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Sensors and Insensibility: Monitoring Anaesthetic Activity with RFID  Bryan Houliston 1 , Dave Parry 1 , Alan Merry 2 (1)AURA laboratory, School of Computing and Mathematical Sciences, Auckland University of Technology (2) Department of Anaesthesiology, School of Medicine,  University of Auckland [email_address] Aura  Laboratory
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction  > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Why Monitor Anaesthesia ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction >  Anaesthesia  > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Monitoring Anaesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction >  Anaesthesia  > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Theatre Gets Busy Introduction >  Anaesthesia  > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Monitoring Anaesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction >  Anaesthesia  > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
RFID ? ,[object Object],[object Object],Introduction > Anaesthesia >  RFID  > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
RFID in Hospital ,[object Object],[object Object],Introduction > Anaesthesia >  RFID  > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Computer Economics, 2007 Gartner, 2005
Use for Monitoring Activity Introduction > Anaesthesia >  RFID  > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Location-based User-based Readers located... At fixed locations, ā€˜chokepointsā€™ Worn on hand, wrist, around neck Tags on... People, Objects Objects, Locations Activity determined by... Where people, objects are (or arenā€™t) What objects are being handled Examples Staff in an office  (Khoussainova, Balazinska & Suciu, 2007) Activities of daily life  (Philipose et al, 2004) Patients, staff and equipment  (Collins, 2004) Assisted living  (Parry, Symonds & Briggs, 2007)  RF+IDAS - Automated drug record  (Houliston, 2005) Anaesthetic skills assessment  (Fishkin et al, 2004)
RF+IDAS ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia >  RFID  > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Anaesthetic Skills Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia >  RFID  > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
For This Study ... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID >  Monitoring  > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Anaesthetic Activities Introduction > Anaesthesia > RFID >  Monitoring  > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Limitations on RFID ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID >  Monitoring  > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
User-based Approach ? ,[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Location-based Approach ,[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Activity Reader located Observed activity Preparing drugs Drug trolley Drug Prep IV Updating manual anaesthetic record Clipboard on workstation Recording Sitting at rest Chair - Injection ā€“ neck Head of table Drug Admin IV Injection ā€“ wrist Arm of table Drug Admin IV Injection ā€“ IV line IV stand Drug Admin IV
Readers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Drug Trolley Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Clipboard Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Chair Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Operating Table and IV Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Tagging the Anaesthetist ,[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Wristbands ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Data Analysis ,[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID 10:01:15 Trolley E2003411B802011156202132 10:11:21 Workstation E2003411B802011156202131 10:12:26 IV E2003411B802011156202132 10:14:18 Trolley E2003411B802011156202132 10:14:24 Trolley E2003411B802011156202093 Airway Procedures 10:10:45 10:11:49 Using computer 10:12:03 10:12:57 Cleaning Up 10:13:04 10:13:38 Drug Prep IV 10:13:23 10:14:37 Drug admin IV 10:14:40 10:14:53
Identifying Activities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Activities at Same Location Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Reader location  Activities to monitor Other activities Drug trolley Drug Prep IV Cleaning Up Clipboard on anaesthetic workstation Recording Using Computer Drug Admin Gas Equipment Related Chair Sitting ? Head of table Drug Admin IV Line Placement Positioning Patient Airway Procedure Arm of table Drug Admin IV Line Placement Positioning Patient IV stand Drug Admin IV IV Setup/Adjustment
Telling Activities Apart ,[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Learn RFID Sequences ,[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Drug Prep IV 9:27:33 9:27:40 Drug Prep IV 9:30:03 9:31:00 Line Placement 9:31:03 9:32:53 09:28:13 Trolley E2003411B802011156202131 09:30:38 Trolley E2003411B802011156202132 09:30:39 Trolley E2003411B802011156202132 09:30:41 Trolley E2003411B802011156202132 09:30:48 Trolley E2003411B802011156202130 09:30:49 Trolley E2003411B802011156202132 09:30:53 Trolley E2003411B802011156202131 09:30:53 Trolley E2003411B802011156202132 09:30:55 Trolley E2003411B802011156202131 09:30:56 Trolley E2003411B802011156202132 09:30:58 Trolley E2003411B802011156202132 09:30:58 Trolley E2003411B802011156202093 09:30:58 Trolley E2003411B802011156202130 09:30:59 Trolley E2003411B802011156202131 09:31:01 Trolley E2003411B802011156202131 09:31:02 Trolley E2003411B802011156202093
Telling Activities Apart ,[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Characterising Activity ,[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Characterising Activity ,[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Characterising Activity ,[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Characterising Activity ,[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Telling Activities Apart ,[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring >  Implementation  > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Future Work ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Future Work ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
References ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
References ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
References Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion Philipose, M., Fishkin, K. P., Perkowitz, M., Patterson, D. J., Fox, D., Kautz, H., et al. (2004).  Inferring Activities from Interactions with Objects.  IEEE Pervasive Computing, 3(4), 50-57. van der Togt, R., van Lieshout, E. J., Hensbroek, R., Beinat, E., Binnekade, J. M., & Bakker, P. J. M. (2008).  Electromagnetic Interference From Radio Frequency Identification Inducing Potentially Hazardous Incidents in Critical Care Medical Equipment.  Journal of the American Medical Association, 299(24), 2884-2890. Wang, F., & Liu, P. (2005).  Temporal Management of RFID Data.  Paper presented at the 31st International Conference on Very Large DataBases.  Webster, C., Merry, A., Larsson, L., McGraths, K. A., & Weller, J. (2001).  The Frequency and Nature of Drug Administration Error During Anaesthesia.  Anaesthesia and Intensive Care, 29(5), 494-500. Weinger, M. B., Herndon, O. W., Zornow, M. H., Paulus, M. P., Gaba, D. M., & Dallen, L. T. (1994).  An Objective Methodology for Task Analysis and Workload Assessment in Anaesthesia Providers.  Anesthesiology, 80(1), 77-92. HINZ 2008 Monitoring Anaesthetic Activity with RFID
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion Aura  Laboratory
Questions? Introduction > Anaesthesia > RFID > Monitoring > Implementation >  Conclusion Aura  Laboratory
Ā 

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Sensors and Insensibility - Monitoring Anaesthetic Activity with RFID

  • 1. Sensors and Insensibility: Monitoring Anaesthetic Activity with RFID Bryan Houliston 1 , Dave Parry 1 , Alan Merry 2 (1)AURA laboratory, School of Computing and Mathematical Sciences, Auckland University of Technology (2) Department of Anaesthesiology, School of Medicine, University of Auckland [email_address] Aura Laboratory
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  • 5. Theatre Gets Busy Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
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  • 9. Use for Monitoring Activity Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Location-based User-based Readers located... At fixed locations, ā€˜chokepointsā€™ Worn on hand, wrist, around neck Tags on... People, Objects Objects, Locations Activity determined by... Where people, objects are (or arenā€™t) What objects are being handled Examples Staff in an office (Khoussainova, Balazinska & Suciu, 2007) Activities of daily life (Philipose et al, 2004) Patients, staff and equipment (Collins, 2004) Assisted living (Parry, Symonds & Briggs, 2007) RF+IDAS - Automated drug record (Houliston, 2005) Anaesthetic skills assessment (Fishkin et al, 2004)
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  • 13. Anaesthetic Activities Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
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  • 18. Drug Trolley Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
  • 19. Clipboard Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
  • 20. Chair Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
  • 21. Operating Table and IV Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID
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  • 26. Activities at Same Location Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion HINZ 2008 Monitoring Anaesthetic Activity with RFID Reader location Activities to monitor Other activities Drug trolley Drug Prep IV Cleaning Up Clipboard on anaesthetic workstation Recording Using Computer Drug Admin Gas Equipment Related Chair Sitting ? Head of table Drug Admin IV Line Placement Positioning Patient Airway Procedure Arm of table Drug Admin IV Line Placement Positioning Patient IV stand Drug Admin IV IV Setup/Adjustment
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  • 40. References Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion Philipose, M., Fishkin, K. P., Perkowitz, M., Patterson, D. J., Fox, D., Kautz, H., et al. (2004). Inferring Activities from Interactions with Objects. IEEE Pervasive Computing, 3(4), 50-57. van der Togt, R., van Lieshout, E. J., Hensbroek, R., Beinat, E., Binnekade, J. M., & Bakker, P. J. M. (2008). Electromagnetic Interference From Radio Frequency Identification Inducing Potentially Hazardous Incidents in Critical Care Medical Equipment. Journal of the American Medical Association, 299(24), 2884-2890. Wang, F., & Liu, P. (2005). Temporal Management of RFID Data. Paper presented at the 31st International Conference on Very Large DataBases. Webster, C., Merry, A., Larsson, L., McGraths, K. A., & Weller, J. (2001). The Frequency and Nature of Drug Administration Error During Anaesthesia. Anaesthesia and Intensive Care, 29(5), 494-500. Weinger, M. B., Herndon, O. W., Zornow, M. H., Paulus, M. P., Gaba, D. M., & Dallen, L. T. (1994). An Objective Methodology for Task Analysis and Workload Assessment in Anaesthesia Providers. Anesthesiology, 80(1), 77-92. HINZ 2008 Monitoring Anaesthetic Activity with RFID
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  • 42. Questions? Introduction > Anaesthesia > RFID > Monitoring > Implementation > Conclusion Aura Laboratory
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