Abstract:
:Opinion surveys were gathered before and 6 months after installation of a prototype picture archiving and communication system (PACS) (PACS/1, Siemens Medical Systems, Iselin, NJ). Median turnaround times and the percent of delayed or missing reports were calculated for 1,026 baseline and 8,438 follow-up studies at 6 months. Neuroradiological (neuro) computed tomography (CT) used PACS, while neuro magnetic resonance (MR), body CT, and body MR served as controls. The opinion surveys showed improved service in all categories, including those not directly affected by PACS. PACS images favorably impressed 86% of respondents, but most considered the system too slow, unreliable, and the storage capacity too low. A majority of 81% recommended against purchase of PACS now. There was an overall increase in the median report turnaround time for both neuro CT and the controls. Neuro CT showed a 41% decrease in delayed or missing reports, but controls also showed similar decreases. The effects of this prototype PACS on turnaround time or on report delivery could not be distinguished from section-wide changes in CT and MR services. Future improvements in PACS should vigorously address increased speed, reliability, and storage capacity.
journal_name
J Digit Imagingjournal_title
Journal of digital imagingauthors
Worrell JA,Federspiel CF,Creasy JL,Pickens DR 3rd,Higginbotham K,Patton JA,Partain CLdoi
10.1007/BF03167836subject
Has Abstractpub_date
1992-05-01 00:00:00pages
118-25issue
2eissn
0897-1889issn
1618-727Xjournal_volume
5pub_type
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