Int J Med Inform - Evaluation of real-time location systems in their hospital contexts.

Tópicos

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Resumo

JECTIVE: The purpose of the research was to assess real-time location systems (RTLS) that have been implemented in U.S. hospitals. We examined the type of uses to which RTLS have been put, the degree of functionality of the various technologies and software, and the organizational effects of implementing RTLS.METHODS: The project was a 3-year qualitative study of 23 U.S. hospitals that had implemented RTLS for the purpose of tracking assets, personnel, and/or patients. We observed the systems in use and conducted 80 semi-structured interviews with hospital personnel and vendors. In order to protect the confidentiality of the hospitals and vendors in our sample, we conducted an aggregate analysis of our findings rather than providing evaluations of specific technologies or hospital case studies.RESULTS: The most important findings from our research were (1) substandard functionality of most real-time location systems in use and (2) serious obstacles to effective deployment of the systems due to the material and organizational constraints of the hospitals themselves. We found that the current best use of RTLS is for asset tracking, but importantly it requires whole-hospital deployment as well as centralized control of the system, preferably by materials management or biomedical engineering departments.DISCUSSION: There are serious technological, material, and organizational barriers to the implementation of RTLS, and these barriers need to be overcome if hospitals are to maximize the potential benefits of these systems.CONCLUSION: In addition to considering the available technological options, hospitals must assess their unique environments, including the myriad material and organizational constraints that will affect the success of RTLS implementation.

Resumo Limpo

jectiv purpos research assess realtim locat system rtls implement us hospit examin type use rtls put degre function various technolog softwar organiz effect implement rtlsmethod project year qualit studi us hospit implement rtls purpos track asset personnel andor patient observ system use conduct semistructur interview hospit personnel vendor order protect confidenti hospit vendor sampl conduct aggreg analysi find rather provid evalu specif technolog hospit case studiesresult import find research substandard function realtim locat system use serious obstacl effect deploy system due materi organiz constraint hospit found current best use rtls asset track import requir wholehospit deploy well central control system prefer materi manag biomed engin departmentsdiscuss serious technolog materi organiz barrier implement rtls barrier need overcom hospit maxim potenti benefit systemsconclus addit consid avail technolog option hospit must assess uniqu environ includ myriad materi organiz constraint will affect success rtls implement

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