Picture, Archiving and Communication System in the Italian NHS: A Primer on Diffusion and Evaluation Analysis

Buccoliero, Luca; Calciolari, Stefano; Marsilio, Marta; Mattavelli, Elisa

doi:10.1007/s10278-007-9101-0

Cited by 8 publications

(7 citation statements)

References 73 publications

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“…In PACS, medical images are collected from the imaging modalities, stored with their corresponding reports, and distributed to the referring physicians. Unlike many other clinical information systems, PACS can be considered a success story [11]; its benefits are considerable [12] and tangible on different levels, going from patients to management [13]. Yet, between the moment when the implementation is considered, and implementation success, there are four threats for a PACS-implementation project [14]:…”

Section: Bar Riers To the Implementation Of A Picture A Rchiving And mentioning

confidence: 99%

Do hospital physicians’ attitudes change during PACS implementation? A cross-sectional acceptance study

Pynoo¹,

Devolder²,

Duyck³

et al. 2012

International Journal of Medical Informatics

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Section: Bar Riers To the Implementation Of A Picture A Rchiving And mentioning

confidence: 99%

Do hospital physicians’ attitudes change during PACS implementation? A cross-sectional acceptance study

Pynoo¹,

Devolder²,

Duyck³

et al. 2012

International Journal of Medical Informatics

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“…Other surveys from RezaeiHachesu, Pesianian and Mohammadian (2016) [12], Pare, Aubry, Lepanto and Sicotte (2005) [13], Mešanović et al (2010) [14] and Buccoliero, Calciolari, Marsilio and Mattavelli (2008) [15] have been conducted during the last 15 years, aiming to evaluate the degree of incorporation of RIS, PACS or both as one system in radiology departments and hospital facilities, to demonstrate the challenges of this incorporation, highlighting the clinical and financial or administration benefits (net benefits) at the same time. As perceived clinical benefits, improved efficiency in doctor's patient evaluation and patient's follow-up process, improved ability in decision making regarding patient care, easy consultation among different medical departments are mentioned.…”

Section: Discussionmentioning

confidence: 97%

Investigation of RIS/PACS Information Systems’ Incorporation in Greek Public Hospitals

Konstantinidis¹,

Apostolakis²

2020

RadOpen

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Purpose: The objective of this study is to assess the current level of Radiological Information Systems (RIS) and Picture Archiving and Communication Systems (PACS) incorporation in greek public hospitals through a national web-based survey. Since there are no previous studies on this field of medical imaging management in Greece, we look forward to export useful conclusions about RIS/PACS incorporation and set the foundation for further investigation. Material and Methods: A comprehensive measurement instrument that integrates the existing theoretical and empirical literature knowledge on Information Systems (IS) evaluation was properly modified and used for the purpose of this study. A web-based survey was conducted via Google Form questionnaire, which was distributed to the entire population of radiologists and radiologic technologists (potential users) of all greek public hospitals (urban and rural), in order to identify the availability of RIS/PACS Information Systems (IS), the level of incorporation through system’s impact on users satisfaction and their operating capacities (i.e. computerized activities and processes). Results: A total of 49 valid responses out of 77 collected questionnaires were received from all 124 greek public hospitals, which represents a response rate of 39.5%. Our very first findings indicate that establishment of RIS/PACS has not been fulfilled so far for the vast majority of greek public hospitals. Almost half of the participants (51%) responded that they use only the capabilities of PACS as a repository for medical images, instead of implementing all capabilities of RIS. Also, although 85.7% of the participants responded that they use disc publisher for medical imaging exams copies, only 6.1% responded that has gone totally filmless or paperless. 59.2% of the respondents has access to 5 or more workstations and 100% of the respondents agrees that ER and clinics should connect on hospital's RIS/PACS for viewing medical images, receiving electronic reports and updating patients' electronic files. Overall findings from statistical techniques demonstrate a statistically significant difference in perceived information (p-value=0.021) and service quality (p-value=0.036) with age of respondents. Finally, open feedback answers indicate that greek public hospitals have still many to set to successfully incorporate and exploit the wide range of RIS/PACS capabilities to improve quality, effectiveness and efficiency of patient care services. Discussions: Although, most of the respondents have an adequate level in the operation of information systems, lack of RIS/PACS usage training is noted, as well as users’ support from their own organization IT staff. Also, structural deficiencies worry system’s users, making them intolerant to adopting the system in daily practice. The recommendations of this study include RIS/PACS incorporation in every medical imaging department of greek hospitals, users training and support, as well as updating infrastructures where needed.

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“…From the previous sections, our PISA framework combines the two pillars [ 1 ] PACS maturity (i.e., classifying PACS systems according to their stage of development and evolutionary plateau of process improvement) and [ 2 ] alignment (i.e., investments made in organizational dimension related to PACS should be balanced out in the organization in order to obtain synergizing benefits) and claims that both affect PACS performance of the hospital enterprise. Figure 1 provides a schematic sketch of our framework and depicts PACS maturity on the horizontal axis and organizational dimensions on the vertical axis.…”

Section: Defining Framework Constructsmentioning

confidence: 99%

“…As investments in healthcare are generally large and mission critical in case of medical imaging technology, the need for structured implementation, measurement approaches, and holistic evaluation methods is expanding [ 1 – 3 ]. The fact that hospitals around the world are re-evaluating their picture archiving and communication system (PACS) implementations reflects this demand [ 4 ].…”

Section: Introductionmentioning

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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Picture, Archiving and Communication System in the Italian NHS: A Primer on Diffusion and Evaluation Analysis

Cited by 8 publications

References 73 publications

Do hospital physicians’ attitudes change during PACS implementation? A cross-sectional acceptance study

Do hospital physicians’ attitudes change during PACS implementation? A cross-sectional acceptance study

Investigation of RIS/PACS Information Systems’ Incorporation in Greek Public Hospitals

A Situational Alignment Framework for PACS

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