Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Prospective Study Of A PACS: Information Flow And Clinical Action In A Medical Intensive Care Unit.

H. Kundel, S. Seshadri, C. Langlotz, P. Lanken, S. Horii, C. Nodine, M. Polansky, E. Feingold, I. Brikman, M. Bozzo, R. Redfern
Published 1996 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
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 (CR) 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 workstations; 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 the delivery of chest images, facilitates the initiation of clinical actions, and decreases input by radiologists.



This paper is referenced by
10.1177/014107689809100304
Digital Radiology in Skeletal Trauma: Assessment of Casualty Officers' Performance
J. Gillard (1998)
10.1016/J.CCC.2007.06.001
Thoracic imaging in the ICU.
Ami N. Rubinowitz (2007)
10.1007/s101400050067
Softcopy interpretation of head and abdominal computed tomograms: comparison of 1024 × 768 to 2048 × 2048 monitors
M. Tzalonikou (1999)
10.1097/00003246-200004000-00016
A picture archival and communication system shortens delays in obtaining radiographic information in a medical intensive care unit
R. O. Redfern (2000)
10.1007/s101400050066
Accuracy of digital imaging interpretation on an 1K × 1K PC-based workstation in the emergency department
D. Spigos (1999)
10.1177/197140099901200402
Informatizzazione di un Servizio di Neuroradiologia
R. Agati (1999)
10.1007/s101400050065
Filmless radiology in the Emergency Department
W. Bennett (1999)
10.1007/BF03168787
Electronic imaging impact on image and report turnaround times
C. T. Mattern (2009)
10.1136/adc.77.5.394
Children in residential care; what cost?
L. Polnay (1997)
10.1117/12.239262
Image workstation in a medical intensive care unit changes viewing patterns and timing of image-based clinical actions in routine portable chest radiographs
R. Redfern (1996)
10.1016/j.pec.2015.02.009
Quality of radiologists' communication with other clinicians--As experienced by radiologists.
Nabi Fatahi (2015)
10.1177/0885066603251897
Radiology in the Intensive Care Unit (Part I)
B. Trotman-Dickenson (2003)
10.4187/respcare.01712
Bedside Chest Radiography
E. Eisenhuber (2012)
10.1007/s10278-011-9368-z
A Situational Alignment Framework for PACS
R. V. D. Wetering (2011)
10.1016/j.acra.2018.04.014
It is About "Time": Academic Neuroradiologist Time Distribution for Interpreting Brain MRIs.
Altaib Al Yassin (2018)
10.1117/12.467005
Radiography for intensive care: participatory process analysis in a PACS-equipped and film/screen environment
R. Peer (2002)
10.1007/BF03167637
Do picture archiving and communication systems improve Report turnaround times?
A. Mehta (2009)
10.1038/npg.els.0002336
Digital Processing and Information Technology in Imaging
A. Mehta (2001)
The U.s . r adiologist Workforce: An Analysis of Temporal and Geographic Variation by Using Large
A. Rosenkrantz (2016)
10.1007/s10278-013-9608-5
Modifying Clinicians Use of PACS Imaging
M. Chandratilleke (2013)
10.1016/S1076-6332(96)80273-X
Observer performance in the localization of tubes and catheters on digital chest images: the role of expertise and image enhancement.
C. Nodine (1996)
10.1148/radiol.2015150921
The U.S. Radiologist Workforce: An Analysis of Temporal and Geographic Variation by Using Large National Datasets.
A. Rosenkrantz (2016)
10.1097/00003246-200004000-00060
Evaluation of picture archiving technology.
G. A. Patton (2000)
10.1016/S1076-6332(03)00544-0
Financing a large-scale picture archival and communication system.
A. F. Goldszal (2004)
10.1002/9780471743989.vse9880
Digital Processing and Information Technology in Imaging
A. Mehta (2007)
10.2214/AJR.175.4.1751013
Digital chest radiography with a selenium-based flat-panel detector versus a storage phosphor system: comparison of soft-copy images.
J. Goo (2000)
10.1117/12.319795
Assessing the impact of a radiology information management system in the emergency department
R. Redfern (1998)
10.1016/S1278-3218(01)80024-X
Un réseau d'images médicales intégrées au dossier du patient : expérience du Picture Archiving and Communication System (PACS) de l'Institut Gustave-Roussy
R. Sigal (2001)
10.1016/S0720-048X(00)00154-6
The impact of a picture archiving and communication system (PACS) upon an intensive care unit.
J. Watkins (2000)
10.1117/12.319787
Toward the objective evaluation of diagnostic workstations
Amita Sapra (1998)
10.1117/12.352760
Experience with radiology workflow and PACS: effects on technologist and radiologist task times
R. Redfern (1999)
10.1016/S1076-6332(97)80152-3
Mixture distribution and receiver operating characteristic analysis of bedside chest imaging with screen-film and computed radiography.
H. Kundel (1997)
See more
Semantic Scholar Logo Some data provided by SemanticScholar