Prospective study of PACS: Information flow and clinical action in a medical intensive care unit

被引:37
作者
Kundel, HL
Seshadri, SB
Langlotz, CP
Lanken, PN
Horii, SC
Nodine, CF
Polansky, M
Feingold, E
Brikman, I
Bozzo, M
Redfern, R
机构
[1] Pendergrass Diagn. Res. Laboratory, Department of Radiology, Univ. of Pennsylvania Health System, Philadelphia, PA 19104-6086
关键词
picture archiving and communication system (PACS); radiography; bedside; computer-assisted; radiology and radiologists; design of radiological facilities;
D O I
10.1148/radiology.199.1.8633138
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To prospectively compare efficiency and outcome of a standard film-only system with those of a digital picture archiving and communication system (PACS). MATERIALS AND METHODS: The film-only system, which used either analog film or computed radiography (Cd) hard copy, was compared with a PACS, which used CR images displayed on a multiviewer in the radiology department and a workstation in the medical intensive care unit. A random sample of nonroutine, bedside chest radiographs was studied. RESULTS: Within 20 minutes of completion of radiography, 246 of 328 (75%) of the images were available at the workstation; it took 1.8 hours for 238 of 317 (75%) of the images to be displayed on the multiviewer. When the workstation was used, the staff did not access the image information earlier, but clinical actions were initiated more promptly in response to imaging findings. Consultation with radiologists decreased from 507 of 561 (90%) images with hard copies to 70 of 249 (28%) with the workstation. CONCLUSION: Use of a PACS improves facilitates the initiation of clinical actions, and decreases input by radiologists.
引用
收藏
页码:143 / 149
页数:7
相关论文
共 11 条
[1]   CLINICAL-EVALUATION OF A MEDICAL IMAGE MANAGEMENT-SYSTEM FOR CHEST IMAGES [J].
ARENSON, RL ;
SESHADRI, SB ;
KUNDEL, HL ;
DESIMONE, D ;
VANDERVOORDE, F ;
GEFTER, WB ;
EPSTEIN, DM ;
MILLER, WT ;
ARONCHICK, JM ;
SIMSON, MB ;
LANKEN, PN ;
KHALSA, S ;
BRIKMAN, I ;
DAVEY, M ;
BRISBON, N .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 150 (01) :55-59
[2]   EFFECT OF A DIGITAL IMAGING NETWORK ON PHYSICIAN BEHAVIOR IN AN INTENSIVE-CARE UNIT [J].
DESIMONE, DN ;
KUNDEL, HL ;
ARENSON, RL ;
SESHADRI, SB ;
BRIKMAN, IS ;
KHALSA, SS ;
DAVEY, MJ ;
BRISBON, NE .
RADIOLOGY, 1988, 169 (01) :41-44
[3]  
HUBBELL FA, 1985, NEW ENGL J MED, V312, P209, DOI 10.1056/NEJM198501243120404
[4]   THE APACHE-III PROGNOSTIC SYSTEM - RISK PREDICTION OF HOSPITAL MORTALITY FOR CRITICALLY ILL HOSPITALIZED ADULTS [J].
KNAUS, WA ;
WAGNER, DP ;
DRAPER, EA ;
ZIMMERMAN, JE ;
BERGNER, M ;
BASTOS, PG ;
SIRIO, CA ;
MURPHY, DJ ;
LOTRING, T ;
DAMIANO, A ;
HARRELL, FE .
CHEST, 1991, 100 (06) :1619-1636
[5]  
KUNDEL HL, 1995, COMPUTER ASSISTED RADIOLOGY, P89
[6]  
KUNDEL HL, 1994, P SOC PHOTO-OPT INS, V2165, P481, DOI 10.1117/12.174335
[7]   A METHODOLOGY FOR THE ECONOMIC-ASSESSMENT OF PICTURE ARCHIVING AND COMMUNICATION-SYSTEMS [J].
LANGLOTZ, CP ;
EVENSHOSHAN, O ;
SESHADRI, SS ;
BRIKMAN, I ;
KISHORE, S ;
KUNDEL, HL ;
SCHWARTZ, JS .
JOURNAL OF DIGITAL IMAGING, 1995, 8 (02) :95-102
[8]   HIGH-RESOLUTION IMAGE WORKSTATION FOR INTENSIVE-CARE UNITS [J].
SESHADRI, SB ;
ARENSON, RI ;
KUNDEL, HI ;
FEINGOLD, E ;
KISHORE, S ;
HORII, SC ;
STEVENS, JF ;
LANKEN, PN .
RADIOGRAPHICS, 1994, 14 (04) :863-873
[9]  
SHILE PE, 1993, P SOC PHOTO-OPT INS, V1899, P423, DOI 10.1117/12.152911
[10]  
Siegel S., 1956, NONPARAMETRIC STAT, P116