Evaluation of RFID Technology to Capture Surgeon Arrival Time to Meet American College of Surgeons Committee on Trauma Verification GuidelinesFunding Dr. Lyu was supported by the National Library of Medicine Institutional training grant for research training in biomedical informatics and data science (T15) under award number T15LM007092.
05 September 2018
10 January 2019
27 March 2019 (online)
Background The presence of an attending surgeon at all highest-level trauma activations is a requirement for American College of Surgeons-Committee on Trauma (ACS-COT) verification for level I to III trauma centers. Programs must demonstrate compliance with this criterion at least 80% of the time. Documentation of compliance can increase administrative burden presenting an opportunity for automation.
Objectives The aim of this quality improvement project was to compare surgeon arrival documentation rates obtained utilizing radio-frequency identification (RFID) technology with manual documentation.
Methods This project was conducted at a single level-I trauma center. RFID badges were distributed to all trauma surgeons. Arrival times for surgeons using manual nursing documentation and RFID activation were collected from October 2017 through March 2018. Presence of appropriate documentation and attending arrival within 15 minutes of trauma activation were compared by documentation method: nursing manual documentation or RFID system.
Results There were 98 code trauma activations included in the analysis over the 6-month period. Nursing documentation of trauma surgeon attendance occurred 83% of the time (n = 81), with 81% (n = 79) in compliance within 15 minutes of code trauma activation. RFID badges were activated 91% (n = 89) of the time, with 86% (n = 84) in compliance within 15 minutes. There was no statistically significant difference between the rates of nursing documentation and RFID badge activation.
Conclusion RFID technology is a reliable, complementary method of documenting compliance for trauma surgeon attendance. Trauma centers searching for technological solutions to address compliance with ACS-COT guidelines and to reduce administrative burden may consider the use of RFID technology.
Protection of Human and Animal Subjects
This study did not involve any human subjects. Data were collected as part of a quality improvement project and did not require review by the institutional review board.
- 1 Committee on Trauma; American College of Surgeons. Resources for Optimal Care of the Injured Patient 2014. Available at: https://www.facs.org/~/media/files/quality%20programs/trauma/vrc%20resources/resources%20for%20optimal%20care.ashx . Accessed February 11, 2019
- 2 Parlak S, Sarcevic A, Marsic I, Burd RS. Introducing RFID technology in dynamic and time-critical medical settings: requirements and challenges. J Biomed Inform 2012; 45 (05) 958-974
- 3 Choi PM, Hong C, Woods S, Warner BW, Keller MS. Early impact of American College of Surgeons-verification at a level-1 pediatric trauma center. J Pediatr Surg 2016; 51 (06) 1026-1029
- 4 Brown JB, Watson GA, Forsythe RM. , et al. American College of Surgeons trauma center verification versus state designation: are Level II centers slipping through the cracks?. J Trauma Acute Care Surg 2013; 75 (01) 44-49
- 5 Norwood S, Cook AD, Berne JD. Level I verification is associated with a decreased mortality rate after major torso vascular injuries. Am Surg 2011; 77 (01) 32-37
- 6 DuBose JJ, Browder T, Inaba K, Teixeira PG, Chan LS, Demetriades D. Effect of trauma center designation on outcome in patients with severe traumatic brain injury. Arch Surg 2008; 143 (12) 1213-1217
- 7 Recinos G, Dubose J, Teixeira PG. , et al. ACS trauma centre designation and outcomes of post-traumatic ARDS: NTDB analysis and implications for trauma quality improvement. Injury 2009; 40 (08) 856-859
- 8 Grossman MD, Yelon JA, Szydiak L. Effect of American College of Surgeons Trauma Center designation on outcomes: measurable benefit at the extremes of age and injury. J Am Coll Surg 2017; 225 (02) 194-199
- 9 Kolokathi A, Rallis P. Radio frequency identification (RFID) in healthcare: a literature review. Stud Health Technol Inform 2013; 190: 157-159
- 10 Yao W, Chu CH, Li Z. The adoption and implementation of RFID technologies in healthcare: a literature review. J Med Syst 2012; 36 (06) 3507-3525
- 11 Wicks AM, Visich JK, Li S. Radio frequency identification applications in hospital environments. Hosp Top 2006; 84 (03) 3-8
- 12 Cangialosi A, Monaly JE, Yang SC. Leveraging RFID in hospitals: patient life cycle and mobility perspectives. IEEE Commun Mag 2007; 45 (09) 18-23