A PACS maturity model: A systematic meta-analytic review on maturation and evolvability of PACS in the hospital enterprise

Wetering, Rogier van de; Batenburg, Ronald

doi:10.1016/j.ijmedinf.2008.06.010

Cited by 71 publications

(50 citation statements)

References 67 publications

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“…Most studies have focused on quantitative, analytical aspects of workflow practices, whereas many of the improvements will be qualitative and more difficult to quantify. [1,3,4,[6][7][8]18,19] In addition, overall clinical outcome relates to many factors other than radiological investigations in what is often multifactorial healthcare Table 1 Views expressed by participants regarding what they felt to be the advantages of pager notification Some of the participants' individual volunteered responses Question 1: Do you feel that having a radiology notification system benefitted you and your organization of daily duties? "Yes.…”

Section: Discussionmentioning

confidence: 99%

“…It may be very difficult if not impossible to demonstrate that the introduction of PACS has had a significant effect on the broader clinical picture and traditional outcome measures such as length of stay. [8,11,20,21] The Current Study A more realistic approach may be to analyse the way clinicians currently utilize the PACS technology and thereafter attempt to modify individual steps in the process such that it becomes more clinically efficient. The aim of the current study was to modify one aspect of established clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…[1,[3][4][5][6][7][8] In addition, clinicians save a considerable amount of time because films do not get lost and staff can retrieve images from workstations throughout the hospital without the need to be pulled away from patients in order to view images in the radiology department. [2,5,[8][9][10][11] Finally, PACS allows status checking of patients and examinations so that clinicians can easily check whether an image has been taken, stored and reported by a radiologist. [5,11] However, despite these improvements in work flow practices it has yet to be established that these efficiencies have been translated into an improvement in clinical outcome.…”

Section: Introductionmentioning

confidence: 99%

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Modifying Clinicians Use of PACS Imaging

Chandratilleke

Honeybul

2013

J Digit Imaging

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The purpose of this study was to determine whether it would be possible to minimise the delay that occurs between the time a radiological image becomes available for viewing on PACS and the time that it is actually seen by the requesting physician. The study was conducted at Sir Charles Gairdner Hospital in Perth Western Australia. Participants in the study were all junior doctors. The first part of the study measured the current time delay between images being available on PACS and actually being viewed. In the second part of the study, the doctors were notified by a paging system when the images were available. The reduction in time delay was then compared. Following pager notification, the mean average time delay reduced from a mean of 180.02 min (95 % confidence interval (CI), 135.1 to 225 min) to a mean of 33.94 min (95 % CI, 24.1 to 43.8 min; P<0.0001). The study has demonstrated that it is possible to modify clinicians' usage of PACS; however, there remain questions regarding the sustainability of such an intervention and the impact that this may have on overall patient outcome. There may be potential for integration of the rapidly expanding technologies such as tablets, iPads and iPhones in order to automate this type of notification and this may be a focus of future research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Modifying Clinicians Use of PACS Imaging

Chandratilleke

Honeybul

2013

J Digit Imaging

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“…Within this field, Nolan and Gibson [5] are considered the founders of the IS/IT stage-based maturity perspective, although it has been further extended by others. For digital radiology and PACS, Van de Wetering and Batenburg developed the PMM [6]. In their study, they defined five levels of PACS maturity that hospitals can achieve.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

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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“…An area of major advancement is in medical imaging technology, namely, picture archiving and communication systems, information systems, image-guided surgery and therapy, computer-aided diagnosis, decision support systems, and the electronic patient record. 65 It seems that the health sector is still building the body of evidence on the clinical impact of picture archiving and communication system in the working environment that justifies the investment. However, the use of noninvasive digital imaging systems in clinical application is an important consideration (Figure 2).…”

mentioning

confidence: 99%

Business process management in health care: current challenges and future prospects

Buttiġieġ¹,

Dey²,

Gauci³

2016

IEH

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Abstract:The emphasis of performance management in health care is shifting from output or outcome-based to a system-based approach. In particular, clinicians and managers are re-focusing their attention on processes so as to achieve better health system performance, as a reaction to the financial crisis. Health care management is increasingly applying systems thinking and business process management (BPM) as philosophies, which have proved to make a difference in organizational performance and competitiveness to the industry at large. This commentary provides answers to five questions that emerged through a reflective exercise and use of secondary data sources and informal interviews. These questions are intended to contribute toward better understanding of the meaning and application of BPM by scholars and practitioners in health care management. The questions are as follows: What is BPM and is it relevant to health care? Has BPM been extensively applied to health care? Why focus on quality in health care delivery? What are the current challenges of health care and can BPM help? What role BPM will play in future to facilitate effective health care management?

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A PACS maturity model: A systematic meta-analytic review on maturation and evolvability of PACS in the hospital enterprise

Cited by 71 publications

References 67 publications

Modifying Clinicians Use of PACS Imaging

Modifying Clinicians Use of PACS Imaging

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

Business process management in health care: current challenges and future prospects

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