Assessment of the effect of the ready availability of radiology results on clinical decision making at Princess Alexandra Hospital Brisbane, Australia

“…The introduction of the PACS has affected the work practices of many users, including radiologists, radiographers, nurses and doctors. A literature study [1][2][3][4][5][6][7] indicated that understanding work practice changes and clinicians' acceptance of the changes is critical for the successful integration of a PACS into clinicians' work practice. The rapid delivery of X-ray images to clinicians is critical for timely diagnoses and treatment.…”

Section: Introductionmentioning

confidence: 99%

Work practice changes caused by the introduction of a picture archiving and communication system

Hilton

2005

J Telemed Telecare

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We studied the acceptance of work practice changes six months after the introduction of a picture archiving and communication system (PACS) in New South Wales. A one-page questionnaire was developed to assess doctors' and nurses' acceptance of work practice changes. Over 100 subjects were surveyed and 76 responded. In all, 92% of participants worked in the intensive-care unit (ICU) or the emergency department (ED). The results showed that the PACS had received a high level of acceptance. The respondents would not like to return to a film-based practice. They were happy with the accessibility of images, especially when patients returned from an X-ray examination. At the time of survey, the doctors still had difficulty in remembering their user name and password. The users rarely or only sometimes used their own user names and passwords to log on the system. They were sometimes annoyed by the automatic time-out function. Nurses were happy that the PACS relieved their burden of searching for X-ray images for doctors. However, they distanced themselves from accessing the PACS, which they regarded as a doctors' tool.

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A Model for Examining Challenges and Opportunities in Use of Cloud Computing for Health Information Systems

Al-Marsy

Chaudhary

Rodger

2021

ASI

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Health Information Systems (HIS) are becoming crucial for health providers, not only for keeping Electronic Health Records (EHR) but also because of the features they provide that can be lifesaving, thanks to the advances in Information Technology (IT). These advancements have led to increasing demands for additional features to these systems to improve their intelligence, reliability, and availability. All these features may be provisioned through the use of cloud computing in HIS. This study arrives at three dimensions pertinent to adoption of cloud computing in HIS through extensive interviews with experts, professional expertise and knowledge of one of the authors working in this area, and review of academic and practitioner literature. These dimensions are financial performance and cost; IT operational excellence and DevOps; and security, governance, and compliance. Challenges and drivers in each of these dimensions are detailed and operationalized to arrive at a model for HIS adoption. This proposed model detailed in this study can be employed by executive management of health organizations, especially senior clinical management positions like Chief Technology Officers (CTOs), Chief Information Officers (CIOs), and IT managers to make an informed decision on adoption of cloud computing for HIS. Use of cloud computing to support operational and financial excellence of healthcare organizations has already made some headway in the industry, and its use in HIS would be a natural next step. However, due to the mission′s critical nature and sensitivity of information stored in HIS, the move may need to be evaluated in a holistic fashion that can be aided by the proposed dimensions and the model. The study also identifies some issues and directions for future research for cloud computing adoption in the context of HIS.

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Assessment of the effect of the ready availability of radiology results on clinical decision making at Princess Alexandra Hospital Brisbane, Australia

Cited by 4 publications

References 19 publications

An assessment of the effect of the introduction of a PACS and RIS on clinical decision making and patient management at Princess Alexandra Hospital Brisbane, Australia

An assessment of the effect of the introduction of a PACS and RIS on clinical decision making and patient management at Princess Alexandra Hospital Brisbane, Australia

Work practice changes caused by the introduction of a picture archiving and communication system

A Model for Examining Challenges and Opportunities in Use of Cloud Computing for Health Information Systems

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