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Proceedings Paper

PACS workstation usage and patient outcome surrogates
Author(s): Regina O. Redfern; Harold L. Kundel; Sridhar B. Seshadri; Curtis P. Langlotz; Steven C. Horii; Calvin F. Nodine; Paul N. Lanken; Marcia Polansky; Inna Brikman; Mary T. Bozzo
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Paper Abstract

Investigate the availability and use of radiographic reports both with and without a PACS workstation and investigate physician's opinions on using a workstation. The availability and use of radiographic reports and related patient care were evaluate in a randomized prospective study. Data from a 20 week period of collection, when images were displayed on multiviewers was compared to a 16 week period of data collection, when images were available on an image workstation in the clinical area. Patient care was evaluated by comparing clinical actions. A survey was distributed to the clinical staff to clinical area. Patient care was evaluated by comparing clinical actions. A survey was distributed to the clinical staff to determine their opinion of the image workstation. During periods without the workstation the clinical staff obtained reports o n 90 percent of the exams. During the PACS periods reports were obtained on 51 percent of exams. Sixty four percent of the surveyed clinicians reported a low to moderate level of confidence in interpreting images on the workstation. The percentage of image based clinical actions taken without radiology input increased from 12 percent during periods without the workstation to 74 percent during PACS. A PACS workstation in the clinical area decreases consultation if not supported with timely radiographic reports and may not benefit patient care.

Paper Details

Date Published: 22 May 1997
PDF: 7 pages
Proc. SPIE 3035, Medical Imaging 1997: PACS Design and Evaluation: Engineering and Clinical Issues, (22 May 1997); doi: 10.1117/12.274599
Show Author Affiliations
Regina O. Redfern, Univ. of Pennsylvania Medical Ctr. (United States)
Harold L. Kundel, Univ. of Pennsylvania Medical Ctr. (United States)
Sridhar B. Seshadri, Kodak Health Imaging Systems (United States)
Curtis P. Langlotz, Univ. of Pennsylvania Medical Ctr. (United States)
Steven C. Horii, Univ. of Pennsylvania Medical Ctr. (United States)
Calvin F. Nodine, Univ. of Pennsylvania Medical Ctr. (United States)
Paul N. Lanken, Univ. of Pennsylvania Medical Ctr. (United States)
Marcia Polansky, Allegheny Univ. of the Health Sciences (United States)
Inna Brikman, Univ. of Pennsylvania Medical Ctr. (United States)
Mary T. Bozzo, Univ. of Pennsylvania Medical Ctr. (United States)


Published in SPIE Proceedings Vol. 3035:
Medical Imaging 1997: PACS Design and Evaluation: Engineering and Clinical Issues
Steven C. Horii; G. James Blaine, Editor(s)

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