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Proceedings Paper

Evaluation of PACS at Hammersmith Hospital: assessment of radiology performance in the accident and emergency department
Author(s): Gwyneth C. Weatherburn; Stirling Bryan; Robert Cocks
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Paper Abstract

In the Accident and Emergency Department (A&E) x-ray images are used to assist in the initial diagnosis and management of the patient. It is therefore expected that the main benefits of PACS in A&E will arise from the ability of clinicians to manipulate the digital image and thus potentially improve their diagnostic performance. In order to evaluate whether this benefit is realized or not a case-study evaluation has been undertaken; this has three components: (a) monitoring the extent of misdiagnosis by A&E clinicians before and after the PACS implementation; (b) an examination of the decision performance of the clinician-image combination for the visualization of the lower cervical spine/upper thoracic spine and of fracture of the head of the radius; and (c) a more general monitoring of the impact of the image archiving and communication aspects of PACS. In this paper the study of the impact of PACS on misdiagnosis by A&E clinicians at the Hammersmith Hospital, London, is described and pre-PACS results for the period 31 March 1992 to 30 September 1992 are presented.

Paper Details

Date Published: 8 September 1993
PDF: 7 pages
Proc. SPIE 1899, Medical Imaging 1993: PACS Design and Evaluation, (8 September 1993); doi: 10.1117/12.152915
Show Author Affiliations
Gwyneth C. Weatherburn, Brunel Univ. (United Kingdom)
Stirling Bryan, Brunel Univ. (United Kingdom)
Robert Cocks, Hammersmith Hospital (United Kingdom)

Published in SPIE Proceedings Vol. 1899:
Medical Imaging 1993: PACS Design and Evaluation
R. Gilbert Jost, Editor(s)

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