Optimizing radiology in the new picture archiving and communication system environment

Cook, Jay F.; Hansen, Mark F.; Breitweser, James A.

doi:10.1007/bf03168687

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…Numerous civilian and military facilities have moved to CR from ®lms screen for all conventional radiographic studies. 1,2 The disadvantage of CR for portable applications has been the size of CR readers as well as the fragility of key components and high maintenance requirements. However, more rugged, lower maintenance CR readers now are available.…”

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Digital Radiography for the Field: A Portable Prototype

Cho

Freckleton

2002

Journal of Digital Imaging

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The US military has been investigating methods for improving radiographic support for field medical operations. The purpose of this project was to develop and test a portable digital radiography (DR) system to determine its feasibility for field operations. A prototype portable digital radiography device was designed and assembled using a commercially available DR sensor. The sensor and necessary hardware were mounted into a ruggedized aluminum case. The device underwent testing in the hospital and field environments. The prototype rapidly provided digital radiographs in a variety of settings. Shortcomings of the device affecting usability and reliable operation were identified. The successful construction and operation of a portable digital radiography prototype shows that such a device is feasible for field applications. The prototype requires further modification and testing to improve its usability and reliability, and to explore other potential applications, both military and civilian.

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Digital Radiography for the Field: A Portable Prototype

Cho

Freckleton

2002

Journal of Digital Imaging

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“…That is why PACS is expected to reduce the report turnaround time significantly even in the most efficient radiology department. [5][6][7][8] The radiology department of the Adelaide & Meath Hospital, Incorporating the National Children's Hospital (AMNCH) is the first in Ireland to install and operate a complete PACS. The PACS was installed in the new hospital in Tallaght and started operating the day of hospital opening on June 21, 1998.…”

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Significant savings in radiologic report turnaround time after implementation of a complete picture archiving and communication system (PACS)

et al. 2000

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One of the important advantages of the picture archiving and communication system (PACS} is the time saved in comparison with the conventional system. A group of 100 radiologic studies done in a conventional radiology department is compared with another group of the same number done in a completely filmless PACS department to assess the difference in the radiologist report turnaround time. There was a statistically significant (P < .00001) decrease in the median imaging-to-dictation time ( p ICTURE ARCHIVING and communication system (PACS) is a hardware and software package that acts asa digital image management system in the health institute. It enables the radiologists and clinicians to retrieve and view a radiologic image at computer workstations throughout the institute.l-4 In the conventional system, the film acts as the unique image document used for image capture, viewing, and storage. Eliminating films from the radiology department is one of the most important features of PACS. By doing so, PACS eliminates all the film-associated workload. This includes film processing, filing film folders, and retrieving previous studies from film stores. Time spent on these steps constitutes a considerable part of the total radiology tumaround time. 5 Further delays could be caused by losing films or having them taken by the clinicians before being reported. That is why PACS is expected to reduce the report turnaround time significantly even in the most efficient radiology department. 5-8The radiology department of the Adelaide & Meath Hospital, Incorporating the National Children's Hospital (AMNCH) is the first in Ireland to install and operate a complete PACS. The PACS was installed in the new hospital in Tallaght and started operating the day of hospital opening on June 21, 1998. An average of 300 studies are performed daily in this department.The current study was planned with the aim of evaluating the effects PACS implementation in our department might have on radiology turnaround time. MATERIALS AND METHODSA total of 200 radiologic examinations performed in the radiology department of the AMNCH hospital were analyzed. One hundred of these examinations were done in the pre-PACS department in May 1998; the rest were done in the PACS operated department in November 1998 4 months after moving to the new hospital. The distribution of the studies by imaging modality was comparable between the 2 groups and represented the actual department's study mix. Three radiologists reported on the same type of studies in both groups.Forms were distributed for every examination recording the dates and times from the patient's arrival into the department to the time the report was typed. The time intervals between imaging to dictating the report (imaging-to-dictation time, IDT), and then to typing ir (dictation-to-typing time, DTT) were computed. The IDT is the main outcome of this analysis. DTr is used as an internal control in this analysis because there was no significant changes involving typing dictated reports in the new depar...

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Prozessmanagement und Controlling in der Diagnostischen Radiologie im Krankenhaus

Gocke¹,

Debatin²,

Dürselen³

2002

Der Radiologe

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Systematic process management and efficient quality control is rapidly gaining importance in our healthcare system. What does this mean for diagnostic radiology departments? To improve efficiency, quality and productivity the workflow within the department of diagnostic and interventional radiology at the University Hospital of Essen were restructured over the last two years. Furthermore, a controlling system was established. One of the pursued aims was to create a quality management system as a basis for the subsequent certification according to the ISO EN 9001:2000 norm. Central to the success of the workflow reorganisation was the training of selected members of the department's staff in process and quality management theory. Thereafter, a dedicated working group was created to prepare the reorganisation and the subsequent ISO certification with the support of a consulting partner. To assure a smooth implementation of the restructured workflow and create acceptance for the required ISO-9001 documentation, the entire staff was familiarized with the basic ideas of process- and quality-management in several training sessions. This manuscript summarizes the basic concepts of process and quality management as they were taught to our staff. A direct relationship towards diagnostic radiology is maintained throughout the text.

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Optimizing radiology in the new picture archiving and communication system environment

Cited by 5 publications

References 3 publications

Digital Radiography for the Field: A Portable Prototype

Digital Radiography for the Field: A Portable Prototype

Significant savings in radiologic report turnaround time after implementation of a complete picture archiving and communication system (PACS)

Prozessmanagement und Controlling in der Diagnostischen Radiologie im Krankenhaus

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