Produktivit�tsverbesserung durch klinikweite RIS und PACS: eine Fallstudie

Nissen-Meyer, S.; Holzknecht, N.; Wieser, B.; Francke, Marfil; Küttner, B.; Adelhard, K.; Villain, S.; Weber, Jan; Reiser, Maximilian

doi:10.1007/s00117-002-0718-1

Cited by 12 publications

(4 citation statements)

References 19 publications

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“…Most integrated HIS however require the implementation and incorporation of several standards which comprises additional difficulties (e.g. [13][14][15]). Here, the coordinating framework of the international initiative for Integrating the Healthcare Enterprise (IHE) [16,17] has clearly helped to improve the integration of application systems.…”

Section: Introductionmentioning

confidence: 99%

Categorizing Communication Errors in Integrated Hospital Information Systems

Saboor

Ammenwerth²

2009

Methods Inf Med

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To our knowledge there is no similar summary that concisely summarizes common communication problems and also refers to their underlying reasons. Equivalent content is mostly published in experience reports that just concentrate on single aspects. We used the details of such references in order to compile our categorization - it thus can be regarded as an intersection of relevant experiences. The categorization can raise a basic awareness on potential problems and supports the understanding of the underlying reasons. An evaluation in a real environment must prove whether the content of the categorization is correct.

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Section: Introductionmentioning

confidence: 99%

Categorizing Communication Errors in Integrated Hospital Information Systems

Saboor

Ammenwerth²

2009

Methods Inf Med

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“…La presión cada vez mayor que ejercen los costos en todos los ámbitos de la asistencia sanitaria obliga a plantearse posibilidades para incrementar la eficiencia (7)(8)(9)(10)12) . Los sistemas electrónicos de reconocimiento del habla están recomendados como opción para optimizar los procesos de trabajo en radiología (6,10,17,24) .…”

Section: Argumentaciónunclassified

“…Gracias a un desarrollo técnico pionero, la disponibilidad de extensos vocabularios contextuales y la mejora de los modelos matemáticos del lenguaje, los SRH se han convertido en una alternativa atractiva a la elaboración de informes en cintas tradicionales (5) . Los prestatarios de servicios de salud se enfrentan a la necesidad de limitar los costos de materiales y mano de obra, sin que ello dé lugar a un empeoramiento de la calidad de la asistencia al paciente (6)(7)(8)(9)(10) . Los SRH se encargan de que los profesionales puedan rendir más en el ámbito de la radiología, poniendo más precozmente a disposición los informes radiológicos para el posterior diagnóstico y planificación del tratamiento que debe seguir el paciente (3,11,12) .…”

Section: Introductionunclassified

Repercusión De Un Sistema De Reconocimiento Del Habla Integrado en Un Pacs/Ris Con Respecto Al Tiempo Invertido en Elaborar Y Poner a Disposición Los Informes Radiológicos

Trumm¹,

Gläser²,

Paasche³

et al. 2008

Rev. chil. radiol.

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Purpose: Quantification of the impact of a PACS/RIS-integrated speech recognition system (SRS) on the time expenditure for radiology reporting and on hospital-wide report availability (RA) in a university institution. Material and methods: In a prospective pilot study, the following parameters were assessed for 669 radiographic examinations (CR): 1. time requirement per report dictation (TED: dictation time (s)/number of images (examination) x number of words (report)) with either a combination of PACS/ tape-based dictation (TD: analog dictation device/ minicassette/transcription) or PACS/RIS/speech recognition system(RR: remote recognition/transcription and OR: online recognition/self-correction by radiologist), respectively, and 2. the ReportTurnaround Time (RTT) as the time interval from the entryof the first image into the PACS to the available RIS/HIS report. Two equal time periods were chosen retrospectively from the RIS database: 11/2002-2/2003 (only TD) and 11/2003-2/2004 (only RR or OR with speech recognition system (SRS)). The midterm (≥ 24 h, 24 h intervals) and short-term (< 24 h, 1 h intervals) RA after examination completion were calculated for all modalities and for CR, CT, MR and XA/DS separately. The relative increase in the mid-term RA (RIMRA: related to total number of examinations in each time period) and increase in the short-term RA (ISRA: ratio of available reports during the 1st to 24th hour) were calculated. Results: Prospectively, there was a significant difference between TD/RR/OR (n = 151/257/261) regarding mean TED (0.44/0.54/0.62 s (per word and image)) and mean RTT.

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“…3. In größeren radiologischen Einheiten wurden die PACS-Installationen häufig über mehrere Jahre stufenweise ausgebaut, so dass MOD-Abteilungsarchive als Langzeitspeicher häufig bereits vorhanden sind [3,15]. Auch in anderen medizinischen Fachdisziplinen wie auch im administrativen Bereich müssen immer mehr digitale Daten langfristig gespeichert werden.…”

Section: Archivebene Raid (Cache) Mod-zwischenarchiv Tape-langzeitarchivunclassified

Empfehlungen zur Medienwahl für die Archivierung radiologischer Bilddaten auf der Basis einer Analyse der Zugriffszeiten auf verschiedene PACS-Archivebenen

Wirth

Treitl

Lucke

et al. 2005

Rofo Fortschr Geb Rontgenstr N

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Hard disk arrays are specifically suited as departmental intermediate storage media because they allow fast access to current and previous examinations within a short time. Performance properties enable both MOD and TAPE systems to serve as long-term archives. However, MOD archives are less flexible in the expansion of storage capacity and at present the medium costs per memory unit are about 2 - 3 times higher than for tape archives. The use of existing MOD-archives may be adequate as intermediate archives. For new PACS installations or system expansions, however, it is recommended to combine a sufficiently large local data memory (RAID) with data storage on tape archives outside the radiological unit that can be used by other departments as well. Future development of hard disk prices will show whether archiving for the whole data retention period may be handled by RAID systems. In any case, prefetching problems and waiting periods for demanded pre-studies would not occur any more.

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Produktivit�tsverbesserung durch klinikweite RIS und PACS: eine Fallstudie

Abstract: The goals reached so far suffered delays due to unforeseen problems and pitfalls. Altogether, a quieter operation and workflow in radiology has already been achieved, due to less inquiries from the requestors for unfinished examinations, images and/or image copies.

Cited by 12 publications

References 19 publications

Categorizing Communication Errors in Integrated Hospital Information Systems

Categorizing Communication Errors in Integrated Hospital Information Systems

Repercusión De Un Sistema De Reconocimiento Del Habla Integrado en Un Pacs/Ris Con Respecto Al Tiempo Invertido en Elaborar Y Poner a Disposición Los Informes Radiológicos

Empfehlungen zur Medienwahl für die Archivierung radiologischer Bilddaten auf der Basis einer Analyse der Zugriffszeiten auf verschiedene PACS-Archivebenen

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