Impact of filmless radiology on frequency of clinician consultations with radiologists.

Reiner, Bruce I.; Siegel, Eliot L.; Protopapas, Zenon; Hooper, Frank J.; Ghebrekidan, Habte; Scanlon, Mary

doi:10.2214/ajr.173.5.10541082

Cited by 105 publications

(37 citation statements)

References 16 publications

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“…When a radiologist and referring clinician have a longstanding and close working relationship with one another, this report uncertainty can often be properly placed in context and clarified through direct communication. The changing dynamics of radiology practice has however minimized this sense of familiarity through radiology outsourcing (e.g., teleradiology) while also reducing direct communication through the widespread implementation of PACS [11] and increased workload demands [12]. The resulting "disengagement" of radiologists and clinicians has the potential to increase the clinical consequences of radiology report uncertainty and heightens the necessity for proactive intervention.…”

Section: Uncertainty In Radiology Reportingmentioning

confidence: 99%

Using Analysis of Speech and Linguistics to Characterize Uncertainty in Radiology Reporting

Reiner

2012

J Digit Imaging

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Section: Uncertainty In Radiology Reportingmentioning

confidence: 99%

Using Analysis of Speech and Linguistics to Characterize Uncertainty in Radiology Reporting

Reiner

2012

J Digit Imaging

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“…A number of variables may account for these differences in fatigue, including environment, staffing, technology, workflow, and politics. Something as simple as decreasing the number of interruptions (by clinicians, clerical staff, or technologists) can have a profound impact on cumulative productivity and fatigue [19]. The purpose of the "fatigue profile" is to accurately identify these contributing factors, prospectively record data throughout the working shift, and analyze these data to identify trends specific to the individual and collective population.…”

Section: Real-time Customizable Data Analysismentioning

confidence: 99%

Demystifying Occupational Stress and Fatigue Through the Creation of an Adaptive End-User Profiling System

Reiner

Krupiński

2011

J Digit Imaging

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“…This hypothesis that PACS can improve radiologist productivity has been reported in a number of other studies as well. [3][4][5][6] Such an increase in productivity is believed to be multi-factorial in nature. Some of the factors contributing to this improved radiologist workflow and productivity with PACS include automation of manual tasks (i.e., image display), electronic access to patient data (through integration of PACS and HIS/RIS), prefetching of historical comparison studies, use of electronic window/level presets, decreased interruptions, and reduced fatigue.…”

Section: Justification For Filmless Radiologymentioning

confidence: 99%

Evolution of the Digital Revolution: A Radiologist Perspective

Reiner

Siegel

Siddiqui

2003

Journal of Digital Imaging

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The transformation from film-based to filmless operation has become more and more challenging, as imaging studies expand in size and complexity. To adapt to these changes, radiologists must proactively develop new workflow strategies to compensate for increasing work demands and the existing workforce shortage. This article addresses the evolutionary changes underway in the radiology interpretation process and reviews changes that have occurred in the past decade. These include a number of developments in soft-copy interpretation, which is migrating from a relatively static process, duplicating film-based interpretation, to a dynamic process, using multi-planar reconstructions, volumetric navigation, and electronic decision support tools. The result is optimization of the human-computer interface with improved productivity, diagnostic confidence, and interpretation accuracy.KEY WORDS: Evolution of radiology practice, radiology interpretation, Transforming the Radiology Interpretation Process (TRIP)T HE EVOLUTIONARY FORCES underway within radiology are occurring at a faster pace than ever before. Technology expansion is evident throughout all medical disciplines, but no area is more affected than radiology, the only medical specialty that is 100% technology driven. This dependence on technology is a double-edged sword for medical practitioners. It creates a unique opportunity for economic growth and expansion while solidifying the position of its specialists within the medical community. At the same time, however, new imaging and computer technologies present an entirely new set of clinical, educational, and political challenges for the radiologist. As new technologies are introduced into the practice of radiology, so are heightened expectations concerning the timeliness of information delivery, the accuracy of radiologic diagnosis, and the overall standard of patient care.The evolving technologies within medical imaging take on a variety of forms including imaging modalities to information systems, and picture archiving and communication systems (PACS). Radiologists, clinicians, technologists, and information technology (IT) personnel are bombarded daily with new medical imaging and computer applications that surpass their predecessors in speed, complexity, and sophistication. This creates a series of economic, educational, integration, and implementation challenges. The long-term success of these professionals will be tied in large part to their ability to incorporate the changing technologies into their workplace. This article, written from the perspective of the clinical radiologist, discusses how these evolutionary pressures are changing the way radiology is being practiced. We begin by analyzing current trends and then attempt to predict how future technology developments will change radiologist workflow and the interpretation process.

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Impact of filmless radiology on frequency of clinician consultations with radiologists.

Cited by 105 publications

References 16 publications

Using Analysis of Speech and Linguistics to Characterize Uncertainty in Radiology Reporting

Using Analysis of Speech and Linguistics to Characterize Uncertainty in Radiology Reporting

Demystifying Occupational Stress and Fatigue Through the Creation of an Adaptive End-User Profiling System

Evolution of the Digital Revolution: A Radiologist Perspective

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