Tag Archives: INDTRAC RTLS

Why surgical instrument tracking is must-have for a hospital now

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surgical scissors left inside the body after operation – photo courtesy – Researchgate

In a recent shocking news update, a woman was found to carry a retained surgical scissors inside her body for 12 long years. It was sheer negligence that happened 12 years ago in an operation that removed her appendix. The lady experienced sustained pain in her body for 12 long years.
This created a huge uproar in the state with people demanding prosecution and cancellation of license.

The fact is that it is a simple procedural mistake but it is also true that it carries a huge ramification for the hospital and the doctor involved. It can cause both the surgeon and the hospital significant reputation damage if not the business. If you are wondering if this happens only rarely, US National Library of Medicine asserts that for every 10,000 operation 1.3 such incidences can happen in average. In India the number most likely is much higher.

Can a hospital eliminate this risk?

Yes, absolutely. A hospital needs to upgrade its CSSD operation to ensure that after every operation all instruments returned are tallied against used list of instruments. It is tedious considering the number of operations a hospital has to do every day.

RTLS makes it fast and error-free

Using a special autoclave-safe RFID tag attached to every surgical instrument, a hospital CSSD can track every instrument. INDTRAC provides custom-made solution to suit the special needs for every CSSD.

Read more here.

Enhancing Staff Security with BLE Badge Featuring SOS Buttons

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Enhancing Staff Security with BLE Badge Featuring SOS Buttons

Imagine what would a dedicated nurse devoted to the patients and the hospital expect at minimum from the management?
Surely she would expect that her safety and security are taken care of while she is inside hospital.
Healthcare workers are often required to walk throughout the facility, sometimes in high-risk situations, and their safety should never be compromised. A practical, efficient solution to improve staff security is the introduction of BLE-enabled ID badge or BLE wristbands equipped with SOS buttons, offering a simple yet powerful way to alert security in moments of distress. BLE-enabled badge works for dual-purpose : as an ID badge as well as safety SOS device.

BLE Wristbands

BLE wristband with SOS buttonBluetooth Low Energy (BLE) technology allows for seamless, low-energy communication over short distances, making it ideal for environments like hospitals where staff are constantly on the move. A BLE wristband with an integrated SOS button ensures that the wearer can discreetly and instantly alert security personnel in the event of an emergency, regardless of their location within the hospital.

Patient Safety and Location Tracking

The wristband can be used for patients too. The wristband enables the hospital locate the patient in real-time when in need. It also enables the Patient to alert the nurse-station when in need. Pressing the SOS button sets off a buzzer in the nearest nurse station. It also flashes the location of the patient in App notification.

App Alerts for Immediate Response

A RTLS works in tandem to ensure that information flows in real time. The wristband SOS enables the staff send an immediate notification to the hospital security teams at the push of a button. Once activated, the SOS button triggers an alert, pinpointing the exact location of the distressed staff member within the facility. This swift communication allows security to respond faster, reducing the time it takes to reach the scene of an emergency.

Empowering Staff to Feel Secure

One of the most significant benefits of the wristband is the psychological comfort it provides. Knowing that help is just a button press away can make staff members, particularly women, feel more secure while performing their duties. They can focus on their work without constantly worrying about their safety, knowing that help is easily accessible in any situation—whether it’s an incident of harassment, a medical emergency, or a physical threat.

Discreet and Non-Intrusive

The Badge is designed to be lightweight, discreet, and comfortable, ensuring that staff can wear it throughout their shift without feeling encumbered. The SOS button is intuitive to use, and its small form factor allows it to blend seamlessly into the work attire of hospital staff. This non-intrusive nature ensures that it does not interfere with daily tasks but remains within easy reach in moments of need.

Building a Safer Work Environment

By adopting BLE wristbands with SOS buttons for all hospital staff, we create a safety net that reinforces the hospital’s commitment to employee well-being. This proactive measure is an investment in a safer, more supportive work environment where staff can feel protected and valued. In an unpredictable workplace like a hospital, staff members deserve the peace of mind that comes from knowing that their safety is a priority.

Agentic AI for Healthcare

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Agentic AI is Disrupting Healthcare Service

AI is changing almost every industry that we know of. In healthcare, it is proving to be widely disrupting - starting from the way the healthcare data is used to revolutionizing patient care and medical consulting.  You may have already heard of deep impact of AI algorithm in predictive analysis in healthcare. Agentic AI takes it two steps forward. It integrates everything to give a unified and powerful service interface that you haven't seen yet.

Imagine while you are checking your patient, your assistant is already pulling all the reports for her, analyzing the data for predictive patterns that you are looking for, displaying that analysis in a visual format that you are most used it and suggesting possible options for you to pick and recording your advise while you explain that to the patient. The Agentic AI can be this super-efficient highly knowledgeable, smart assistant that you always wanted.

It's an AI system that doesn’t just help doctors and staff make decisions; it makes the decisions itself. It analyzes data, interprets information, and takes action—all with minimal human intervention. Imagine an AI that can read your patient’s medical chart, diagnose their condition, and recommend a treatment plan, all in real-time.

It can simplify regulation compliance for the hospital administrator. It can assist the operation head in analyzing and recommending the area that require closer scrutiny. It can collaborate with other agents in completing a tasks. It can take up the role of front desk agents when needed.

Cut the time in decision making

Imagine this: a patient comes into the emergency room with chest pain. Traditionally, a doctor would order a series of tests, wait for results, and—after all that time—determine if it’s a heart attack. That’s a lot of time for a patient who could be in serious danger. With Agentic AI, the AI can analyze all the data in minutes, compare it with thousands of similar cases, and flag the critical risks immediately. In fact, studies show AI systems can improve diagnostic accuracy by up to 30% compared to human doctors alone. That means fewer mistakes, quicker decisions, and better outcomes.

Fundamental elements of Agentic AI

  • It uses multi-modal Large Language Model as the engine (e.g. chatgpt or anthropic or Google Gemini) trained with specific body of knowledge
  • Autonomy in decision making - given a role, it can take its own decision based on the data it processed.
  • Mimics human goal-oriented behaviour - changes strategy in real time to fulfill the goal
  • Continuous learning - It learns on the job! While processing the data, creating the decision maps it also refines its inference engine based on new learning
  • It works in real time

The Dollars and Cents: What’s the ROI for a Mid-Sized Hospital?

There is no denying that Agentic AI will require sizeable investment.

On average, the cost of implementing Agentic AI in a mid-sized hospital can range anywhere from $1 million to $5 million, as per an estimate. That includes software, integration with existing hospital systems, and training staff to use the new tools.

But here’s where things get interesting: the ROI is rapid. Hospitals that adopt Agentic AI typically see a 20-30% reduction in administrative costs. With less paperwork, fewer human errors, and faster patient turnover, hospitals can start saving money in a matter of months.

Let's break it down to the avenues where it can help

  • Automating routine administrative tasks (like scheduling, billing, and patient inquiries) reduces the need for manual labor, cutting down on staffing costs.
  • Fewer diagnostic errors translate to fewer malpractice claims and a reduction in unnecessary treatments.
  • Better resource allocation means optimized bed usage and staffing, reducing the costs associated with inefficiencies.

Would this be another isolated system like EHR software? Actually the power comes in integrating the agentic AI into your back-end so that it can 'see' the patterns in the data-stream and alert you on beforehand.

Commodity Agentic AI for Hospital

A commodity Agentic AI is expected to be universally usable for every hospital without needing to train the model. Microsoft recently launched Dragon Copilot, a voice-activated AI assistant which Microsoft claims, "has helped clinicians document billions of patient records, and has assisted over 3 million ambient patient conversations across 600 healthcare organizations in the past month alone. With these ambient AI capabilities, organizations have already realized significant outcomes, with clinicians reporting five minutes saved per encounter,[1] 70% of clinicians reporting reduced feelings of burnout and fatigue,[2] 62% of clinicians stating they are less likely to leave their organization,[3] while 93% of patients report a better overall experience."

Pitfalls?

There is one area of concern that everyone is conscious about. It can potentially give access (to the hospital's internal data) to Agentic AI provider. There are both technical and legal remedies available to mitigate that risk.

Summary

According to a report by Deloitte, AI in healthcare has the potential to generate $150 billion in annual savings for the US healthcare system alone.The thing is that the technology is almost here with the most competitive lot already moving ahead of the curve. Better care, smarter decisions, streamlined operations, and lower costs—that’s the power of Agentic AI. 

An early Fire Warning for Hospital?

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This month a tragic fire incident claimed lives of 10 babies in a hospital in spite of heroic effort from the hospital staff to save the babies in neonatal unit.

Fact is every hospital is expected to install fire alarms over all patient-sensitve zone and it is also a fact that every year loss of lives happen in fire incidents in hospitals. Here is another incident that claimed lives in hospital in Delhi this year. An extensive study jointly carried by Department of HSE and Civil Engineering, School of Engineering, University of Petroleum and Energy Studies, Dehra Dun and Centre for Pollution Control and Environmental Engineering, Pondicherry University, found electrical short circuit as the predominant reason for such fires. Full lists of the incidents that they studied can be found here .

Electrical short circuit

Often, the post-incident analysis finds electrical short circuits as the reason. But they conspicuously silent about why the short circuit was not detected early?

Ideally electrical circuit monitoring system would alarm for any electrical shorts in the system. Typically modern circuit-breakers switch off a circuit when anomaly is detected. We do not know if that was in place or if it did not work.

There are also some incidents that started from gas appliance or kitchen stove.

Tracking zone-based temperature for better indicator

Every fire incident starts small and if the temperature at sensitive zones are continuously monitored, sudden change of temperature can be used as early indicator for fire and administrator can be warned in advance before the fire become devastating.

Another option could be to monitor ambient light in sensitive zones and any sudden spike of lumens reported could be considered as early warning.

Thankfully both can be easily implemented with a good flexible RTLS system at a very small cost. Not all RTLS require the hospital to adopt every features offered. A hospital can implement only temperature or light monitoring solution at a fractional cost of full-feature RTLS.

INDTRAC RTLS supports modular solution

INDTRAC RTLS has multiple modules and flexible options. It also lets the hospital pick sensor hardware of its choice, unlike most of the existing RTLS vendors. INDTRAC also lets a hospital implement for only a subset of its total area in order that the hospital manage its budget and cost better.

Summary

RTLS enabled microzone temperature monitoring may give a hospital early warnings to act and avoid the extensive fire related damage to its patients and facilities. Write to us to learn more.

Calculating a hospital’s RoI for RTLS

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A common argument from the hospital management is that RTLS is too expensive for the hospital to adopt. We asked an expert to provide us a simple ROI analysis for a 350-bed hospital to demonstrate how long it takes for a hospital to break even.

Let’s get the assumptions out

  • Current Bed Utilization:
    • 70% of the time, bed utilization is below 70%.
    • Current average bed occupancy is estimated at 65%.
  • Time Savings:
    • Implementing RTLS is expected to save 2 hours/day in equipment search time.
  • Staff Costs:
    • Average hourly wage of hospital staff is ₹600.
  • Increased Revenue from Improved Bed Utilization:
    • By improving patient flow, it’s assumed that the hospital can increase utilization from 65% to an average of 75%, impacting overall admissions positively.
  • Operational Costs:
    • Annual operating costs for RTLS maintenance are estimated at ₹8,00,000.

Investment for RTLS

1. Initial Investment

a. RTLS Software and Hardware Costs

  • Software Licensing: ₹20,00,000
  • Hardware (tags, sensors, etc.): ₹30,00,000
  • Installation and Integration: ₹10,00,000
  • Training and Support: ₹5,00,000
  • Total Initial Investment: ₹65,00,000

2. Annual Operating Costs

  • Maintenance and Updates: ₹5,00,000
  • Support Services: ₹3,00,000
  • Total Annual Operating Costs: ₹8,00,000

Expected Annual Savings

a. Insights into Equipment Usage

  • Reduction in Equipment Search Time:
    • Time saved: 2 hours/day
    • Staff cost savings: ₹600/hour x 2 hours x 365 days = ₹4,38,000

b. Insights into Patient Flow

  • Improved Bed Turnover Rate:
    • Average occupancy increased from 65% to 75%.
    • Additional revenue from increased admissions:
      • Current Occupancy: 350 beds x 0.65 x 365 days = 84,875 patient days
      • New Occupancy: 350 beds x 0.75 x 365 days = 96,375 patient days
      • Additional patient days: 96,375 – 84,875 = 11,500
      • Average revenue per patient day: ₹2,500 (assumption)
      • Additional revenue: 11,500 patient days x ₹2,500 = ₹28,75,000

c. Improved Workflow Coordination

  • Reduction in Staff Overtime:
    • Savings from optimized workflows: ₹3,00,000

d. Operational Efficiency

  • Decrease in Equipment Losses and Repairs:
    • Estimated savings: ₹2,00,000

Total Expected Annual Savings

  • Total Savings: ₹4,38,000 + ₹28,75,000 + ₹3,00,000 + ₹2,00,000 = ₹38,13,000

Now let’s calculate Return of Investment (ROI)

First Year Costs

  • Total Initial Investment: ₹65,00,000
  • First Year Operating Costs: ₹8,00,000
  • Total First Year Costs: ₹65,00,000 + ₹8,00,000 = ₹73,00,000

b. First Year Savings

  • Total Expected Annual Savings: ₹38,13,000

c. Net Cost for the First Year

  • Net Cost: ₹73,00,000 – ₹38,13,000 = ₹34,87,000

5. Breakeven Analysis

a. Annual Savings Beyond Year 1

  • Annual Savings (after first year): ₹38,13,000
  • Annual Operating Costs: ₹8,00,000
  • Net Savings per Year: ₹38,13,000 – ₹8,00,000 = ₹30,13,000

b. Breakeven Point

  • Total Investment: ₹65,00,000
  • Annual Net Savings: ₹30,13,000
  • Years to Breakeven: ₹65,00,000 / ₹30,13,000 ≈ 2.16 years (approximately 3 years)

Summary

  • Total Investment in the First Year: ₹73,00,000
  • Breakeven Year: Year 3

Conclusion

Implementing an RTLS in a 350-bed hospital can significantly enhance operational efficiency and patient care. Despite an initial investment of ₹73,00,000, the hospital can expect to reach breakeven in approximately three years, achieving substantial annual savings thereafter. The expected improvements in bed utilization and workflow coordination are crucial for driving this ROI.

A new RTLS App for Hospital launched!

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RTLS App for Hospital

INDTRAC for Hospital earlier was available only as browser App. Now it is available as native App in Google Play store. While you still can continue to use the browser App, the new native App enhances the experience by an order of magnitude.

The App also adds  a few very important functionalities that were missing in the web version.

Examples include :
1. Adding custom reminder : Medical equipment need regular maintenance and AMC renewal. Keeping track of different dates for so many equipment can be error-prone if not tedious. The App lets you feed those details into the system for each equipment once. Automatic reminder will be sent to your team at a regularity you choose. It will ensure that team won’t miss any of those renewal windows.

2. Uploading the AMC reports. : The app lets you scan the report and upload it so that others can use it as reference.

3. The App works in unison with other INDTRAC Apps which means admin function can be segregated based on the service one administers. For example to monitor only the ambient temperatures and humidity, you can use only the INDTRAC Sensor where as other RTLS functionalities can be availed in the INDTRAC Hospital App.

More details are available at our product page. The App also can be downloaded from Google Play store. You are most welcome to download and try yourself. However to appreciate full power of the App, you would need the sensors and wireless readers to be fixed in your premise. We help our customers to run the pilots before full deployment.

Updated App

The March, 2025 update brings many major enhancements. Now a hospital can integrate buzzers and hooters to enable public alerts in Hospital.
Raise Emergency Alarm from the App
Admin can raise an immediate evacuation alarm in any building from a click on the App when all buzzers can will fire. Switching off is also equally easy, entirely from the App. The admin can do that remotely too.
Staff SOS from anywhere in the building
INDTRAC now supports BLE based ID badge with integrated SOS button. The wearer can immediately ask help by pressing the button in her ID badge. Security will instantly know her location, saving precious time in searching for her. It significantly improves Staff security in your hospital.
Location fencing integrated with Buzzer
Now you not only can create indoor fence for assets, you can set up a buzzer which will buzz off when the fence is breached.

Ask for a demo now. Write to us to contact@indtrac.com

AI Doctor is almost ready

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For a hospital’s managing director, most crucial and expensive resource is doctors’ bandwidth. Imagine an ailing patient entering the hospital for the first time.  In US, a GP would visit him and run the first-level diagnosis. Based on his analysis a line of treatment would be indicated or the patient would be referred to a specialist.

In India, the patient would go to the the front desk and they will guide to the appropriate department based on patient’s answers.

In both cases, It is humanly impossible to remember about vast number of medical issues with correlated symptoms. This means that initial diagnosis could take a little while, sometimes at the cost of patient’s time and patience.

Now imagine that front-desk is equipped with doctor-grade AI or the GP is assisted with doctor-grade AI, like ChatGPT, trained on vast corpus of medical data and researches. It is somewhat like all the specialists are standing behind the GP to help him reach correct diagnosis at the quickest time possible.
With the help from AI, pin-pointing the right department would be faster for the front-desk assistant. AI can help the GP handle a lot more load with higher accuracy.

Medical Generalist AI

With faster initial diagnosis, hospital’s productivity increases by magnitude. The fact is technology already has reached this level. Commercialization may take another year for the regulation bodies to create guard-rails for the use of such technology ubiquitously. But advanced hospitals may start utilizing the generalist AI service much earlier.

DeepMind Med-PaLM

Particularly two companies are at the forefront now. Google’s DeepMind is almost ready with Med-PaLM. Med-PaLM is a multi-modal large language model (LLM) trained on vast medical data. In the recent report it claims to be 90% accurate in its responses. It’s repertoire is vast if not comprehensive. It can understand Clinical Languages. It can analyze images (radiology etc). It is claimed to speak Genomics too!

OpenEvidence

And there is OpenEvidence, promoted by Mayo Clinic. Theirs’ also is a multi-modal large language model but with an extra chip on its shoulder. Unlike other LLMs like ChatGPT, it is trained with real-time data. With real-time data streaming into it, it would be up-to-date about latest medical findings on every sector –or that’s what they claim when the service will be commercially ready. It could be very soon since they recently claimed[2] it to score above 90% in United States Medical Licensing Examination.

OpenEvidence AI claims to become the First AI in History to Score Above 90% on the United States Medical Licensing Examination (USMLE)

Opportunity or Threat?

GPOnline finds that England needed nearly 7,400 more full-time GPs to manage the patient care. According to a 2021 WHO report, India was just above the 2006 standard of 22.8 healthcare workers per 10,000 population. With professional doctor-grade generalist AI at disposal of every hospital, relief is not going to be quantitative alone, it can add qualitative improvements in patient diagnosis in terms of reducing diagnostic time, improving accuracy and potentially reducing number of tests for the patient.

With a professional team always monitoring the model’s answers and fine-tuning the model’s learning, the improvement will be continuous and so will be the efficacy of the system.
Following the current trend, entire service most likely will be made available as SaaS for the hospitals and clinics. SaaS model also will help bringing incremental cost of adoption down to an affordable basis.

In summary, it looks like that generalist medical AI is going to bring paradigm-shift in patient care in not a very distant future. How pervasive the adoption would be though would depend on a hospital’s patient-care economics.

Read more

1.DeepMind announces Med-PaLM
2.First AI in History to Score Above 90%
3.OpenEvidence official site
4. Med-PaLM official page

Understanding asset tag technologies

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Indoor asset tracking is coming to mainstream now. Whether in hospital, or in warehouse, people are realizing that there are certain benefits that they cannot ignore any more in their business context.

But before you adopt it, would you not like to understand what it takes to implement? Of course there is this software called Real Time Location System (RTLS) but what about the tags? This is an attempt to make it simpler for you to decide.

Many Tag technologies

Every asset tracking system requires tags to be fixed on your assets. Now there are different tag technologies, like RFID, LoRA, BLE, UWB etc.

RFID can be both passive and active. Passive RFID tags do not have battery and therefore do not transmit by itself. RFID readers in vicinity sends search packets and the passive tags respond to them (they are passive after all!). Active Tags regularly send data which nearby Reader/Gateway captures. Sometimes people use Active RFID interchangeably with BLE or Bluetooth Low Energy.

So which tag should you choose?

The plain answer is it depends. For example, not all RTLS vendors support all tag types. In most cases vendors sell tags and other hardware as part of the full package solution. Other important factors depend on what you actually need.
Passive RFID tags cost the least among all of them but RFID readers some times miss reading passive RFID tags. In fact reading consistency is about 90%-95% for RFID readers with UHF antenna (UHF is the fastest among all the RFID system).

On the other hand UHF RFID readers are very expensive. Compared to that BLE devices cost magnitude cheaper. BLE is more accurate as well. UWB is the newest of the technologies and the technology is capable of precisely location an asset within a few centimeters. Hospitals traditionally went with RFID tags, many with vendor-proprietary active RFID solution. Proprietary solution makes you locked-in with vendor.

Incidentally INDTRAC RTLS works with almost all different hardware and tags and lets you change your tag system in future. For example, let’s say you decided to adopt BLE now. Later if you decide to upgrade to UWB, you can do that with INDTRAC.

Now coming back to relative benefits and costs. Typically UWB is the costliest solution at this point but offers most precise location articulation.

Here is a simple comparison chart for all the tags for quick reckoning.

Feature RFID BLE LoRa UWB
Technology Radio Frequency Identification Bluetooth Low Energy Long Range Ultra Wide Band
Range Short (~ 20 feet) Short (~ 40 feet) Very Long (~ 1 mile) Long (~ 100 meters)
Accuracy Low (~ 10 feet) Medium (~ 2 feet) Low (~ 100 feet) High (~ 1 inch)
Power Consumption Low Low Low Medium
Tag Cost $0.10 – $1.00 $0.50 – $5.00 $1.00 – $10.00 $5.00 – $50.00

Summary

In summary, if you follow traditional solutions, you would use RFID. If accuracy is paramount for you, you would have to choose UWB. But in most cases, BLE serves both ends. It also offers relatively long battery life for tags. Gateways also do not cost as much as UHF RFID. They are also easier to install or replace. INDTRAC supports both Indian brands as well as international brands like Zebra , Impinj or INGICS .

How to track asset states digitally

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Manage assets from your phone

Recently we met a factory floor shop manager. We asked how he keeps track of so many equipment and instruments. Does he use any system to identify and track them?

He said in his mind he knows where each asset on the floor, is and since they are all inside the workshop area, he knows he can track any asset without much difficulty.

We asked what are the typical lifecycle states of each equipment and how he keeps track of which asset is in at what stage? He had a little difficulty in explaining that workshop maintains a book and whenever an asset is decommissioned or in service, an entry is made in the book.

Do you see any issue with the way assets are managed?

Obviously there is no digital inventorization of the workshop assets. Nor the manager can know if any asset is taken out of the floor or if an asset has returned after service in last few hours unless he manually searches.

You obviously can do better.

All assets can be digitally tracked with a simple QR Code. Added advantage is no need to keep books manually.

INDTRAC App lets you define your asset life cycle stages.

Let’s assume almost all assets on the floor, go through the following stages:

  1. Check-in
  2. In use
  3. In-service
  4. Decommissioned

In INDTRAC App, go to Admin -> Workflow States. Click Create

In the Add Workflow States, Add Check-in as Name and Asset ready for Provisioning as Description. Click Submit. Create other states likewise.

Now when you scan the Asset’s QR Code to update location, App will prompt to pick the Workflow States too.

In the Manage Asset tab, you can view the current state of any asset by selecting the asset from the list (after search) and clicking Current Location button.

Location History shows past locations and states that the asset has undergone.

As you can see, with INDTRAC App, entire asset tracking can be done digitally without wasting time in manual record keeping since the App itself now keeps the record. Moreover you do not need anything else other than the INDTRAC QR App to make this transformation.

  Start your digital transformation journey with INDTRAC QR App alone.