Skip to main content

Automated Workflow Analysis and Tracking Using Radio Frequency Identification Technology

  • Chapter
  • First Online:
Cognitive Informatics in Health and Biomedicine

Part of the book series: Health Informatics ((HI))

  • 1226 Accesses

Abstract

The health care industry faces a number of challenges and arguably one of the most important ones lies in maintaining high levels of patient safety. A much-cited report released by the Institute of Medicine [1] estimates that as many as 98,000 people die each year due to medical errors [1]. The causal determinants of these errors can be traced to a variety of medical, cognitive and social challenges in the clinical workplace. These challenges are exacerbated in critical care environments that are characterized by distributed, interdependent, episodic and non-linear work activities. The dynamic nature of the care process in critical care environment affects the nature and timing of work activities of clinicians, and often increases the possibility of errors. Studying the work activities of clinicians in such environments can help in understanding the care delivery process, workflow, and interruptions that affect clinical work.

Portions of this chapter has appeared in (a) Vankipuram et al., Toward automated workflow analysis and visualization in clinical environments. Journal of Biomedical Informatics. 44(3): 432–440, with permissions from Elsevier; (b) Kannampallil et al., Making sense: sensor-based investigation of clinician activities in complex critical care environments, Journal of Biomedical Informatics. 44(3), 441–454, with permissions from Elsevier and (c) an article in the Proceedings of the 2009 Annual Symposium American Medical Informatics Association, Vankipuram et al., Visualization and analysis of activities in critical care environments.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    In fact, our observation data shows that during this session, the attending physician spent a considerable portion of this slow shift teaching the residents at the Nurse’s station.

References

  1. Institute of Medicine (IOM), U.S. Committee on Quality of Health Care in America. In: Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, D.C: The National Academies Press; 2000.

    Google Scholar 

  2. Abraham J, Kannampallil T, Patel VL. Bridging gaps in handoffs: a continuity of care approach. J Biomed Inform. 2012;45(2):240–54.

    Article  PubMed  Google Scholar 

  3. Laxmisan A, Hakimzada F, Sayan OR, Green RA, Zhang J, Patel VL. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Int J Med Inform. 2007;76:801–11.

    Article  PubMed  Google Scholar 

  4. Horsky J, Gutnik L, Patel VL, editors. Technology for emergency care: cognitive and workflow considerations. AMIA Annu Symp Proc. 2006; 334–8.

    Google Scholar 

  5. Malhotra S, Jordan D, Shortliffe E, Patel VL. Workflow modeling in critical care: piecing together your own puzzle. J Biomed Inform. 2007;40:81–92.

    Article  PubMed  Google Scholar 

  6. Kannampallil TG, Li Z, Zhang M, Cohen T, Robinson DJ, Franklin A, et al. Making sense: sensor-based investigation of clinician activities in complex critical care environments. J Biomed Inform. 2011;44(3):441–54. Epub 2011/02/25. eng.

    Article  PubMed  Google Scholar 

  7. Vankipuram M, Kahol K, Cohen T, Patel VL. Visualization and analysis of activities in critical care environments. AMIA Annu Symp Proc. 2009;2009:662–6.

    PubMed  Google Scholar 

  8. Vankipuram M, Kahol K, Cohen T, Patel VL. Toward automated workflow analysis and visualization in clinical environments. J Biomed Inform. 2011;44(3):432–40.

    Article  PubMed  Google Scholar 

  9. Bar-Yam Y. Improving the effectiveness of health care and public health: a multiscale complex systems analysis. Am J Public Health. 2006;96:459–66.

    Article  PubMed  Google Scholar 

  10. Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456–9.

    Article  PubMed  Google Scholar 

  11. Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ. 2001;323(7313):625–8.

    Article  PubMed  CAS  Google Scholar 

  12. Plsek PE, Wilson T. Complexity, leadership, and management in healthcare organisations. BMJ. 2001;323(7315):746–9.

    Article  PubMed  CAS  Google Scholar 

  13. Smith M, Feied C. The emergency department as a complex system: New England Complex Systems Institute; 2006. Cited 30 July 2010. Available from: http://www.necsi.edu/projects/yaneer/emergencydeptcx.pdf.

  14. COSI. COSI http://www.irit.fr/COSI/. Cited 20 June 2010. Available from: http://www.irit.fr/COSI/.

  15. Berg M. Patient care information systems and health care work: a sociotechnical approach. Int J Med Inform. 1999;55:87–101.

    Article  PubMed  CAS  Google Scholar 

  16. Cohen T, Blatter B, Almeida C, Shortliffe E, Patel VL. A cognitive blueprint of collaboration in context: distributed cognition in the psychiatric emergency department. Artif Intell Med. 2006;37:73–83.

    Article  PubMed  Google Scholar 

  17. Celler BG, Earnshaw W, Ilsar ED, Betbeder-Matibet L, Harris ME, Clark R, et al. Remote monitoring of health status of the elderly at home. A multidisciplinary project on aging at the University of New South Wales. Int J Biomed Comput. 1995;40:147–55.

    Article  PubMed  CAS  Google Scholar 

  18. Alwan M, Dalal S, Mack D, Kell SW, Turner B, Leachtenauer J, et al. Impact of monitoring technology in assisted living: outcome pilot. IEEE Trans Inf Technol Biomed. 2006;10(1):192–8.

    Article  PubMed  Google Scholar 

  19. Østbye T, Lobach DF, Cheesborough D, Lee AMM, Krause KM, Hasselblad V, et al. Evaluation of an infrared/radiofrequency equipment-tracking system in a tertiary care hospital. J Med Syst. 2003;27(4):367–80.

    Article  PubMed  Google Scholar 

  20. Schrooyen F, Baert I, Truijen S, Pieters L, Denis T, Williame K, et al. Real time location system over WiFi in a healthcare environment. J Inf Technol Healthcare. 2006;4(6):401–16.

    Google Scholar 

  21. Stanford V. Using pervasive computing to deliver elder care. IEEE Pervasive Comput. 2002;1(1):10–13.

    Article  Google Scholar 

  22. Fry EA, Lenert LA. MASCAL: RFID tracking of patients, staff and equipment to enhance hospital response to mass casualty events. AMIA Annu Symp Proc. 2005:261–5.

    Google Scholar 

  23. Chen C, Liu C, Li Y, Chao C, Liu C, Chen C, et al. Pervasive observation medicine: the application of RFID to improve patient safety in observation unit of hospital emergency department. Stud Health Technol Inform. 2005;116:311–5. IOS Press.

    PubMed  Google Scholar 

  24. Brixey JJ, Robinson DJ, Turley JP, Zhang J. The roles of MDs and RNs as initiators and recipients of interruptions in workflow. Int J Med Inform. 2010;79:e109–15.

    Article  PubMed  Google Scholar 

  25. Li Z, Robinson DJ, Zhang J. UObserve: a mobile app for the study of emergency department workflow. Ann Emerg Med. 2010;56(3):S121. American College of Emergency Physicians Research Forum.

    Article  Google Scholar 

  26. Hendrich A, Chow M, Skierczynski BA, Lu Z. A 36-hospital time and motion study: How do medical surgical nurses spend their time? Perm J. 2008;12(3):25–34.

    PubMed  Google Scholar 

  27. Seymour NE, Gallagher AG, Roman SA, O’Brien MK, Bansal VK, Andersen DK, et al. Virtual reality training improves operating room performance – results of a randomized. Double-blinded study. Ann Surg. 2002;236(4):458–64.

    Article  PubMed  Google Scholar 

  28. Kahol K, Vankipuram M, Smith ML. Cognitive simulators for medical education and training. J Biomed Inform. 2009;42(4):593–604.

    Article  PubMed  Google Scholar 

  29. Ahlberg G, Heikkinen T, Iselius L, Leijonmarck CE, Rutqvist J, Arvidsson D. Does training in a virtual reality simulator improve surgical performance? Surg Endosc. 2002;16(1):126–9.

    Article  PubMed  CAS  Google Scholar 

  30. van der Togt R, van Lieshout E, Hensbroek R, Beinat E, Binnekade JM, Bakker PJM. Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. JAMA. 2008;299(24):2884–990.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mithra Vankipuram MS, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Vankipuram, M., Kannampallil, T.G., Li, Z.(., Kahol, K. (2014). Automated Workflow Analysis and Tracking Using Radio Frequency Identification Technology. In: Patel, V., Kaufman, D., Cohen, T. (eds) Cognitive Informatics in Health and Biomedicine. Health Informatics. Springer, London. https://doi.org/10.1007/978-1-4471-5490-7_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5490-7_17

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5489-1

  • Online ISBN: 978-1-4471-5490-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics