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	<title>EveryJoe &#187; JAMA</title>
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		<title>RFID, TNO, Sonitor&#8230; and a potential conflict of interest?</title>
		<link>http://www.everyjoe.com/articles/rfid-tno-sonitor-and-a-potential-conflict-of-interest-647/</link>
		<comments>http://www.everyjoe.com/articles/rfid-tno-sonitor-and-a-potential-conflict-of-interest-647/#comments</comments>
		<pubDate>Wed, 02 Jul 2008 14:38:06 +0000</pubDate>
		<dc:creator>Jen</dc:creator>
				<category><![CDATA[Business]]></category>
		<category><![CDATA[Booij]]></category>
		<category><![CDATA[conflict of interest]]></category>
		<category><![CDATA[IT and health care]]></category>
		<category><![CDATA[JAMA]]></category>
		<category><![CDATA[Pharma and Biotech Industry]]></category>
		<category><![CDATA[Sonitor]]></category>
		<category><![CDATA[TNO]]></category>

		<guid isPermaLink="false">http://www.healthcareinsiders.com/rfid-tno-sonitor-and-a-potential-conflict-of-interest/</guid>
		<description><![CDATA[ Commenter follow_the_ money had the following to say on my June 24th post about a  JAMA article raising questions about the safety of RFID in hospitals (reprinted from comment section): 
&#8220;this appears to be waiting for a good reporter
The “TNO Netherlands Organization for Applied Scientific Research, Leiden” is listed as one of the “Author Affiliations” for the RFID study (http://jama.ama-assn.org/cgi/content/short/299/24/2884).
A recent announcement (May 2008) was made regarding strengthened collaboration between TNO and Sintef, another research organization in Europe similar to TNO (http://www.mwjournal.com/search/article.asp?HH_ID=AR_5758&#38;SearchWord=TNO) .
Wilfred Booij is a senior scientist at Sintef.
Wilfred Booij is also CTO of “Sonitor Technologies&#8221;.
What does Sonitor Technologies do? [...]<p>Post from: <a href="http://www.everyjoe.com">EveryJoe</a></p>
<p><a href="http://www.everyjoe.com/articles/rfid-tno-sonitor-and-a-potential-conflict-of-interest-647/">RFID, TNO, Sonitor&#8230; and a potential conflict of interest?</a></p>
]]></description>
			<content:encoded><![CDATA[<p> Commenter <strong>follow_the_ money</strong> had the <a href="http://www.bizzia.com/rfid-chips-good-for-health-care-but-potentially-dangerous/#comments">following to say</a> on my <a href="http://www.bizzia.com/rfid-chips-good-for-health-care-but-potentially-dangerous/">June 24th post</a> about a  <em>JAMA</em> article raising questions about the safety of RFID in hospitals (reprinted from comment section): </p>
<blockquote><p>&#8220;this appears to be waiting for a good reporter</p>
<p>The “TNO Netherlands Organization for Applied Scientific Research, Leiden” is listed as one of the “Author Affiliations” for the RFID study (<a href="http://jama.ama-assn.org/cgi/content/short/299/24/2884">http://jama.ama-assn.org/cgi/content/short/299/24/2884</a>).</p>
<p>A recent announcement (May 2008) was made regarding strengthened collaboration between TNO and Sintef, another research organization in Europe similar to TNO (<a href="http://www.mwjournal.com/search/article.asp?HH_ID=AR_5758&amp;SearchWord=TNO">http://www.mwjournal.com/search/article.asp?HH_ID=AR_5758&amp;SearchWord=TNO</a>) .</p>
<p>Wilfred Booij is a senior scientist at Sintef.</p>
<p>Wilfred Booij is also CTO of “Sonitor Technologies&#8221;.</p>
<p>What does Sonitor Technologies do? They have a competing technology to RFID for real-time location systems which they are pushing in healthcare.They are heralding the study on their website as validation of their own technology, saying “JAMA report lends credibility to Sonitor’s Technology” (<a href="http://www.sonitor.com/">http://www.sonitor.com/</a>)&#8221;</p></blockquote>
<p>With all of the news about conflict of interest lately, I thought I&#8217;d take a look into this matter.</p>
<p> <span id="more-125249"></span></p>
<p>The authors of the study were:</p>
<blockquote><p><font size="2" face="Verdana">Remko van der Togt, MSc; <nobr>Erik Jan van Lieshout, MD</nobr>; <nobr>Reinout Hensbroek, MSc</nobr>; <nobr>E. Beinat, PhD</nobr>; <nobr>J. M. Binnekade, PhD</nobr>; <nobr>P. J. M. Bakker, MD, PhD</nobr> </font></p></blockquote>
<p>Let&#8217;s see what their affiliations are.</p>
<blockquote><p><font size="2" face="Verdana">Spatial Information Laboratory, Institute of Environmental Studies, VU University, Amsterdam, the Netherlands (Mr van der Togt and Dr Beinat); Department of Intensive Care and Mobile Intensive Care Unit (Drs van Lieshout and Binnekade), Department of Clinical Epidemiology, Biostatistics and Bioinformatics (Dr Binnekade), and Department of Quality Assurance and Innovation (Dr Bakker), Academic Medical Centre, University of Amsterdam, Amsterdam; <strong>TNO Netherlands Organization for Applied Scientific Research, Leiden, the Netherlands</strong>(Mr Hensbroek); and Faculty of Sciences, University of Salzburg, Salzburg, Austria (Dr Beinat).</font></p></blockquote>
<p>TNO Netherlands Organization for Applied Scientific Research has a Wikipedia page here if you&#8217;re interested (TNO = Toegepast Natuurwetenschappelijk Onderzoek, or &#8220;Applied Scientific Research&#8221;) TNO and SINTEF <a href="http://www.bizzia.com/wp-admin/did%20indeed%20sign%20an%20agreement%20earlier%20this%20year">did indeed sign an agreement earlier this year</a>:</p>
<blockquote><p>&#8220;The leading research organizations TNO (the Netherlands) and SINTEF (Norway) have signed a Memorandum of Understanding (MoU) to develop and market their joint services on a number of fields of technology.&#8221;</p></blockquote>
<p>I checked out Wilfred Booij&#8217;s profile on <a href="http://www.bizzia.com/files/647/2008/07/booij.jpg" title="Profile - Wilfred Booij"><img border="0" align="middle" width="1" src="http://www.bizzia.com/files/647/2008/07/booij.jpg" alt="Profile - Wilfred Booij" height="1" /></a>LinkedIn, and he does have affiliations with SINTEF and Sonitor. Here is a screen shot:</p>
<p><a href="http://www.bizzia.com/files/647/2008/07/booij.jpg" title="Profile - Wilfred Booij"><img src="http://www.bizzia.com/files/647/2008/07/booij.jpg" alt="Profile - Wilfred Booij" /></a></p>
<p>Even more interesting, Booij is <a href="http://www.sonitor.com/news/article.asp?ID=132">quoted as discussing the superiority of Sonitor&#8217;s technology to RFID, and he speaks directly about the <em>JAMA</em> report</a>:</p>
<blockquote><p>&#8220;Ten years ago, the scientists at Sonitor Technologies concluded that the use of RF technology for tracking and positioning of equipment, people and charts should be avoided in a healthcare environment because of the serious risk of electromagnetic interference with sensitive medical equipment.&#8221; says Dr. Wilfred Booij, CTO of Sonitor Technologies. &#8220;This was a key reason for why Sonitor Technologies set out and developed a positioning and tracking solution based on (non-RF) Ultrasound signals. Ultrasound signals inherently do not cause interference with medical equipment since ultrasound signal are acoustical pressure waves just as ordinary sound. &#8211; And as we all know sound does not interfere with medical equipment.&#8221;</p></blockquote>
<p>My verdict? Definitely a little fishy. I think that this merits further investigation&#8230; if anyone else finds some interesting stuff, post it in the comments!</p>
<p>Post from: <a href="http://www.everyjoe.com">EveryJoe</a></p>
<p><a href="http://www.everyjoe.com/articles/rfid-tno-sonitor-and-a-potential-conflict-of-interest-647/">RFID, TNO, Sonitor&#8230; and a potential conflict of interest?</a></p>
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		<slash:comments>7</slash:comments>
		</item>
		<item>
		<title>RFID Chips &#8211; Good for health care, but potentially dangerous?</title>
		<link>http://www.everyjoe.com/articles/rfid-chips-good-for-health-care-but-potentially-dangerous-647/</link>
		<comments>http://www.everyjoe.com/articles/rfid-chips-good-for-health-care-but-potentially-dangerous-647/#comments</comments>
		<pubDate>Wed, 25 Jun 2008 00:33:12 +0000</pubDate>
		<dc:creator>Jen</dc:creator>
				<category><![CDATA[Business]]></category>
		<category><![CDATA[health care technology]]></category>
		<category><![CDATA[Hospitals and Doctors]]></category>
		<category><![CDATA[IT and health care]]></category>
		<category><![CDATA[JAMA]]></category>

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		<description><![CDATA[I was slightly disappointed to see the news that RFID chips may potentially be harmful to patients with pacemakers and other medical devices. RFID (radio frequency identification) chips/&#8221;tags&#8221; can be embedded into anything from expensive medications to IV infusion pumps to aid in preventing counterfeiting of drugs or supplies or just to help the hospital track inventory, so nurses aren&#8217;t standing around wondering where a piece of equipment is when it was left on another floor. RFID chips have also been pioneered as an addition to regular patient ID bracelets.
It&#8217;s important to note that the study (abstract from JAMA here, [...]<p>Post from: <a href="http://www.everyjoe.com">EveryJoe</a></p>
<p><a href="http://www.everyjoe.com/articles/rfid-chips-good-for-health-care-but-potentially-dangerous-647/">RFID Chips &#8211; Good for health care, but potentially dangerous?</a></p>
]]></description>
			<content:encoded><![CDATA[<p>I was slightly disappointed to see the <a href="http://abcnews.go.com/Health/HeartDiseaseNews/Story?id=5237036&amp;page=4">news</a> that <a href="http://blogs.wsj.com/health/2008/06/24/study-rfid-tags-can-mess-up-medical-devices/">RFID chips may potentially be harmful</a> to patients with pacemakers and other medical devices. RFID (radio frequency identification) chips/&#8221;tags&#8221; can be embedded into anything from expensive medications to IV infusion pumps to aid in preventing counterfeiting of drugs or supplies or just to help the hospital track inventory, so nurses aren&#8217;t standing around wondering where a piece of equipment is when it was left on another floor. RFID chips have also been pioneered as an addition to regular patient ID bracelets.</p>
<p>It&#8217;s important to note that the study (abstract from <em>JAMA</em> <a href="http://jama.ama-assn.org/cgi/content/abstract/299/24/2884">here</a>, with a nice commentary from Dr. Donald Berwick of IHI <a href="http://jama.ama-assn.org/cgi/content/short/299/24/2898">here</a>) was done in an ICU with no patients, so although some instances of potentially hazardous interference between RFID and another technology were observed, this data is certainly not a death knell for RFID technology &#8212; it only means that some workarounds might be necessary, along with weighing of potential pluses and minuses for especially at-risk patient populations, maybe including those in intensive care units.</p>
<p>This hurdle is certainly one that technology will overcome. RFID is an enormously promising technology that could save money and lives when applied to numerous health care interactions.</p>
<p>Post from: <a href="http://www.everyjoe.com">EveryJoe</a></p>
<p><a href="http://www.everyjoe.com/articles/rfid-chips-good-for-health-care-but-potentially-dangerous-647/">RFID Chips &#8211; Good for health care, but potentially dangerous?</a></p>
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		<slash:comments>5</slash:comments>
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