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Introducing PACS to the Late Majority. A Longitudinal Study

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Abstract

The purpose of this study was to study whether the benefits from introducing a picture archiving and communication systems (PACS) reported by innovators and early adopters also can be achieved by a hospital belonging to the “late majority” and to see whether such benefits are sustained, using report turnaround time (RTAT) as an indicator. Activity-related data was retrieved from the radiology information system (RIS) over a 2-year period. The median RTAT for preliminary reports was initially reduced from 12 to 2 h then increased to 3 h. For final reports, the median RTAT was initially reduced from 23 to 13 h then gradually reverted back to 22 h. Innovators and early adopters demonstrate not only that positive results can be achieved but also the importance of involving key personnel. We believe that such involvement and the focus on wider organizational concerns are important when introducing PACS to the late majority, both for achieving and sustaining positive results.

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References

  1. Bryan S, Buxton M, Brenna E: Estimating the impact of a diffuse technology on the running costs of a hospital. A case study of a picture archiving and communication system. Int J Technol Assess Health Care 16:787–798, 2000

    Article  CAS  PubMed  Google Scholar 

  2. Foord K: PACS: the second time around. Eur J Radiol 32:96–100, 1999

    Article  Google Scholar 

  3. Hilsenrath PE, Smith WL, Berbaum KS, Franken EA, Owen DA: Analysis of the cost-effectiveness of PACS. AJR Am J Roentgenol 156:177–180, 1991

    CAS  PubMed  Google Scholar 

  4. Kim SA, Park WS, Chun TJ, Mo NC: Association of the implementation of PACS with hospital revenue. J Digit Imaging 15:247–253, 2002

    Article  CAS  PubMed  Google Scholar 

  5. Nitrosi A, Borasi G, Nicoli F, Modigliani G, Botti A, Bertolini M, Notari P: A filmless radiology department in a full digital regional hospital: Quantitative evaluation of the increased quality and efficiency. J Digit Imaging 20:140–148, 2007

    Article  PubMed  Google Scholar 

  6. Reiner BI, Siegel EL, Hooper FJ, Glasser D: Effect of film-based versus filmless operation on the productivity of CT technologists. Radiology 207:481–485, 1998

    CAS  PubMed  Google Scholar 

  7. Siegel EL, Reiner BI: Filmless radiology at the Baltimore VA Medical Center: a 9 year retrospective. Comput Med Imaging Graph 27:101–109, 2003

    Article  PubMed  Google Scholar 

  8. Strickland NH: Review article: some cost-benefit considerations for PACS: a radiological perspective. Br J Radiol 69:1089–1098, 1996

    Article  CAS  PubMed  Google Scholar 

  9. Bryan S, Weatherburn G, Buxton M, Watkins J, Keen J, Muris N: Evaluation of a hospital picture archiving and communication system. J Health Serv Res Policy 4:204–209, 1999

    CAS  PubMed  Google Scholar 

  10. Evers RW, Yousem DM, Deluca T, Beauchamp NJ, Smith S: PACS and unread images. Acad Radiol 9:1326–1330, 2002

    Article  PubMed  Google Scholar 

  11. Mariani C, Tronchi A, Oncini L, Pirani O, Murri R: Analysis of the X-ray work flow in two diagnostic imaging departments with and without a RIS/PACS system. J Digit Imaging 19(Suppl 1):18–28, 2006

    Article  PubMed  Google Scholar 

  12. Watkins JR, Bryan S, Muris NM, Buxton MJ: Examining the influence of picture archiving communication systems and other factors upon the length of stay for patients with total hip and total knee replacements. Int J Technol Assess Health Care 15:497–505, 1999

    CAS  PubMed  Google Scholar 

  13. Lindhardt FE: Clinical experiences with computed radiography. Eur J Radiol 22:175–185, 1996

    Article  CAS  PubMed  Google Scholar 

  14. Reiner B, Siegel E, Protopapas Z, Hooper F, Ghebrekidan H, Scanlon M: Impact of filmless radiology on frequency of clinician consultations with radiologists. AJR Am J Roentgenol 173:1169–1172, 1999

    CAS  PubMed  Google Scholar 

  15. Reiner BI, Siegel EL, Flagle C, Hooper FJ, Cox RE, Scanlon M: Effect of filmless imaging on the utilization of radiologic services. Radiology 215:163–167, 2000

    CAS  PubMed  Google Scholar 

  16. Wagner SC, Morrison WB, Carrino JA, Schweitzer ME, Nothnagel H: Picture archiving and communication system: effect on reporting of incidental findings. Radiology 225:500–505, 2002

    Article  PubMed  Google Scholar 

  17. Rogers EM: Diffusion of Innovations, 5th edition. New York: Free, 2003

    Google Scholar 

  18. Bryan S, Weatherburn G, Watkins J, Roddie M, Keen J, Muris N, Buxton MJ: Radiology report times: impact of picture archiving and communication systems. AJR Am J Roentgenol 170:1153–1159, 1998

    CAS  PubMed  Google Scholar 

  19. Hayt DB, Alexander S: The pros and cons of implementing PACS and speech recognition systems. J Digit Imaging 14:149–157, 2001

    Article  CAS  PubMed  Google Scholar 

  20. Jackson PE, Langlois SP: Introduction of picture archiving and communication system at the Townsville Hospital. Australas Radiol 49:278–282, 2005

    Article  CAS  PubMed  Google Scholar 

  21. Lepanto L: Impact of electronic signature on radiology report turnaround time. J Digit Imaging 16:306–309, 2003

    Article  PubMed  Google Scholar 

  22. Marquez LO: Improving medical imaging report turnaround times. Radiol Manage 27:34–37, 2005

    PubMed  Google Scholar 

  23. Mattern CW, King BF, Hangiandreou NJ, Swenson A, Jorgenson LL, Webbles WE, Okrzynski TW, Erickson BJ, Williamson B, Forbes GS: Electronic imaging impact on image and report turnaround times. J Digit Imaging 12:155–159, 1999

    Article  CAS  PubMed  Google Scholar 

  24. Mehta A, Dreyer K, Boland G, Frank M: Do picture archiving and communication systems improve report turnaround times? J Digit Imaging 13:105–107, 2000

    Article  CAS  PubMed  Google Scholar 

  25. Twair AA, Torreggiani WC, Mahmud SM, Ramesh N, Hogan B: Significant savings in radiologic report turnaround time after implementation of a complete picture archiving and communication system (PACS). J Digit Imaging 13:175–177, 2000

    Article  CAS  PubMed  Google Scholar 

  26. Lindhardt F: Organisational changes made possible with Viborg PACS. Comput Methods Programs Biomed 66:37–40, 2001

    Article  CAS  PubMed  Google Scholar 

  27. Berger JR: Image conversion from Marcare PACS to Siemens PACS. In: Proceedings from EuroPACS 2006. www.europacs.net. Accessed 21 August 2008

  28. Reiner B, Siegel E, Carrino JA: Workflow optimization: current trends and future directions. J Digit Imaging 15:141–152, 2002

    Article  PubMed  Google Scholar 

  29. Siegel EL, Reiner B: Work flow redesign: The key to success when using PACS. AJR Am J Roentgenol 178:563–566, 2003

    Google Scholar 

  30. Fitzgerald R: Error in radiology. Clin Radiol 56:938–946, 2001

    Article  CAS  PubMed  Google Scholar 

  31. Goddard P, Leslie A, Jones A, Wakeley C, Kabala J: Error in radiology. Br J Radiol 74:949–951, 2001

    CAS  PubMed  Google Scholar 

  32. Branstetter BF: Basics of Imaging Informatics: Part 1. Radiology 243:656–667, 2007

    Article  PubMed  Google Scholar 

  33. Lepanto L, Pare G, Aubry D, Robillard P, Lesage J: Impact of PACS on dictation turnaround time and productivity. J Digit Imaging 19:92–97, 2006

    Article  PubMed  Google Scholar 

  34. Law MYY, Zhou Z: New direction in PACS education and training. Comput Med Imaging Graph 27:147–156, 2003

    Article  PubMed  Google Scholar 

  35. Pare G, Trudel MC: Knowledge barriers to PACS adoption and implementation in hospitals. Int J Med Inform 76:22–33, 2007

    Article  PubMed  Google Scholar 

  36. Fridell K, Edgren L, Lindskold L, Aspelin P, Lundberg N: The Impact of PACS on Radiologists’ Work Practice. J Digit Imaging 20:411–421, 2006

    Article  Google Scholar 

  37. Svenningsen S: Electronic patient records and medical practice. Reorganization of roles, responsibilities, and risks, Copenhagen: Samfundslitteratur. Copenhagen Business School, 2002

    Google Scholar 

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Acknowledgement

This work was funded by the Eastern Norway Regional Health Authority and the Directorate for Health and Social Affairs.

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Correspondence to Petter Hurlen.

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Hurlen, P., Østbye, T., Borthne, A. et al. Introducing PACS to the Late Majority. A Longitudinal Study. J Digit Imaging 23, 87–94 (2010). https://doi.org/10.1007/s10278-008-9160-x

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  • DOI: https://doi.org/10.1007/s10278-008-9160-x

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