A Balanced Evaluation Perspective: Picture Archiving and Communication System Impacts on Hospital Workflow

Wetering, Rogier van de; Batenburg, Ronald; Versendaal, Johan; Lederman, Reeva; Firth, Lucy

doi:10.1007/s10278-006-0628-2

Cited by 35 publications

(39 citation statements)

References 17 publications

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“…A final remark is that in our study, we might have encountered common method variance (CMV, a subset of method bias) 3 , which is a common phenomenon in survey research and can cause problems (e.g. with construct validity).…”

Section: Limitations and Venues For Future Researchmentioning

confidence: 94%

“…This implies that performance is defined as having multifactorial impacts and benefits, as produced by the application of PACS in terms of hospital efficiency (and service) and clinical effectiveness. We depart from the notion that theories from the IS/IT field provide new perspectives to understand how key elements in clinical practice can be achieved using PACS [3].…”

Section: Introductionmentioning

confidence: 94%

“…organizational construct containing the patient service, end-user service and organizational efficiency perspectives) and clinical performance (i.e. subdivided into diagnostic efficacy and communication efficacy) [3,15].…”

Section: An Integrative Pacs Performance Modelmentioning

confidence: 99%

“…name, function, years of experience using PACS, etc.). Finally, PACS performance was measured using 12 performance statements on how well the system contributes to efficiency and effectiveness [3,15].…”

Section: Instrument Development Processmentioning

confidence: 99%

“…In this respect, evaluation methods have proven valuable to assess the impacts of PACS on (radiological) workflow, although it has been argued that PACS benefits for hospitals should be evaluated from different angles and that the inclusion of clinical and not-for-profit goals makes the evaluations more relevant [3].…”

Section: Introductionmentioning

confidence: 99%

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Towards a Theory of PACS Deployment: An Integrative PACS Maturity Framework

Wetering

Batenburg

2014

J Digit Imaging

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Owing to large financial investments that go along with the picture archiving and communication system (PACS) deployments and inconsistent PACS performance evaluations, there is a pressing need for a better understanding of the implications of PACS deployment in hospitals. We claim that there is a gap in the research field, both theoretically and empirically, to explain the success of the PACS deployment and maturity in hospitals. Theoretical principles are relevant to the PACS performance; maturity and alignment are reviewed from a system and complexity perspective. A conceptual model to explain the PACS performance and a set of testable hypotheses are then developed. Then, structural equation modeling (SEM), i.e. causal modeling, is applied to validate the model and hypotheses based on a research sample of 64 hospitals that use PACS, i.e. 70 % of all hospitals in the Netherlands. Outcomes of the SEM analyses substantiate that the measurements of all constructs are reliable and valid. The PACS alignment-modeled as a higher-order construct of five complementary organizational dimensions and maturity levels-has a significant positive impact on the PACS performance. This result is robust and stable for various subsamples and segments. This paper presents a conceptual model that explains how alignment in deploying PACS in hospitals is positively related to the perceived performance of PACS. The conceptual model is extended with tools as checklists to systematically identify the improvement areas for hospitals in the PACS domain. The holistic approach towards PACS alignment and maturity provides a framework for clinical practice.

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Section: Limitations and Venues For Future Researchmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 94%

Section: An Integrative Pacs Performance Modelmentioning

confidence: 99%

Section: Instrument Development Processmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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