Do picture archiving and communication systems improve Report turnaround times?

Mehta, Amit; Dreyer, Keith J.; Boland, Giles W.; Frank, Mark S.

doi:10.1007/bf03167637

Cited by 33 publications

(20 citation statements)

References 2 publications

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“…Another study found a 9 % improvement in RTAT [126,127]. Yet another study reported that the median PEWT was significantly longer for plain X-rays after PACS implementation: increasing from 20 to 25 min for A&E patients and three to 42 min for patients on intensive care [125].…”

Section: Picture Archival and Communication System (Pacs)mentioning

confidence: 97%

“…Five (9 %) of the 57 included studies evaluated PACS [122][123][124][125][126][127]. The uncontrolled postintervention design was used in one study [123] and the remaining four studies used the pre-and post-intervention design.…”

Section: Picture Archival and Communication System (Pacs)mentioning

confidence: 99%

“…The uncontrolled postintervention design was used in one study [123] and the remaining four studies used the pre-and post-intervention design. Different patient populations were included: these were based on imaging modality [124,126,127], or referral sources [122,125]. The definition of outcome measures also varied.…”

Section: Picture Archival and Communication System (Pacs)mentioning

confidence: 99%

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The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

et al. 2014

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We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre-and post-intervention and the postintervention designs were used in 54 (95 %) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore metaanalysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivityenhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis.

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Section: Picture Archival and Communication System (Pacs)mentioning

confidence: 97%

Section: Picture Archival and Communication System (Pacs)mentioning

confidence: 99%

Section: Picture Archival and Communication System (Pacs)mentioning

confidence: 99%

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The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

et al. 2014

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“…Integration of a PACS into the hospital information system and RIS has an additional positive impact on report turnaround time and communication between physicians (18 -20). On the other hand, Mehta et al (21) found no difference in time to final reports being signed by staff radiologists, but they did find an 85% improvement in time to a preliminary report by a resident or fellow when a PACS system was employed. These authors attributed the results to a relatively persistent, lackadaisical attitude toward signing on the part of staff radiologists.…”

Section: Discussionmentioning

confidence: 95%

Impact of Pager Notification on Report Verification Times

Oğuz¹,

Yousem²,

Deluca³

et al. 2002

Academic Radiology

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verification times of each physician were collected for 3 months in the years before and after initiation of the PNS. Radiologists enrolled in the PNS and those who were not were assigned into two groups for analysis. Mean TOVs for the two sets of 3 months and for the two groups were calculated and differences recorded. Two-tailed t tests were used to assess for statistical differences between the groups.Results. Twenty-nine of 37 radiologists voluntarily enrolled in the PNS (group 1). Mean TOV was 26.75 hours (standard deviation [SD] ϭ 17.76) for these physicians before and 14.48 hours (SD ϭ 11.86) after the PNS was employed (P Ͻ .01). For those physicians who did not enroll in the PNS, mean TOV was 11.53 hours (SD ϭ 5.55) before and 9.77 hours (SD ϭ 9.86) after the PNS was employed (P ϭ .33). Both the absolute and percentage reductions in TOVs were significantly greater for those physicians enrolled in the PNS than for those who were not (P ϭ .035). Twenty-three of 29 (79%) physicians who used the PNS showed a reduction in their report turnaround times. Conclusion.Linking the PNS with the radiology information system to notify physicians of unsigned reports was effective in reducing report verification times.Key Words. Clinical operations, radiology reporting, economics. © AUR, 2002Improving turnaround times for radiology reports has been one of the major concerns in a practice. In addition to improving communication between physicians by producing an official report more rapidly, a reduction in turnaround times can also produce increased revenue because of the fewer days during which charges are in accounts receivable (1-8). Report turnaround times are also one of the standards regulated by the American College of Radiology (Standard for Communication-Diagnostic Radiology), accreditation organizations, utilization review panels, and some managed care organizations. From a medicolegal standpoint, a single untoward event resulting from a delay in transcription and report verification could lead to a monetary settlement that far outweighs the cost of extra transcriptionists or information technology solutions.As some departments have evolved from paper production of radiology reports to a complete electronic patient record, use of electronic signatures in radiology reports has become common. Previously, transcribed paper reports could be placed at the radiologist's location for immediate signature after a transcriptionist concluded a parcel of work. Whether those reports actually were signed immediately, were edited and retyped, or were left for Acad Radiol 2002; 9:954 -959

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“…The transition to soft-copy interpretation via PACS is one technological advance that has been touted as promising increased productivity and improved report turnaround times. [5][6][7] While PACS does provide a technological solution to several shortcomings in traditional film-based workflow, exploiting this technology to achieve improved work efficiency, especially in the academic setting, has been a challenge. Without the proper support in place to allow the radiologist the ability to interpret imaging in this soft-copy environment efficiently, effectively, and without excessive fatigue, the productivity advantages promised by PACS are not realized.…”

Section: Linical Work By Academicmentioning

confidence: 99%