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Can RFID save a dying patient, who can’t express herself to doctors?

If you’re scratching your head, consider this scenario: A woman with diabetes skips her insulin, and lands in the hospital with a case of hyperglycemia that rendered her unconscious. Without intervention, her condition may worsen into a state called “ketoacidosis” – a life-threatening illness. But let’s say she’s tagged with RFID and the hospital’s medical staff is equipped with a reader that can pick up her medical history in one wave.

  
  Use of RFID in Healthcare Applications Likely to Grow in the Next Ten Years

The largest use of radio frequency identification (RFID) in healthcare in the next ten years is expected to be from the labeling of drugs at the item level and the development of infrastructure and services needed to support this throughout the complete supply chain and hospitals. "The challenge is to prevent counterfeiting of drugs by establishing a complete history of each package at all times known as pedigree," according to the analyst of this study. "Another key application for RFID in healthcare is the use of real-time location system (RTLS) for staff, patients, visitors, and assets."

However, the systems and support are costlier compared to tags that can be reused in this scenario. The largest uses of RFID included error prevention, which is one application that cuts across both item level drug tagging and RTLS. These solutions use electronic handshake to prevent any wrong procedure to occur with RFID system recording the actual event for future references.

Multiple Applications that can Utilize RFID Boost Demand

One of the key challenges faced by RFID industry is the cost prohibitive nature of tags and other associated hardware, and the unproven return on investment (ROI). Taken together with the required supply chain collaboration both upstream and down, RFID precludes the efficacy of the overall infrastructure. There are other perceived hurdles, which are to be met by all stakeholders. The use of RFID technologies in hospitals is limited till date, primarily due to the cost issues.

"Even as RFID matures, it is likely that bar coding will continue to offer hospitals a proven, efficient, and more cost-effective means of capturing data for a variety of applications," explains the analyst. Some of the applications are bedside medication administration, unit-dose labeling in the pharmacy, specimen collection at the patient bedside, specimen tracking and management in the laboratory, and materials management."  Frost and Sullivan, Advances in Healthcare Applications 2007

RFID has two main components: a tag and a reader. Most tags have an antenna attached to a microchip containing a short identification number.

Tags can be active or passive. Active tags have a battery with a life of several years, a range of tens of meters and a larger data capacity than passive tags. Passive tags use reader emissions to power a brief response, usually just an ID number. They have a short range—about 10mm to 5 metres—and they can be small enough to implant under the skin.

The advantages of RFID tags over other methods of identification such as barcodes is that you can write to them, read them automatically even if you can not see them and (in theory at least) read many of them simultaneously.

RFID data can be secured by encryption and by careful design of transmission protocols. The short range of passive RFID tags also deters snooping. Furthermore, some developing RFID standards include password protection for tag identification fields and allow a reader (say at a check out) to erase all tag data.

Nevertheless, civil libertarians are concerned that patient RFID tags could be read by snoopers and together with data on tags on credit cards and on other goods could be used to identify patients and track them after discharge.

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