Tracking Patient Movements Using an IoT and RFID System—A Case Study in a Romanian Clinic
Abstract
:1. Introduction
- What inefficiencies in workflows can be avoided using technology?
- In what ways may patient tracking solutions assist the scheduling and optimization of critical assets like operating rooms?
- What are the wider ramifications of these optimizations on the quality of patient care?
2. Literature Review
3. Using an RFID System in a Hospital Setting
Architecture and Implementation of the Proposed Solution
- A staff member from the unit’s reception office inputs the patient’s unique code into the application;
- The ERP system is queried based on the patient’s code;
- The ERP system responds with minimal relevant patient information, such as the patient’s name, assigned doctor, observation sheet code, and department;
- The patient details are copied to the system’s local database;
- A print request is sent to the connected wristband printer located at the reception desk;
- The printer prints the necessary details onto a wristband that contains an embedded RFID tag;
- The RFID code embedded in the printed wristband is scanned by the printer;
- The scanned RFID code is linked to the patient in the database, completing the registration process.
4. Benefits and Limitations
5. Discussion
5.1. Answering Research Questions
5.2. Sub-Question 1: What Inefficiencies in Workflows Can Be Avoided Using Technology?
5.3. Sub-Question 2: In What Ways May Patient Tracking Solutions Assist the Scheduling and Optimization of Critical Assets Like Operating Rooms?
5.4. Sub-Question 3: What Are the Wider Ramifications of These Optimizations on the Quality of Patient Care?
6. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
Abbreviations
IoT | Internet of Things |
RFID | Radio Frequency Identification |
AR | Augmented Reality |
AI | Artificial Intelligence |
GenAI | Generative Artificial Intelligence |
SDG | Sustainable Development Goal |
WMS | Warehouse Management System |
AGV | Automated Guided Vehicles |
ERP | Enterprise Resource Planning |
UDP | Unshielded Twisted Pair |
HTTPS | Hypertext Transfer Protocol Secure |
UI | User Interface |
API | Application Programming Interface |
OR | Operating room |
ICU | Intensive care unit |
References
- Kamruzzaman, M.M.; Yan, B.; Sarker, M.N.I.; Alruwaili, O.; Wu, M.; Alrashdi, I. Blockchain and Fog Computing in IoT-Driven Healthcare Services for Smart Cities. J. Healthc. Eng. 2022, 2022, 9957888. [Google Scholar] [CrossRef] [PubMed]
- Stoica, M.; Nițu, A.; Mircea, M. An Algorithm for Transport Optimization as the Effect of the European Green Deal and Climate Neutrality Goals. Inform. Econ. 2022, 26, 5–19. [Google Scholar] [CrossRef]
- Dankan, G.V.; Chaithra, S.M.; Shantanu, S.G.; Salman, F.S.; Balaji, S.I.; Sudhakar, N.R. Scalable AI Solutions for IoT-based Healthcare Systems using Cloud Platforms. In Proceedings of the 2024 8th International Conference on I-SMAC (IoT in Social, Mobile, Analytics and Cloud) (I-SMAC), Kirtipur, Nepal, 3–5 October 2024. [Google Scholar]
- Rouidi, I.; Serrou, D.; Mimouni, F.; Lagrat, I.; Essehmoudi, A.; Abderrahman, E.-M. Impact of Industry 4.0 technologies on logistics function: A case study on warehouse operations management in the automotive sector. In Proceedings of the 2024 IEEE 15th International Colloquium on Logistics and Supply Chain Management (LOGISTIQUA), Sousse, Tunisia, 2–4 May 2024. [Google Scholar]
- Tripathi, S.; Sukumaran, R.; Cook, T.S.M.P. Efficient healthcare with large language models: Optimizing clinical workflow and enhancing patient care. J. Am. Med. Inform. Assoc. 2024, 31, 1436–1440. [Google Scholar] [CrossRef] [PubMed]
- Tripathy, S.S.; Rath, M.; Tripathy, N.; Roy, D.S.; Francis, J.S.A.; Bebortta, S. An Intelligent Health Care System in Fog Platform with Optimized Performance. Sustainability 2023, 15, 1862. [Google Scholar] [CrossRef]
- Sanjay, P.; Shankar, H. Transforming Healthcare: Harnessing the Power of AI in the Modern Era. Int. J. Multidiscip. Sci. Arts 2023, 2, 60–70. [Google Scholar]
- Petre, I.; Barna, F.; Gurgus, D.; Tomescu, L.C.; Apostol, A.; Petre, I.; FUrau, C.; Nachescu, M.L.; Bordianu, A. Analysis of the Healthcare System in Romania: A Brief Review. Healthcare 2023, 11, 2069. [Google Scholar] [CrossRef]
- Bulatnikov, V.; Constantin, C.P. Assessing Customer Satisfaction to Support Future Improvement Strategies of Healthcare Systems: Evidences from Russia and Romania. Sustainability 2023, 15, 14534. [Google Scholar] [CrossRef]
- Karagiannidis, C.; Mostert, C.; Hentschker, C.; Voshaar, T.; Malzahn, J.; Schillinger, G.; Klauber, J.; Janssens, U.; Marx, G.; Weber-Carstens, S.; et al. Case characteristics, resource use, and outcomes of 10 021 patients with COVID-19 admitted to 920 German hospitals: An observational study. Lancet Respir. Med. 2020, 8, 853–862. [Google Scholar] [CrossRef]
- Briciu, V.; Leucuta, D.-C.; Tőkés, G.E.; Colcear, D. Burnout, Depression, and Job Stress Factors in Healthcare Workers of a Romanian COVID-19 Dedicated Hospital, after Two Pandemic Years. Int. J. Environ. Res. Public Health 2023, 20, 4118. [Google Scholar] [CrossRef]
- Shen, Z.M.; Sun, Y. Strengthening supply chain resilience during COVID-19: A case study of JD.com. J. Oper. Manag. 2023, 69, 359–383. [Google Scholar] [CrossRef]
- Gujral, K.; Basu, A. Impact of Rural and Urban Hospital Closures on Inpatient Mortality; National Bureau of Economic Research: Cambridge, MA, USA, 2020. [Google Scholar]
- Leider, J.P.; Castrucci, B.C.; Robins, M.; Bork, H.R.; Fraser, M.R.; Savoia, E.; Piltch-Loeb, R.; Koh, H.K. The Exodus Of State And Local Public Health Employees: Separations Started Before And Continued Throughout COVID-19. Health Aff. 2023, 42, 338–348. [Google Scholar] [CrossRef] [PubMed]
- Parzonka, K.; Costase, N.; Alicja, D. Methods and Tools Used to Estimate the Shortages of Medical Staff in European Countries—Scoping Review. Int. J. Environ. Res. Public Health 2023, 20, 2945. [Google Scholar] [CrossRef]
- Wendt, C. Social Health Insurance in Europe: Basic Concepts and New Principles. J. Health Politics Policy Law 2019, 44, 665–677. [Google Scholar] [CrossRef] [PubMed]
- Burganova, N.; Grznar, P.; Gregor, M.; Mozol, S. Optimalisation of Internal Logistics Transport Time Through Warehouse Management: Case Study. Transp. Res. Procedia 2021, 55, 553–560. [Google Scholar] [CrossRef]
- Praptodiyono, S.; Santoso, I.M.; Sukarna, R.H.; Muhammad, F.; Fuad, A. The design of an RFID-Based warehouse management system for AgroHUB Banten. AIP Conf. Proc. 2022, 2760, 020009. [Google Scholar]
- Ali, A.A.; Rashid, R.A.; Abdikadir, N.M.; Mohamed, A.A.; Ahmed, M.M. IoT Based Warehouse Management System Leveraging On RFID and Cloud Platform Technologies. In Proceedings of the 2024 IEEE International Conference on Advanced Telecommunication and Networking Technologies (ATNT), Johor Bahru, Malaysia, 9–10 September 2024. [Google Scholar]
- Zelbst, P.J.; Sower, V.E. RFID for the Supply Chain and Operations Professional, 3rd ed.; Business Expert Press, LLC: New York, NY, USA, 2021. [Google Scholar]
- Samsudin, A.F.; Darmawan, B.; Dwiyanti, V.; Mupita, J. Attributes and Effect of Implementation of Warehouse Management System (WMS) for Company Sustainability. Jurnal Teknologi Transportasi dan Logistik 2023, 4, 199–212. [Google Scholar] [CrossRef]
- Kumar, P.; Aziz, S.; Khan, A.M. The Influence of Warehouse Management Systems on Supply Chain Efficiency: A Case Study of the Online Garment Supplier’s Experience. Kaav Int. J. Econ. Commer. Bus. Manag. 2023, 11, 159–168. [Google Scholar]
- Du, C. Logistics and Warehousing Intelligent Management and Optimization Based on Radio Frequency Identification Technology. J. Sens. 2021, 2021, 2225465. [Google Scholar] [CrossRef]
- Zhou, H. Application of RFID Information Technology in Logistics Warehouse Management. In Proceedings of the 2022 IEEE Asia-Pacific Conference on Image Processing, Electronics and Computers (IPEC), Dalian, China, 14–16 April 2022. [Google Scholar]
- Gunawan, R.; Chandra, P.D.; Kusmadi; Azwar, A.G.; Nurwathi; Risnanto, S. Autonomous Vehicle Guided with RFID Position Detection for Warehouse Management System. In Proceedings of the 2022 16th International Conference on Telecommunication Systems, Services, and Applications (TSSA), Lombok, Indonesia, 13–14 October 2022. [Google Scholar]
- Mogre, R.; Gadh, R.; Chattopadhyay, A. Using Survey Data to Design a RFID Centric Service System for Hospitals. Serv. Sci. 2009, 1, 189–206. [Google Scholar] [CrossRef]
- Finiș, I.; Simion, D. Study of RFID System in Healthcare. Available online: https://fiesc.usv.ro/wp-content/uploads/sites/17/2021/01/Finis1.pdf (accessed on 20 February 2025).
- Ajami, S.; Rajabzadeh, A. Radio Frequency Identification (RFID) technology and patient safety. J. Res. Med. Sci. 2013, 18, 809–813. [Google Scholar]
- Haddara, M.; Staaby, A. RFID Applications and Adoptions in Healthcare: A Review on Patient Safety. Procedia Comput. Sci. 2018, 138, 80–88. [Google Scholar] [CrossRef] [PubMed]
- Abugabah, A.; Smadi, A.A.L.; Houghton, L. RFID in Health care: A review of the real-world application in hospitals. Procedia Comput. Sci. 2023, 220, 8–15. [Google Scholar] [CrossRef]
- Tavanti, E.; Motroni, A.; Buffi, A.; Nepa, P.; Pirozzi, M.; Di Donato, L.; Tomassini, L.; Ferraro, A. RFID-based Monitoring of Human Operators for Safety in Outdoor Working Sites. In Proceedings of the 2023 IEEE 13th International Conference on RFID Technology and Applications (RFID-TA), Aveiro, Portugal, 4–6 September 2023. [Google Scholar]
- Niksan, O.; Bi, L.; Gogotsi, Y.; Zarifi, M.H. A 920 MHz UHF RFID Tag Antenna Produced by Drop Casting Ti3C2Tx MXene. In Proceedings of the 2023 IEEE 13th International Conference on RFID Technology and Applications (RFID-TA), Aveiro, Portugal, 4–6 September 2023. [Google Scholar]
- He, H.; Chen, X.; Ukkonen, L.; Virkki, J. Clothing-Integrated Passive RFID Strain Sensor Platform for Body Movement-Based Controlling. In Proceedings of the 2019 IEEE International Conference on RFID Technology and Applications (RFID-TA), Pisa, Italy, 25–27 September 2019. [Google Scholar]
- Zebra Technologies. Declarations of Conformity. Available online: https://www.zebra.com/us/en/about-zebra/company-information/compliance/declarations-of-conformity.html (accessed on 20 February 2025).
- Wang, X.; Zhang, J.; Mao, S.; Periaswamy, S.C.G.; Patton, J. Locating Multiple RFID Tags with Swin Transformer-based RF Hologram Tensor Filtering. In Proceedings of the 2022 IEEE 96th Vehicular Technology Conference (VTC2022-Fall), London, UK, 26–29 September 2022. [Google Scholar]
- Wittmann, J.; Huber, C.; Rissmann, L.; Meissner, S. 3D-Localization of RFID Tags for a Digital Twin of an Industrial Order-Picking Process. In Proceedings of the 2024 International Conference on Control, Automation and Diagnosis (ICCAD), Paris, France, 15–17 May 2024. [Google Scholar]
- Parsons, B.; McDermott, W.; Dorn, M.; Strait, J.; Davis, A.; Saeger, W.; Green, A.; Roman, A.; Weaver, B.; Cattaneo, A. Selection and Evaluation of RFID Tags and Tag Placement for Automated Inventory of Containers; Los Alamos National Laboratory: Los Alamos, NM, USA, 2023; pp. 1–10. [Google Scholar]
- Wang, X.; Zhang, J.; Mao, S.; Periaswamy, S.C.G.; Patton, J. MulTLoc: RF Hologram Tensor Filtering and Upscaling for Locating Multiple RFID Tags. In Proceedings of the 2021 International Conference on Computer Communications and Networks (ICCCN), Athens, Greece, 19–22 July 2021. [Google Scholar]
- Muslmani, B.K.; Kazakzeh, S.; Ayoubi, E.; Aljawarneh, S. Reducing integration complexity of cloud-based ERP systems. In Proceedings of the First International Conference on Data Science, E-learning and Information Systems, DATA ’18, Madrid, Spain, 1–2 October 2018. [Google Scholar]
- Tobón, V.E.; Lamouri, S.; Pallerin, R.; Dubois, P.; Moeuf, A. The integration of ERP and inter-intra organizational information systems: A Literature Review. Int. Fed. Autom. Control 2018, 51, 1212–1217. [Google Scholar]
- Wang, X.; Ellul, J.; Azzopardi, G. Elderly Fall Detection Systems: A Literature Survey. Front. Robot. AI 2020, 7, 71. [Google Scholar] [CrossRef] [PubMed]
- Yacchirema, D.; de Puga, J.S.; Palau, C.; Esteve, M. Fall detection system for elderly people using IoT and ensemble machine learning algorithm. Pers. Ubiquitous Comput. 2019, 23, 801–817. [Google Scholar] [CrossRef]
- Gia, T.N.; Sarker, V.K.; Tcarenko, I.; Rahmani, A.M.; Westerlund, T.; Lilijeberg, P.; Tenhunen, H. Energy efficient wearable sensor node for IoT-based fall detection systems. Microprocess. Microsyst. 2018, 56, 34–46. [Google Scholar]
- Murray, M.; Erickson, J. IoT Asset Tracker; California Polytechnic State University: San Luis Obispo, CA, USA, 2020. [Google Scholar]
- Jones, E.C. The Internet of Things (IoT) Technologies and the Tracking of Supply Chain Assets. In Supply Chain Engineering and Logistics Handbook; CRC Press: Boca Raton, FL, USA, 2019; p. 23. [Google Scholar]
- Prasad, N.B.L.V.; Pramodh, M.N.A.; Kavitha, K.; Saritha, K. Tracking Industrial Assets Using Blockchain Technology. In High Performance Computing and Networking; Springer: Singapore, 2022. [Google Scholar]
- Wang, X.; Kayaukawa, S.; Takagi, H.; Asakawa, C. BentoMuseum: 3D and Layered Interactive Museum Map for Blind Visitors. In Proceedings of the 24th International ACM SIGACCESS Conference on Computers and Accessibility, ASSETS ’22, Athens, Greece, 23–26 October 2022. [Google Scholar]
- Lin, Y.-C.; Chen, Y.-P.; Yien, H.-W.; Huang, C.-Y.; Su, Y.-C. Integrated BIM, game engine and VR technologies for healthcare design: A case study in cancer hospital. Adv. Eng. Inform. 2018, 36, 130–145. [Google Scholar] [CrossRef]
- Reinders, S. Accessible interactive 3D models for blind and low-vision people. ACM SIGACCESS Access. Comput. 2021, 129, 1–7. [Google Scholar] [CrossRef]
Feature | Existing Solutions | Proposed Solution |
---|---|---|
Scanning method | Manual scanning with portable scanners | Automatic scanning with installed RFID antennas |
Technology used | Wristbands with barcodes | RFID wristbands |
Scanning process | Portable scanning to associate the wristbands’ barcode with the document’s barcode | Automatic detection of patient movement without manual intervention |
Updates | Immediate updates of patient information through barcode scanning | Automatic updates without manual actions |
Patient identification | Remote scanning of wristbands in emergency situations | Continuous tracking and real-time automatic updates |
Manual scanning | Necessary for association and update | Still possible but not required |
Impact on medical staff | Requires manual intervention for scanning | Eliminates the need for manual scanning, reducing staff workload |
Response time in emergencies | Allows identification and coordination through manual scans | Faster response through automatic location identification |
Implementation complexity | Simple setup, requires staff training | Requires ceiling-mounted antennas, cabling, and integration with IT infrastructure |
Scalability | Each new scanning device requires manual setup and staff training | Easily expandable by adding antennas |
Patient comfort | Patients must be disturbed for wristband scanning | Patients are tracked automatically without direct interaction |
Network reliability | Requires a stable hospital-wide internet connection for mobile scanners to function properly | Uses wired connections between antennas, ensuring more reliable operation |
Device maintenance and security | Mobile scanners require periodic charging or battery replacement and can be lost or stolen | Fixed antennas are securely installed, eliminating the risk of theft or battery issues |
Approximate costs for 26 rooms | USD 70,200 | USD 16,909 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Stoica, M.; Nitu, A.-I. Tracking Patient Movements Using an IoT and RFID System—A Case Study in a Romanian Clinic. Logistics 2025, 9, 34. https://doi.org/10.3390/logistics9010034
Stoica M, Nitu A-I. Tracking Patient Movements Using an IoT and RFID System—A Case Study in a Romanian Clinic. Logistics. 2025; 9(1):34. https://doi.org/10.3390/logistics9010034
Chicago/Turabian StyleStoica, Marian, and Alexandru-Ionut Nitu. 2025. "Tracking Patient Movements Using an IoT and RFID System—A Case Study in a Romanian Clinic" Logistics 9, no. 1: 34. https://doi.org/10.3390/logistics9010034
APA StyleStoica, M., & Nitu, A.-I. (2025). Tracking Patient Movements Using an IoT and RFID System—A Case Study in a Romanian Clinic. Logistics, 9(1), 34. https://doi.org/10.3390/logistics9010034