Please Help ASAP! Case Study: Patient Tracking with RFID This case study illustrates the need for interoperability in healthcare systems with respect to tracking patients' locations and orders within the hospital. RFID technology in the form of a bar-coded patient wristband and the presence of an EMR to read that data could have prevented the errors in this study
An elderly woman with leukemia and diabetes presented on the oncology unit for a scheduled treatment. As she was not in distress, the day nurse asked her to wait in the lounge while her room was prepared. When the shift changed, the patient was taken by the evening nurse to her room. The evening nurse said she would come by later to finish the check-in process.
Although the patient was actually checked in later by the evening nurse, she did not call the admitting doctor assuming that the day nurse had done 50. As a result, the patient had no admitting orders on the chart, thus no meal was ordered. The patient prepared for bed, and took her own insulin, but did not have anything to eat, which she assumed was part of the treatment plan, In the morning, the patient was unresponsive due to severely low blood sugar levels. The patient suffered a prolonged hospital stay and delayed chemotherapy
The use of patient bracelets with RFID codes embedded in them and an EHR with an RFID reader would have reduced the likelihood of this occurrence. The patient's admission bracelet information could have been scanned into the EHR, which would have alerted the staff to the lack of patient orders, and further indicated the diabetic condition Additional glucose monitoring at the bedside could have sounded alerts to notify clinicians of the patient's low blood sugar. Moreover, as a best practice, nurses should check all patient charts for orders at a minimum once a shift, and definitely on admission Physicians should have staff assigned to making rounds on patients with overnight stays for treatment.
Health systems should be interoperable with respect to tracking patient’s orders and their location in the hospital. Adverse events can occur when these systems fail to work as expected.

Questions:
1. Name/list 4 interoperability issues where the patient’s orders and their processing in the hospital was not managed well by healthcare personnel or by healthcare systems.

2. Name/list 4 things that could have been done to prevent the patient’s hypoglycemia?