Untethered Ultra-Wideband-Based Real-Time Locating System for Road-Worker Safety.

In order to reduce the accident risk in road construction and maintenance, this paper proposes a novel solution for road-worker safety based on an untethered real-time locating system (RTLS). This system tracks the location of workers in real time using ultra-wideband (UWB) technology and indicates if they are in a predefined danger zone or not, where the predefined safe zone is delimited by safety cones. Unlike previous works that focus on road-worker safety by detecting vehicles that enter into the working zone, our proposal solves the problem of distracted workers leaving the safe zone. This paper presents a simple-to-deploy safety system. Our UWB anchors do not need any cables for powering, synchronisation, or data transfer. The anchors are placed inside safety cones, which are already available in construction sites. Finally, there is no need to manually measure the positions of anchors and introduce them to the system thanks to a novel self-positioning approach. Our proposal, apart from automatically estimating the anchors' positions, also defines the limits of safe and danger zones. These features notably reduce the deployment time of the proposed safety system. Moreover, measurements show that all the proposed simplifications are obtained with an accuracy of 97%.

The Rise of Passive RFID RTLS Solutions in Industry 5.0.

In today's competitive landscape, manufacturing companies must embrace digital transformation. This study asserts that integrating Internet of Things (IoT) technologies for the deployment of real-time location systems (RTLS) is crucial for better monitoring of critical assets. Despite the challenge of selecting the right technology for specific needs from a wide range of indoor RTLS options, this study provides a solution to assist manufacturing companies in exploring and implementing IoT technologies for their RTLS needs. The current academic literature has not adequately addressed this industrial reality. This paper assesses the potential of Passive UHF RFID-RTLS in Industry 5.0, addressing the confusion caused by the emergence of new 'passive' RFID solutions that compete with established 'active' solutions. Our research aims to clarify the real-world performance of passive RTLS solutions and propose an updated classification of RTLS systems in the academic literature. We have thoroughly reviewed both the academic and industry literature to remain up to date with the latest market advancements. Passive UHF RFID has been proven to be a valuable addition to the RTLS domain, capable of addressing certain challenges. This has been demonstrated through the successful implementation in two industrial sites, each with different types of tagged objects.

Range-Extension Algorithms and Strategies for TDOA Ultra-Wideband Positioning System.

The Internet of Things (IoT) for smart industry requires the surveillance and management of people and objects. The ultra-wideband positioning system is an attractive solution for achieving centimeter-level accuracy in target location. While many studies have focused on improving the accuracy of the anchor coverage range, it is important to note that in practical applications, positioning areas are often limited and obstructed by furniture, shelves, pillars, or walls, which can restrict the placement of anchors. Furthermore, some positioning regions are located beyond anchor coverage, and a single group with few anchors may not be able to cover all rooms and aisles on a floor due to non-line-of-sight errors causing severe positioning errors. In this work, we propose a dynamic-reference anchor time difference of arrival (TDOA) compensation algorithm to enhance accuracy beyond anchor coverage by eliminating local minima of the TDOA loss function near anchors. We designed a multidimensional and multigroup TDOA positioning system with the aim of broadening the coverage of indoor positioning and accommodating complex indoor environments. By employing an address-filter technique and group-switching process, tags can seamlessly move between groups with a high positioning rate, low latency, and high accuracy. We deployed the system in a medical center to locate and manage researchers with infectious medical waste, demonstrating its usefulness for practical healthcare institutions. Our proposed positioning system can thus facilitate precise and wide-range indoor and outdoor wireless localization.

UWB and IMU-Based UAV's Assistance System for Autonomous Landing on a Platform.

This work presents a novel landing assistance system (LAS) capable of locating a drone for a safe landing after its inspection mission. The location of the drone is achieved by a fusion of ultra-wideband (UWB), inertial measurement unit (IMU) and magnetometer data. Unlike other typical landing assistance systems, the UWB fixed sensors are placed around a 2 × 2 m landing platform and two tags are attached to the drone. Since this type of set-up is suboptimal for UWB location systems, a new positioning algorithm is proposed for a correct performance. First, an extended Kalman filter (EKF) algorithm is used to calculate the position of each tag, and then both positions are combined for a more accurate and robust localisation. As a result, the obtained positioning errors can be reduced by 50% compared to a typical UWB-based landing assistance system. Moreover, due to the small demand of space, the proposed landing assistance system can be used almost anywhere and is deployed easily.

Future Wireless Communication Technology towards 6G IoT: An Application-Based Analysis of IoT in Real-Time Location Monitoring of Employees Inside Underground Mines by Using BLE.

In recent years, the IoT has emerged as the most promising technology in the key evolution of industry 4.0/industry 5.0, smart home automation (SHA), smart cities, energy savings and many other areas of wireless communication. There is a massively growing number of static and mobile IoT devices with a diversified range of speed and bandwidth, along with a growing demand for high data rates, which makes the network denser and more complicated. In this context, the next-generation communication technology, i.e., sixth generation (6G), is trying to build up the base to meet the imperative need of future network deployment. This article adopts the vision for 6G IoT systems and proposes an IoT-based real-time location monitoring system using Bluetooth Low Energy (BLE) for underground communication applications. An application-based analysis of industrial positioning systems is also presented.

Keep your distance! Measuring staff physical distancing during the Sars-Cov-2 pandemic using a real-time locating system.

INTRODUCTION: Staff-to-staff transmission of SARS-CoV-2 poses a significant risk to the Emergency Department (ED) workforce. We measured close (<6 ft), prolonged (>10 min) staff interactions in a busy pediatric Emergency Department in common work areas over time as the pandemic unfolded, measuring the effectiveness of interventions meant to discourage such close contact. METHODS: We used a Real-Time Locating System to measure staff groupings in crowded common work areas lasting ten or more minutes. We compared the number of these interactions pre-pandemic with those occurring early and then later in the pandemic, as distancing interventions were suggested and then formalized. Nearly all healthcare workers in the ED were included, and the duration of interactions over time were evaluated as well. RESULTS AND CONCLUSIONS: This study included a total of 12,386 pairs of staff-to-staff encounters over three time periods including just prior to the pandemic, early in the pandemic response, and later in the steady-state pandemic response. Pairs of staff averaged 0.89 high-risk interactions hourly prior to the pandemic, and this continued early in the pandemic with informal recommendations (0.80 high-risk pairs hourly). High-risk staff encounters fell significantly to 0.47 interactions per hour in the steady-state pandemic with formal distancing guidelines in place and decreased patient and staffing volumes. The duration of these encounters remained stable, near 16 min. Close contact between healthcare staff workers did significantly decrease with formal distancing guidelines, though some high-risk interactions remained, warranting additive protective measures such as universal masking.

Vision and RTLS Safety Implementation in an Experimental Human-Robot Collaboration Scenario.

Human-robot collaboration is becoming ever more widespread in industry because of its adaptability. Conventional safety elements are used when converting a workplace into a collaborative one, although new technologies are becoming more widespread. This work proposes a safe robotic workplace that can adapt its operation and speed depending on the surrounding stimuli. The benefit lies in its use of promising technologies that combine safety and collaboration. Using a depth camera operating on the passive stereo principle, safety zones are created around the robotic workplace, while objects moving around the workplace are identified, including their distance from the robotic system. Passive stereo employs two colour streams that enable distance computation based on pixel shift. The colour stream is also used in the human identification process. Human identification is achieved using the Histogram of Oriented Gradients, pre-learned precisely for this purpose. The workplace also features autonomous trolleys for material supply. Unequivocal trolley identification is achieved using a real-time location system through tags placed on each trolley. The robotic workplace's speed and the halting of its work depend on the positions of objects within safety zones. The entry of a trolley with an exception to a safety zone does not affect the workplace speed. This work simulates individual scenarios that may occur at a robotic workplace with an emphasis on compliance with safety measures. The novelty lies in the integration of a real-time location system into a vision-based safety system, which are not new technologies by themselves, but their interconnection to achieve exception handling in order to reduce downtimes in the collaborative robotic system is innovative.

Integration and Prototyping of a Pulsed RF Oscillator with an UWB Antenna for Low-Cost, Low-Power RTLS Applications.

The goal of this paper is to present a compact low-cost and low-power prototype of a pulsed Ultra Wide Band (UWB) oscillator and an UWB elliptical dipole antenna integrated on the same Radio Frequency (RF) Printed Circuit Board (PCB) and its digital control board for Real Time Locating System (RTLS) applications. The design is compatible with IEEE 802.15.4 high rate pulse repetition UWB standard being able to work between 6 GHz and 8.5 GHz with 500 MHz bandwidth and with a pulse duration of 2 ns. The UWB system has been designed using the CST Microwave Studio transient Electro-Magnetic (EM) circuit co-simulation method. This method integrates the functional circuit simulation together with the full wave (EM) simulation of the PCB's 3D model allowing fast parameter tuning. The PCB has been manufactured and the entire system has been assembled and measured. Simulated and measured results are in excellent agreement with respect to the radiation performances as well as the power consumption. A compact, very low-power and low-cost system has been designed and validated.

Modelling and Evaluation of the Absorption of the 866 MHz Electromagnetic Field in Humans Exposed near to Fixed I-RFID Readers Used in Medical RTLS or to Monitor PPE.

The aim of this study was to model and evaluate the Specific Energy Absorption Rate (SAR) values in humans in proximity to fixed multi-antenna I-RFID readers of passive tags under various scenarios mimicking exposure when they are incorporated in Real-Time Location Systems (RTLS), or used to monitor Personal Protective Equipment (PPE). The sources of the electromagnetic field (EMF) in the modelled readers were rectangular microstrip antennas at a resonance frequency in free space of 866 MHz from the ultra-high frequency (UHF) RFID frequency range of 865-868 MHz. The obtained results of numerical modelling showed that the SAR values in the body 5 cm away from the UHF RFID readers need consideration with respect to exposure limits set by international guidelines to prevent adverse thermal effects of exposure to EMF: when the effective radiated power exceeds 5.5 W with respect to the general public/unrestricted environments exposure limits, and with respect to occupational/restricted environments exposure limits, when the effective radiated power exceeds 27.5 W.

A Survey About Real-Time Location Systems in Healthcare Environments.

Every year healthcare organizations suffer from several issues, such as unapropriated workflow, thousands of deaths caused by medical errors, counterfeit drugs, and increasing costs. To offer better patient care and increase profit, hospitals could adopt solutions that help remedy these problems. Real-Time Location Systems have the potential to deal with many of these issues, as well as offering means for developing new and intelligent solutions. This kind of system enables tracking assets and people, allowing several improvements. Even though the benefits of such solutions are well known and desired by healthcare providers, their large scale adoption is still distant. In this article, we surveyed Real-Time Location Systems usage in hospitals. While developing this survey, we observed a need for organizing important aspects of healthcare-oriented Real-Time Location Systems. Therefore, we analyzed challenges regarding this topic and a taxonomy proposed. This survey offers researchers and developers ways to comprehend the challenges surrounding this area while proposing a classification of aspects that a Real-Time Location System for healthcare environments must assess for it to be successful.

Designing and validating a low-cost real time locating system to continuously assess patient wait times.

OBJECTIVE: Outpatient clinics lack infrastructure to easily measure and understand patient wait times. Our objective was to design a low-cost, portable passive real time locating system within an outpatient clinic setting to measure patient wait times and patient-provider interactions. MATERIALS AND METHODS: Direct observation was used to determine workflow in an outpatient glaucoma clinic at the University of Michigan. We used off-the shelf, antenna-integrated ultra-high frequency (UHF) RFID readers (ThingMagic, Astra-Ex, Woburn, MA) and UHF re-useable passive RFID tags (Zebra Impinj Monza 4QT, Seattle, WA). We designed a custom RFID management application in the Java programming language that was equipped with 'live' device administration to collect time and location data from patients and providers. These hardware choices enabled low cost system installation. Hidden Markov Modeling (HMM) was used to smooth patient and provider location data. Location data were validated against direct observations and EHR evaluation. RESULTS: The HMM smoothed RFID system data accurately predicted patient location 80.6% of the time and provider location 79.1% of the time, compared to direct observation locations, an improvement over the raw RFID location data (65.0% and 77.9% accurate, respectively). Patient process time was on average 42.8 min (SD = 27.5) and wait time was 47.9 min (SD = 33.1). The installation and recurring capital costs of the system are approximately 10% of available commercially-supplied patient/provider tracking systems. DISCUSSION: Passive RFID time study systems can enable real-time localization of people in clinic, facilitating continuous capture of patient wait times and patient-provider interactions. The system must be tailored to the clinic to accurately reflect patient and provider movement. CONCLUSIONS: Capturing wait time data continuously and passively can empower continuous clinical quality improvement initiatives to enhance the patient experience.

Real-Time Locating System in Production Management.

Real-time monitoring and optimization of production and logistics processes significantly improve the efficiency of production systems. Advanced production management solutions require real-time information about the status of products, production, and resources. As real-time locating systems (also referred to as indoor positioning systems) can enrich the available information, these systems started to gain attention in industrial environments in recent years. This paper provides a review of the possible technologies and applications related to production control and logistics, quality management, safety, and efficiency monitoring. This work also provides a workflow to clarify the steps of a typical real-time locating system project, including the cleaning, pre-processing, and analysis of the data to provide a guideline and reference for research and development of indoor positioning-based manufacturing solutions.

Innovative Technologies for Cultural Heritage. Tattoo Sensors and AI: The New Life of Cultural Assets.

Conservation and restoration of cultural heritage is something more than a simple process of maintaining the existing. It is an integral part of the improvement of the cultural asset. The social context around the restoration shapes the specific actions. Today, preservation, restoration, enhancement of cultural heritage are increasingly a multidisciplinary science, meeting point of researchers coming from heterogeneous study areas. Data scientists and Information technology (IT) specialists are increasingly important. In this context, networks of a new generation of smart sensors integrated with data mining and artificial intelligence play a crucial role and aim to become the new skin of cultural assets.

Using Real-Time Locating Systems to Optimize Endoscope Use at a Large Academic Medical Center.

Massachusetts General Hospital (MGH) manages a large inventory of surgical equipment which must be delivered to operating rooms on-time, efficiently, and according to a set of quality standards and regulatory guidelines. In recent years, flexible scope management has become a topic of interest for many hospitals, as they face pressure to reduce costs, prevent infections that can result from mismanagement, and are under increased regulatory oversight. This work conducted at MGH proposes a novel method for surgical equipment management in a hospital. The proposed solution uses a real-time locating system to track flexible scopes, a semantic reasoning engine to determine the state of each scope, and a user interface to inform staff about necessary interventions to avoid scope expirations while maximizing efficiency. This study aimed to accomplish three primary goals. First, the study sought to improve the hospital's compliance to quality standards in order to reduce risks of infection due to expired scopes. Second, the study aimed to improve the cost-efficiency of scope disinfecting processes through more efficient inventory management. Finally, the study served as an opportunity for the hospital to establish best practices for working with the newly installed real-time locating system. The system proposed in this work was implemented at MGH on a subset of the hospital's flexible scopes. The study results demonstrated a quality compliance increase from 88.9% to 94.5%. The study also showed an estimated $17,350 annual cost savings due to more efficient scope management. Finally, the study demonstrated the feasibility, increase in regulatory compliance, and cost savings that would make this technology valuable when scaled across the hospital to other types of scopes and medical devices.

Improving Clinic Operational Efficiency and Utilization with RTLS.

New sources of operational data are leading to novel healthcare delivery system design and opportunities to support operational planning and decision-making. Technologies such as real time locating systems (RTLS) provide a unique view and understanding of how healthcare delivery settings behave and respond to operational design changes. In this paper RTLS data from an outpatient clinical setting is leveraged to identify the appropriate number of scheduled providers in order to improve the utilization of the clinical space while balancing the negative effects of clinic congestion. The approaches presented pair historical utilization rates for the clinical space with scheduled provider and patient volumes to support scheduling decisions in an operationally flexible clinic design. These historical data are augmented with clinic staff observation logs to identify target utilization rates as well as high congestion levels. Results are presented for two approaches: one where utilization of clinical space is a key performance metric and another where the decision-maker may be risk averse toward the use of provider time and use a probabilistic approach to determine provider staffing levels.

Feasibility of real-time location systems in monitoring recovery after major abdominal surgery.

BACKGROUND: Early mobilization after major abdominal surgery decreases postoperative complications and length of stay, and has become a key component of enhanced recovery pathways. However, objective measures of patient movement after surgery are limited. Real-time location systems (RTLS), typically used for asset tracking, provide a novel approach to monitoring in-hospital patient activity. The current study investigates the feasibility of using RTLS to objectively track postoperative patient mobilization. METHODS: The real-time location system employs a meshed network of infrared and RFID sensors and detectors that sample device locations every 3 s resulting in over 1 million data points per day. RTLS tracking was evaluated systematically in three phases: (1) sensitivity and specificity of the tracking device using simulated patient scenarios, (2) retrospective passive movement analysis of patient-linked equipment, and (3) prospective observational analysis of a patient-attached tracking device. RESULTS: RTLS tracking detected a simulated movement out of a room with sensitivity of 91% and specificity 100%. Specificity decreased to 75% if time out of room was less than 3 min. All RTLS-tagged patient-linked equipment was identified for 18 patients, but measurable patient movement associated with equipment was detected for only 2 patients (11%) with 1-8 out-of-room walks per day. Ten patients were prospectively monitored using RTLS badges following major abdominal surgery. Patient movement was recorded using patient diaries, direct observation, and an accelerometer. Sensitivity and specificity of RTLS patient tracking were both 100% in detecting out-of-room ambulation and correlated well with direct observation and patient-reported ambulation. CONCLUSION: Real-time location systems are a novel technology capable of objectively and accurately monitoring patient movement and provide an innovative approach to promoting early mobilization after surgery.

Contact networks in the emergency department: Effects of time, environment, patient characteristics, and staff role.

Emergency departments play a critical role in the public health system, particularly in times of pandemic. Infectious patients presenting to emergency departments bring a risk of cross-infection to other patients and staff through close proximity interactions or contacts. To understand factors associated with cross-infection risk, we measured close proximity interactions of emergency department staff and patients by radiofrequency identification in a working emergency department. The number of contacts (degree) is not related to patient demographic characteristics. However, the amount of time in close proximity (weighted degree) of patients with ED personnel did differ, with black patients having approximately 15 min more contact with staff than non-white patients. Patients arriving by EMS had fewer contacts with other patients than patients arriving by other means. There are differences in the number of contacts based on staff role and arrival mode. When crowding is low, providers have the most contact time with patients, while administrative staff have the least. However, when crowding is high, this differential is reversed. The effect of arrival mode is modified by the extent of crowding. When crowding is low, patients arriving by EMS had longer contact with administrative staff, compared to patients arriving by other means. However, when crowding is high, patients arriving by EMS had less contact with administrative staff compared to patients arriving by other means. Our findings should help designers of emergency care focus on higher risk situations for transmission of dangerous pathogens in an emergency department. For instance, the effects of arrival and crowding should be considered as targets for engineering or architectural interventions that could artificially increase social distances.

Development of the chemical exposure monitor with indoor positioning (CEMWIP) for workplace VOC surveys.

The purpose of this article was to research and develop a direct-reading exposure assessment method that combined a real-time location system with a wireless direct-reading personal chemical sensor. The personal chemical sensor was a photoionization device for detecting volatile organic compounds. The combined system was calibrated and tested against the same four standard gas concentrations and calibrated at one standard location and tested at four locations that included the standard locations. Data were wirelessly collected from the chemical sensor every 1.4 sec, for volatile organic compounds concentration, location, temperature, humidity, and time. Regression analysis of the photo-ionization device voltage response against calibration gases showed the chemical sensor had a limit of detection of 0.2 ppm. The real-time location system was accurate to 13 cm ± 6 cm (standard deviation) in an open area and to 57 cm ± 31 cm in a closed room where the radio frequency has to penetrate drywall-finished walls. The streaming data were collected and graphically displayed as a three-dimensional hazard map for assessment of peak exposure with location. A real-time personal exposure assessment device with indoor positioning was practical and provided new knowledge on direct reading exposure assessment methods.

Designing and developing a mobile application for indoor real-time positioning and navigation in healthcare facilities.

BACKGROUND: Navigation portable applications have largely grown during the last years. However, the majority of them works just for outdoor positioning and routing, due to their architecture based upon Global Positioning System signals. Real-Time Positioning System intended to provide position estimation inside buildings is known as Indoor Positioning System (IPS). OBJECTIVE: This paper presents an IPS implemented as a mobile application that can guide patients and visitors throughout a healthcare premise. METHODS: The proposed system exploits the geolocation capabilities offered by existing navigation frameworks for determining and displaying the user's position. A hybrid mobile application architecture has been adopted because it allows to deploy the code to multiple platforms, simplifying maintenance and upgrading. RESULTS: The developed application features two different working modes for on-site and off-site navigation, which offer both the possibility of actual navigation within the hospital, or planning a route from a list of available starting points to the desired target, without being within the navigable area. Tests have been conducted to evaluate the performance and the accuracy of the system. CONCLUSION: The proposed application aims to overcome the limitations of Global Navigation Satellite System by using magnetic fingerprinting in combination with sensor fusion simultaneously. This prevents to rely on a single technology, reducing possible system failures and increasing the scalability.

Real-time location systems technology in the care of older adults with cognitive impairment living in residential care: A scoping review.

Introduction: There has been growing interest in using real-time location systems (RTLS) in residential care settings. This technology has clinical applications for locating residents within a care unit and as a nurse call system, and can also be used to gather information about movement, location, and activity over time. RTLS thus provides health data to track markers of health and wellbeing and augment healthcare decisions. To date, no reviews have examined the potential use of RTLS data in caring for older adults with cognitive impairment living in a residential care setting. Objective: This scoping review aims to explore the use of data from real-time locating systems (RTLS) technology to inform clinical measures and augment healthcare decision-making in the care of older adults with cognitive impairment who live in residential care settings. Methods: Embase (Ovid), CINAHL (EBSCO), APA PsycINFO (Ovid) and IEEE Xplore databases were searched for published English-language articles that reported the results of studies that investigated RTLS technologies in persons aged 50 years or older with cognitive impairment who were living in a residential care setting. Included studies were summarized, compared and synthesized according to the study outcomes. Results: A total of 27 studies were included. RTLS data were used to assess activity levels, characterization of wandering, cognition, social interaction, and to monitor a resident's health and wellbeing. These RTLS-based measures were not consistently validated against clinical measurements or clinically important outcomes, and no studies have examined their effectiveness or impact on decision-making. Conclusion: This scoping review describes how data from RTLS technology has been used to support clinical care of older adults with dementia. Research efforts have progressed from using the data to track activity levels to, most recently, using the data to inform clinical decision-making and as a predictor of delirium. Future studies are needed to validate RTLS-based health indices and examine how these indices can be used to inform decision-making.