PACS workstation usage and patient outcome surrogates.

Purpose Investigate the availability and use of radiographic reports both with and without a PACS workstation and investigate physician's opinions on using a workstation. Materials and Methods The availability and rise of radiographic reports and related patient care were evaluated in a randomized prospective study, Data from a 20 week period of collection, when images were displayed on multiviewers was compared to a 16 week period of data collection, when images were available on an image workstation in the clinical area. Patient care was evaluated by comparing clinical actions, A survey was distributed to the clinical staff to determine their opinion of the image workstation. Results During periods without the workstation the clinical staff obtained reports on 90% of the exams. During the PACs periods reports were obtained on 51% of exams. Sixty four percent of the surveyed clinicians reported a low to moderate level of confidence in interpreting images on the workstation, The percentage of image based clinical actions taken without radiology input increased from 12% during periods without the workstation to 74% during PACS. Conclusions A PACS workstation in the clinical area decreases consultation if not supported with timely radiographic reports and may not benefit patient care.