An assessment of the effect of the introduction of a PACS and RIS on clinical decision making and patient management at Princess Alexandra Hospital Brisbane, Australia

Crowe, Bernard L.; Sim, Lawrence

doi:10.1016/j.ics.2005.03.347

Cited by 7 publications

(6 citation statements)

References 7 publications

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“…This evolution continued towards more complex and advanced techniques that can process large volumetric data sets into two-and three-dimensional reconstructions (for further review see [60]). Crowe and Sim [62] describe a RIS/PACS implementation that is considered to be of assistance in clinical decision-making in a wide variety of clinical areas and patient management, and this is consistent with other studies. See, for instance [7].…”

Section: Workflow Consequencessupporting

confidence: 82%

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

Wetering

Batenburg

2009

International Journal of Medical Informatics

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We argue that this model can help hospitals to gain insights into their (strategic) objectives for growth and maturity with regard to PACS, the electronic patient record (EPR) and other health information systems. Moreover, the proposed model can be applied as a valuable tool for organizational assessments, monitoring and benchmarking purposes. Hence, the PMM contributes to an integral alignment model for PACS technology.

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Section: Workflow Consequencessupporting

confidence: 82%

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

Wetering

Batenburg

2009

International Journal of Medical Informatics

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“…Ready availability of images through PACS can have positive effects on clinical decision-making16 52 54 56 and this was perceived to be the case in two studies 33–35. When times to clinical action were measured in other studies, the results were inconsistent 36–41…”

Section: Discussionmentioning

confidence: 99%

“…Informed clinical decision-making is vital in an ICU where a critically ill patient's condition can rapidly change and quick information access is essential. Ready availability of images through PACS can have positive effects on clinical decision-making 16 52 54 56 and this was perceived to be the case in two studies. 33–35 When times to clinical action were measured in other studies, the results were inconsistent.…”

Section: Discussionmentioning

confidence: 99%

“…These studies focus on its impacts on workflow, roles, patient outcomes, and costs, with variable conclusions. 12–22 Much research attention has focused on gains in workflow efficiencies associated with PACS, particularly in radiology departments. 12–15 22 With the integration of PACS into a number of medical units outside radiology, the intensive care unit (ICU) is one clinical area where PACS has the potential to significantly change work practices.…”

Section: Introductionmentioning

confidence: 99%

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The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature

Hains

Georgiou

Westbrook

2012

Journal of the American Medical Informatics Association

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ObjectiveTo assess evidence of the impact of Picture Archiving and Communication Systems (PACS) on clinicians' work practices in the intensive care unit (ICU).MethodsWe searched Medline, Pre-Medline, CINAHL, Embase, and the SPIE Digital Library databases for English-language publications between 1980 and September 2010 using Medical Subject Headings terms and keywords.ResultsEleven studies from the USA and UK were included. All studies measured aspects of time associated with the introduction of PACS, namely the availability of images, the time a physician took to review an image, and changes in viewing patterns. Seven studies examined the impact on clinical decision-making, with the majority measuring the time to image-based clinical action. The effect of PACS on communication modes was reported in five studies.DiscussionPACS can impact on clinician work practices in three main areas. Most of the evidence suggests an improvement in the efficiency of work practices. Quick image availability can impact on work associated with clinical decision-making, although the results were inconsistent. PACS can change communication practices, particularly between the ICU and radiology; however, the evidence base is insufficient to draw firm conclusions in this area.ConclusionThe potential for PACS to impact positively on clinician work practices in the ICU and improve patient care is great. However, the evidence base is limited and does not reflect aspects of contemporary PACS technology. Performance measures developed in previous studies remain relevant, with much left to investigate to understand how PACS can support new and improved ways of delivering care in the intensive care setting.

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“…It is applicable for balanced assessments rather than objective measurements. In general, outcomes of assessments in complex areas as medical processes are often qualitative and hence rely on subjective perceptions of clinicians rather than on quantitative statistics [ 32 ]. All statements were phrased in present tense, but respondents were asked to provide answers for both the current and future/preferred situation of their hospital.…”

Section: Methodsmentioning

confidence: 99%

A Situational Alignment Framework for PACS

et al. 2011

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This paper reports the outcomes of a study on an integrated situational alignment framework for picture archiving and communication systems (PACS) labeled as PISA. Following the design research cycle, complementary validation methods and pilot cases were used to assess the proposed framework and its operationalized survey. In this paper, the authors outline (a) the process of the framework’ development, (b) the validation process with its underlying iterative steps, (c) the outcomes of pilot cases, and (d) improvement opportunities to refine and further validate the PISA framework. Results of this study support empirical application of the framework to hospital enterprises in order to gain insights into their PACS maturity and alignment. We argue that the framework can be applied as a valuable tool for assessments, monitoring and benchmarking purposes and strategic PACS planning.

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An assessment of the effect of the introduction of a PACS and RIS on clinical decision making and patient management at Princess Alexandra Hospital Brisbane, Australia

Cited by 7 publications

References 7 publications

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

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

The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature

A Situational Alignment Framework for PACS

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