA, start at the top of the algorithm and answer the question at each decision point.
In 1821, the Greeks revolted, and by 1830, Greece was independent from the Ottomans. Revolts spread to Spain, Portugal, and Italy. Metternich urged conservative rulers to crush the uprisings. In response, French and Austrian troops smashed rebellions in Spain and...
Calculate its IHD reference hydrocarbon C7H16 IHD = (16-14)/2 = 1 Problem: calculate the IHD for niacin, molecular formula C6H6N2O reference hydrocarbon C6H16 IHD = (16 - 6)/2 = 5 Prob 13.13 Calculate the index of hydrogen deficiency of each...
Correlated-executed once for each row returned by the outer query. The inner query needs data/parameter passed INTO it from the outer query. ... Join vs. Subquery . Some queries could be accomplished by either a join or a subquery [Examine...
When creating their animal, they need to pick a vertebrate class that animal will belong to and will need to make sure that they only use characteristics of that class. For example, they should not put feathers if they are...
Another consideration would relate to the contractual status of the workers in the new facility. ... or abuse of computer systems may lead to disciplinary measures, bring into question professional registration and possibly result in legal proceedings. ... and works...
Ready to download the document? Go ahead and hit continue!