Share Email Print
cover

Proceedings Paper

PACS in an intensive care unit: results from a randomized controlled trial
Author(s): Stirling Bryan; Gwyneth C. Weatherburn; Jessamy Watkins; Samantha Walker; Carl Wright; Brian Waters; Jeff Evans; Martin J. Buxton
Format Member Price Non-Member Price
PDF $14.40 $18.00

Paper Abstract

The objective of this research was to assess the costs and benefits associated with the introduction of a small PACS system into an intensive care unit (ICU) at a district general hospital in north Wales. The research design adopted for this study was a single center randomized controlled trial (RCT). Patients were randomly allocated either to a trial arm where their x-ray imaging was solely film-based or to a trial arm where their x-ray imaging was solely PACS based. Benefit measures included examination-based process measures, such as image turn-round time, radiation dose and image unavailability; and patient-related process measures, which included adverse events and length of stay. The measurement of costs focused on additional 'radiological' costs and the costs of patient management. The study recruited 600 patients. The key findings from this study were that the installation of PACS was associated with important benefits in terms of image availability, and important costs in both monetary and radiation dose terms. PACS-related improvements in terms of more timely 'clinical actions' were not found. However, the qualitative aspect of the research found that clinicians were advocates of the technology and believed that an important benefit of PACS related to improved image availability.

Paper Details

Date Published: 13 July 1998
PDF: 9 pages
Proc. SPIE 3339, Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues, (13 July 1998); doi: 10.1117/12.319780
Show Author Affiliations
Stirling Bryan, Brunel Univ. (United Kingdom)
Gwyneth C. Weatherburn, Brunel Univ. (United Kingdom)
Jessamy Watkins, Brunel Univ. (United Kingdom)
Samantha Walker, Brunel Univ. (United Kingdom)
Carl Wright, Glan Clwyd Hospital (United Kingdom)
Brian Waters, Glan Clwyd Hospital (United Kingdom)
Jeff Evans, Institute of Health Studies (United Kingdom)
Martin J. Buxton, Brunel Univ. (United Kingdom)


Published in SPIE Proceedings Vol. 3339:
Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues
Steven C. Horii; G. James Blaine, Editor(s)

© SPIE. Terms of Use
Back to Top