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Cryptographically Supported NFC Tags in Medication for Better Inpatient Safety

  • Patient Facing Systems
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Abstract

Reliable sources report that errors in drug administration are increasing the number of harmed or killed inpatients, during healthcare. This development is in contradiction to patient safety norms. A correctly designed hospital-wide ubiquitous system, using advanced inpatient identification and matching techniques, should provide correct medicine and dosage at the right time. Researchers are still making grouping proof protocol proposals based on the EPC Global Class 1 Generation 2 ver. 1.2 standard tags, for drug administration. Analyses show that such protocols make medication unsecure and hence fail to guarantee inpatient safety. Thus, the original goal of patient safety still remains. In this paper, a very recent proposal (EKATE) upgraded by a cryptographic function is shown to fall short of expectations. Then, an alternative proposal IMS-NFC which uses a more suitable and newer technology; namely Near Field Communication (NFC), is described. The proposed protocol has the additional support of stronger security primitives and it is compliant to ISO communication and security standards. Unlike previous works, the proposal is a complete ubiquitous system that guarantees full patient safety; and it is based on off-the-shelf, new technology products available in every corner of the world. To prove the claims the performance, cost, security and scope of IMS-NFC are compared with previous proposals. Evaluation shows that the proposed system has stronger security, increased patient safety and equal efficiency, at little extra cost.

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References

  1. Bootman JL et al. (2006) Preventing medication errors: quality chasm series. http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm-Series/medicationerrorsnew.pdf. Accessed 03 Apr 2014.

  2. Kaushal, R., Bates, D. W., Landrigan, C., et al., Medication errors and adverse drug events in pediatric inpatients. The J of the American Med Association 285:2114–2120, 2001.

    Article  CAS  Google Scholar 

  3. (2006) Eurobarometer 2006 survey on medical errors, http://ec.europa.eu/public_opinion/archives/ebs/ebs_241_en.pdf. Accessed 03 Apr 2014.

  4. Shojania, K. G., Duncan, B. W., McDonald, K. M., et al., Safe but sound: patient safety meets evidence-based medicine. J American Med Association 288:508–513, 2002.

    Article  Google Scholar 

  5. (2014) National Patient Safety Goals (NPSGs), http://www.jointcommission.org/assets/1/6/HAP_NPSG_Chapter_2014.pdf. Accessed 03 Apr 2014.

  6. Aronson, J. K., Medication errors: what they are, how they happen, and how to avoid them. An Int J of Medicine 102(8):513–521, 2009. doi:10.1093/qjmed/hcp052.

    CAS  Google Scholar 

  7. Benner, P., Sheets, V., Uris, P., Malloch, K., Schwed, K., and Jamison, D., Individual, practice, and system causes of errors in nursing: a taxonomy. J of Nurs Adm 32(10):509–523, 2002.

    Article  Google Scholar 

  8. Lathela A, Hassinen M, Jylha V (2008) RFID and NFC in healthcare: safety of hospitals medication care. 2nd international conference on pervasive computing technologies for healthcare, PervasiveHealth 2008, IEEE, pp 241–244.

  9. Songini ML (2006) Wal-Mart Details its RFID journey http://www.computerworld.com/s/article/109132/Wal_Mart_details_its_RFID_journey. Accessed 03 Apr 2014.

  10. Yao, W., Chu, C. H., and Li, Z., The adoption and implementation of RFID technologies in healthcare: a literature review. J of Med Systems 36(6):3507–3525, 2012. doi:10.1007/s10916-011-9789-8.

    Article  Google Scholar 

  11. EPC Global Inc. (2008) EPC Global Class1 Gen2 RFID Specifications http://www.gs1.org/gsmp/kc/epcglobal/uhfc1g2/uhfc1g2_1_2_0-standard-20080511.pdf. Accessed 03 Apr 2014.

  12. (2010) Inf technology -- Radio frequency identification for item management -- Part 6: Parameters for air interface communications at 860 MHz to 960 MHz, http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=46149. Accessed 03 Apr 2014.

  13. Najera, P., Lopez, J., and Roman, R., Real-time location and inpatient care systems based on passive RFID. J of Network and Computer Applications 34(3):980–989, 2011. doi:10.1016/j.jnca.2010.04.011.

    Article  Google Scholar 

  14. Lai, H. M., Lin, I. C., and Tseng, L. T., High-level managers’ considerations for RFID adoption in hospitals: an empirical study in Taiwan. J of Med Systems. 38(3):1–17, 2014. doi:10.1007/s10916-013-0003-z.

    Google Scholar 

  15. Juels A (2004) Yoking-proofs for RFID tags. Second IEEE annual conference on pervasive computing and communications workshops, pp. 14–17, 138–143.

  16. Wu F, Kuo F, Liu LW (2005) The application of RFID on drug safety of inpatient nursing healthcare. 7th international conference on electronic commerce, pp. 85–92.

  17. Sun, P. R., Wang, B. H., and Wu, F., A new method to guard inpatient medication safety by the implementation of RFID. J of Med Systems. 32(4):327–332, 2008. doi:10.1007/s10916-008-9137-9.

    Article  Google Scholar 

  18. Chen, C. L., and Wu, C. Y., Using RFID yoking proof protocol to enhance inpatient medication safety. J of Med Systems. 36:2849–2864, 2012. doi:10.1007/s10916-011-9763-5.

    Article  Google Scholar 

  19. Huang, H. H., and Ku, C. Y., A RFID grouping proof protocol for medication safety of inpatient. J of Med Systems 33(6):467–474, 2009. doi:10.1007/s10916-008-9207-z.

    Article  Google Scholar 

  20. Chien, H. Y., Yang, C. C., Wu, T. C., and Lee, C. F., Two RFID-based solutions to enhance inpatient medication safety. J of Med Systems 35(3):369–375, 2011. doi:10.1007/s10916-009-9373-7.

    Article  Google Scholar 

  21. Yen, Y. C., Lo, N. W., and Wu, T. C., Two RFID-based solutions for secure inpatient medication administration. J. of Med Systems. 36(5):2769–2778, 2012. doi:10.1007/s10916-011-9753-7.

    Article  Google Scholar 

  22. Peris-Lopez, P., Orfila, A., Mitrokotsa, A., and Van der Lubbe, J. C. A., A comprehensive RFID solution to enhance inpatient medication safety. International J of Med Informatics 80(1):13–24, 2011. doi:10.1016/j.ijmedinf.2010.10.008.

    Article  Google Scholar 

  23. Rosenbaum, B. P., Radio frequency identification (RFID) in health care: privacy and security concerns limiting adoption. J. of Med Systems. 38(19):1–6, 2014. doi:10.1007/s10916-014-0019-z.

    Google Scholar 

  24. Van Deursen T, Radomirovic S (2009) Algebraic attacks on RFID Protocols. Information security theory and practices. Smart devices, pervasive systems, and ubiquitous networks (WISTP'09). LNCS, 5746:38–51.

  25. Khovratovich D, Nikolic I (2010) Rotational Cryptanalysis of ARX. 17th International Conference on Fast Software Encryption, FSE '10, pp. 333–346, 2010.

  26. Özcanhan, M. H., and Dalkılıç, G., Mersenne twister based RFID authentication protocol. Turkish J of Electr Eng and Comput Sci, accepted to be published, doi:, 2013. doi:10.3906/elk-1212-95.

    Google Scholar 

  27. Lopez, P. P., Orfila, A., Hernandez-Castro, J. C., and van der Lubbe, J. C. A., Flaws on RFID grouping-proofs guidelines for future sound protocols. J of Netw and Computer Appl 34:833–845, 2011. doi:10.1016/j.jnca.2010.04.008.

    Article  Google Scholar 

  28. Chien, H. Y., Yang, C. C., Wu, T. C., and Lee, C. F., Two RFID-based solutions to enhance inpatient medication safety. J of Med Syst 35(3):369–375, 2011. doi:10.1007/s10916-009-9373-7.

    Article  Google Scholar 

  29. Wickboldt, A. K., and Piramuthu, S., Patient safety through RFID: vulnerabilities in recently proposed grouping protocols. J of Med Syst 36(2):431–435, 2012. doi:10.1007/s10916-010-9487-y.

    Article  Google Scholar 

  30. Özcanhan MH, Dalkılıç G, Utku S (2013) Analysis of two protocols using EPC Gen-2 tags for safe inpatient medication. Int Sym. on Innovations in Intell Syst and Appl., IEEE, pp 1–6.

  31. Özcanhan, M. H., Dalkılıç, G., and Utku, S., Is NFC a better option instead of EPC Gen-2 in safe medication of inpatients. Radio Frequency Identification LNCS 8262:19–33, 2013.

    Article  Google Scholar 

  32. Kasper T, von Maurich I, Oswald D, Paar C (2011) Chameleon: A Versatile Emulator for Contactless Smartcards. Inf Security and Cryptology - ICISC 2010. LNCS, 6829:189–206.

  33. Peris-Lopez, P., Safkhanim, M., Bagheri, N., and Naderi, M., RFID in eHealth: how combat medications errors and strengthen patient safety. J Med Biol Eng 33(4):363–372, 2013. doi:10.5405/jmbe.1276.

    Article  Google Scholar 

  34. Wu, S., Chen, K., and Zhu, Y., A secure lightweight RFID binding proof protocol for medication errors and patient safety. J of Med Systems. 36(5):2743–2749, 2012. doi:10.1007/s10916-011-9750-x.

    Article  Google Scholar 

  35. Bogdanov A, et al. (2007) PRESENT: An ultra-lightweight block cipher. Cryptographic Hardware and Embedded Systems, pp. 450–466, 2007.

  36. NXP Mifare DesFire EV1 Leaflet (2010) http://www.nxp.com/products/identification_and_ security/smart_card_ics/mifare_smart_card_ics/mifare_desfire/. Accessed 03 Apr 2014.

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Correspondence to Gökhan Dalkılıç.

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This article is part of the Topical Collection on Patient Facing Systems

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Özcanhan, M.H., Dalkılıç, G. & Utku, S. Cryptographically Supported NFC Tags in Medication for Better Inpatient Safety. J Med Syst 38, 61 (2014). https://doi.org/10.1007/s10916-014-0061-x

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