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Automating radiologist workflow part 1: the digital consultation.

¹Baltimore VA Medical Center, Department of Diagnostic Imaging, Baltimore, MD 21201, USA. breiner1@comcast.net

Journal of the American College of Radiology : JACR

|September 25, 2008

Summary

New electronic consultation tools can improve radiology report value and timeliness. By recording radiologist-computer interactions, these tools recreate consultations, enhancing communication between radiologists and clinicians.

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Area of Science:

Radiology
Medical Informatics
Health Communication

Background:

Picture Archiving and Communication Systems (PACS) and filmless imaging enable instant access to imaging data.
This has led to a decline in traditional radiologist-clinician consultations.
There is a need for improved communication strategies to enhance radiology report timeliness and perceived value.

Purpose of the Study:

To propose and describe an electronic consultation tool to enhance radiologist-clinician communication.
To outline a method for recreating radiologist workflow and identifying key pathologic findings.
To detail features that improve the organization, timeliness, and value of radiology reports.

Main Methods:

Recording radiologist-computer interactions using an electronic auditing tool.
Storing interaction data in an Extensible Markup Language (XML) schema.
Developing a playback function to recreate radiologist consultations.
Implementing features for content editing, pathology-specific indexing, and asynchronous consultations.

Main Results:

The electronic consultation tool recreates radiologist workflow and findings effectively.
It allows for tailored content for different clinician users.
Enables indexing into pathology-specific components and asynchronous, bidirectional consultations.
Facilitates integration with Electronic Medical Records (EMRs) for context-specific consultation files.

Conclusions:

Electronic consultation tools offer a novel strategy to improve radiologist-clinician communication.
These tools enhance the timeliness, organization, and perceived value of radiology reports.
The system supports customized and asynchronous consultations, integrating seamlessly with clinical data.