Download PDF version Contact company

Like other hospitals around the country, Sinai Hospital of Baltimore deals with the often competing goals of improving patient safety and satisfaction, nurse satisfaction and nursing efficiency, all while controlling costs. A recent project – the installation of single-patient, automated medication cabinets in each patient room – has resulted in improvements in all of these areas.

The initial goal of the project was to decrease the potential for error during medication administration by moving the entire process to the patient’s bedside. The IP network enabled medication cabinets are in the patient’s room, thus eliminating the need for the Registered Nurse to make repeated trips to a centralised medication storage point, such as a medication cart. According to Bonnie Hartley Faust, MS, MBA, RN, Director of Patient Care Services for Sinai Hospital, “The new cabinets were a hit with our nurses from the start. Having the patient’s medications right at the bedside has not only improved efficiency, but it has afforded us an added level of medication safety. The nurse is better able to ensure that the correct meds are dispensed to the correct patient at the correct time. This added security has made the cabinets quite successful with our patients as well.”

Provide access privileges for medical personnel

The medication cabinets utilise the ISONAS IP PowerNet™ reader-controller to provide access privileges for medical personnel to the cabinets. To gain cabinet entry, the nurse simply passes her/his employee identification card in front of the cabinet’s PowerNet reader and the door opens automatically. Once the patient’s medications are removed, the cabinet door automatically closes and locks. Ms. Faust notes, “In the past, we were challenged with issues like medication cart doors that could be left open or batteries that died leaving the carts without an automatic locking function. Our new process is much more reliable. When the nurse walks away from the cabinet, the medications are immediately safe and secure. It’s a very good feeling.”

Each cabinet can be individually assigned access privileges for that location with almost infinite variability as appropriate. For instance a group of nurses on a particular floor can be allowed access to specific cabinets on that floor only during the shifts they for which they are scheduled.

"Having the patient’s medications right at the bedside has not only improved efficiency, but it has afforded us an added level of medication safety", said Bonnie Hartley Faust, Director of Patient Care Services for Sinai Hospital

By the same token, pharmacy personnel who stock the cabinets can be assigned access at predefined time periods if desired. Since the more than 400 cabinets at Sinai Hospital are managed on a single server in the hospital’s existing internal computer network, administration of access privileges for the over 1,000 staff members who need medication cabinet access is simple and can be granted in minutes.

Monitors each cabinet’s usage

Because the ISONAS system also allows for the monitoring of each cabinet’s usage, the Nursing System Administrator is able to analyse and monitor activity trends and events. For example, if patient medications are not accounted for properly or are found to be missing, records of who accessed the cabinet and when are easily determined.

“I have seen estimates of the median compensation award for a medication error at over $600,000 per incident. That being the case, our project’s payback period could conceivably be measured in months, not years”, says Ms. Faust. The implementation of the in-room cabinets was completed by Sinai’s own Capital Improvements, Facilities and Information Services staff, under the direction and supervision of Ms. Faust as project leader.

During the deployment of the cabinet system there was minimal disruption of the hospital’s on-going operations, as the solution leveraged the data infrastructure already available throughout the organisation. Increased efficiency and better, safer patient care resulting in real cost savings – all have been achieved with the ISONAS system.

Download PDF version Download PDF version

In case you missed it

The physical side of data protection
The physical side of data protection

The impact of the COVID-19 pandemic has accentuated our digital dependency, on a global scale. Data centres have become even more critical to modern society. The processing and storage of information underpin the economy, characterised by a consistent increase in the volume of data and applications, and reliance upon the internet and IT services. Data centres classed as CNI As such, they are now classed as Critical National Infrastructure (CNI) and sit under the protection of the National Cyber Security Centre (NCSC), and the Centre for the Protection of National Infrastructure (CPNI). As land continues to surge in value, data centre operators are often limited for choice, on where they place their sites and are increasingly forced to consider developed areas, close to other infrastructures, such as housing or industrial sites. Complex security needs One misconception when it comes to data centres is that physical security is straightforward One misconception when it comes to data centres is that physical security is straightforward. However, in practice, things are far more complex. On top of protecting the external perimeter, thought must also be given to factors, such as access control, hostile vehicle mitigation (HVM), protecting power infrastructure, as well as standby generators and localising security devices to operate independently of the main data centre. Face value How a site looks is more important than you may think. Specify security that appears too hostile risks blatantly advertising that you’re protecting a valuable target, ironically making it more interesting to opportunistic intruders. The heightened security that we recommend to clients for these types of sites, include 4 m high-security fences, coils of razor wire, CCTV, and floodlighting. When used together in an integrated approach, it’s easy to see how they make the site appear hostile against its surroundings. However, it must appear secure enough to give the client peace of mind that the site is adequately protected. Getting the balance right is crucial. So, how do you balance security, acoustics and aesthetics harmoniously? Security comes first These are essential facilities and as a result, they require appropriate security investment. Cutting corners leads to a greater long-term expense and increases the likelihood of highly disruptive attacks. Checkpoints Fortunately, guidance is available through independent accreditations and certifications, such as the Loss Prevention Certification Board’s (LPCB) LPS 1175 ratings, the PAS 68 HVM rating, CPNI approval, and the police initiative - Secured by Design (SBD). Thorough technical evaluation and quality audit These bodies employ thorough technical evaluation work and rigorous quality audit processes to ensure products deliver proven levels of protection. With untested security measures, you will not know whether a product works until an attack occurs. Specifying products accredited by established bodies removes this concern. High maintenance Simply installing security measures and hoping for the best will not guarantee 24/7 protection. Just as you would keep computer software and hardware updated, to provide the best level of protection for the data, physical security also needs to be well-maintained, in order to ensure it is providing optimum performance. Importance of testing physical security parameters Inspecting the fence line may seem obvious and straightforward, but it needs to be done regularly. From our experience, this is something that is frequently overlooked. The research we conducted revealed that 63% of companies never test their physical security. They should check the perimeter on both sides and look for any attempted breaches. Foliage, weather conditions or topography changes can also affect security integrity. Companies should also check all fixtures and fittings, looking for damage and corrosion, and clear any litter and debris away. Accessibility When considering access control, speed gates offer an excellent solution for data centres. How quickly a gate can open and close is essential, especially when access to the site is restricted. The consequences of access control equipment failing can be extremely serious, far over a minor irritation or inconvenience. Vehicle and pedestrian barriers, especially if automated, require special attention to maintain effective security and efficiency. Volume control Data centres don’t generally make the best neighbours. The noise created from their 24-hour operation can be considerable. HVAC systems, event-triggered security and fire alarms, HV substations, and vehicle traffic can quickly become unbearable for residents. Secure and soundproof perimeter As well as having excellent noise-reducing properties, timber is also a robust material for security fencing So, how do you create a secure and soundproof perimeter? Fortunately, through LPS 1175 certification and CPNI approval, it is possible to combine high-security performance and up to 28dB of noise reduction capabilities. As well as having excellent noise-reducing properties, timber is also a robust material for security fencing. Seamlessly locking thick timber boards create a flat face, making climbing difficult and the solid boards prevent lines of sight into the facility. For extra protection, steel mesh can either be added to one side of the fence or sandwiched between the timber boards, making it extremely difficult to break through. A fair façade A high-security timber fence can be both, aesthetically pleasing and disguise its security credentials. Its pleasant natural façade provides a foil to the stern steel bars and mesh, often seen with other high-security solutions. Of course, it’s still important that fencing serves its primary purposes, so make sure you refer to certifications, to establish a product’s security and acoustic performance. Better protected The value of data cannot be overstated. A breach can have severe consequences for public safety and the economy, leading to serious national security implications. Countering varied security threats Data centres are faced with an incredibly diverse range of threats, including activism, sabotage, trespass, and terrorism on a daily basis. It’s no wonder the government has taken an active role in assisting with their protection through the medium of the CPNI and NCSC. By working with government bodies such as the CPNI and certification boards like the LPCB, specifiers can access a vault of useful knowledge and advice. This will guide them to effective and quality products that are appropriate for their specific site in question, ensuring it’s kept safe and secure.

Data explosion: Futureproofing your video surveillance infrastructure
Data explosion: Futureproofing your video surveillance infrastructure

Video surveillance systems are producing more unstructured data than ever before. A dramatic decrease in camera costs in recent years has led many businesses to invest in comprehensive surveillance coverage, with more cameras generating more data. Plus, advances in technology mean that the newest (8K) cameras are generating approximately 800% more data than their predecessors (standard definition). Traditional entry-level solutions like network video recorders (NVRs) simply aren’t built to handle massive amounts of data in an efficient, resilient and cost-effective manner. This has left many security pioneers grappling with a data storage conundrum. Should they continue adding more NVR boxes? Or is there another, better, route? Retaining video data In short, yes. To future proof their video surveillance infrastructure, an increasing number of businesses are adopting an end-to-end surveillance architecture with well-integrated, purpose-built platforms for handling video data through its lifecycle. This presents significant advantages in terms of security, compliance and scalability, as well as unlocking new possibilities for data enrichment. All of this with a lower total cost of ownership than traditional solutions. Security teams would typically delete recorded surveillance footage after a few days or weeks Previously, security teams would typically delete recorded surveillance footage after a few days or weeks. However, thanks to increasingly stringent legal and compliance demands, many are now required to retain video data for months or even years. There’s no doubt that this can potentially benefit investigations and increase prosecutions, but it also puts significant pressure on businesses’ storage infrastructure. Data lifecycle management This necessitates a more intelligent approach to data lifecycle management. Rather than simply storing video data in a single location until it’s wiped, an end-to-end video surveillance solution can intelligently migrate data to different storage platforms and media as it ages. So, how does this work? Video is recorded and analysed on a combination of NVR, hyperconverged infrastructure (HCI) and application servers. Then, it’s moved to resilient file storage for a pre-determined period, where it can be immediately retrieved and accessed for review. Finally, based on policies set by heads of security, data is moved from file storage to highly secure, low-cost archive storage such as an object, tape or cloud. Data is moved from file storage to highly secure, low-cost archive storage Long-term storage This process is known as tiering. It allows businesses to use reliable, inexpensive long-term storage for most of their data, whilst still enabling security pioneers to retrieve video data when the need arises, such as during a compliance audit, or to review footage following a security breach. In a nutshell, it offers them the best of both worlds. Scaling your video surveillance infrastructure can be a headache. Businesses that rely on NVRs – even high-end units with 64 or even 96 hard drives – are finding themselves running out of capacity increasingly quickly. In order to scale, security pioneers then have to procure new boxes. With NVRs, this inevitably involves a degree of guesswork. Should they go for the largest possible option, and risk over provisioning? Or perhaps a smaller option, and risk running out of capacity again? Common management console Security pioneers can easily add or remove storage capacity or compute resources – separately or together As businesses add new cameras or replace existing ones, many end up with inadequate surveillance infrastructure made up of multiple NVR boxes along with several application servers for running other surveillance functions such as access control, security photo databases, analytics, etc. This patchwork approach leaves security pioneers scrambling for capacity, maintaining various hardware footprints, repeating updates and checks across multiple systems, and taking up valuable time that could be better spent elsewhere. By contrast, flexible HCI surveillance platforms aggregate the storage and ecosystem applications to run on the same infrastructure and combine viewing under a common management console, avoiding ‘swivel chair’ management workflows. Plus, they offer seamless scalability. Security pioneers can easily add or remove storage capacity or compute resources – separately or together. Data storage solutions Over time, this ensures a lower total cost of ownership. First and foremost, it removes the risk of over provisioning and helps to control hardware sprawl. This in turn leads to hardware maintenance savings and lower power use. Many security pioneers are now looking beyond simple data storage solutions for their video surveillance footage. Meta tags can provide context around data, making it easier to find and access when needed Instead, they’re asking themselves how analysing this data can enable their teams to work faster, more efficiently and productively. Implementing an end-to-end video surveillance architecture enables users to take advantage of AI and machine learning applications which can tag and enrich video surveillance data. These have several key benefits. Firstly, meta tags can provide context around data, making it easier to find and access when needed. Object storage platform For instance, if security teams are notified of a suspicious red truck, they can quickly find data with this tag, rather than manually searching through hours of data, which can feel like looking for a needle in a haystack. Plus, meta tags can be used to mark data for future analysis. This means that as algorithms are run over time, policies can be set to automatically store data in the right location. For example, if a video is determined to contain cars driving in and out of your premises, it would be moved to long-term archiving such as an object storage platform for compliance purposes. If, on the other hand, it contained 24 hours of an empty parking lot, it could be wiped. These same meta tags may be used to eventually expire the compliance data in the archive after it is no longer needed based on policy. Video surveillance architecture Continuing to rely on traditional systems like NVRs will fast become unsustainable for businesses Even if your organisation isn’t using machine learning or artificial intelligence-powered applications to enhance your data today, it probably will be one, three, or even five years down the line. Implementing a flexible end-to-end video surveillance solution prepares you for this possibility. With new advances in technology, the quantity of data captured by video surveillance systems will continue rising throughout the coming decade. As such, continuing to rely on traditional systems like NVRs will fast become unsustainable for businesses. Looking forward, when moving to an end-to-end video surveillance architecture, security pioneers should make sure to evaluate options from different vendors. For true futureproofing, it’s a good idea to opt for a flexible, modular solution, which allow different elements to be upgraded to more advanced technologies when they become available.

How can the security industry provide affordable and cost-effective solutions?
How can the security industry provide affordable and cost-effective solutions?

Cost is a reality to be managed. No matter how powerful or desirable a technology may be to a customer, the sale often comes down to the basic question: Can I afford it? And affordability extends not just to the purchase price, but to the cost of technology over its lifespan. In addition to advances in technology capabilities, the security industry has also achieved inroads to make its offerings more worth the cost. We asked this week’s Expert Panel Roundtable: What is the physical security industry doing to make more affordable and cost-effective technology solutions for end users?