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Related Experiment Videos

Large-scale PACS implementation

J A Carrino1, P J Unkel, I D Miller

  • 1Wilford Hall Medical Center, Lackland Air Force Base, TX 78236-5300, USA.

Journal of Digital Imaging
|September 15, 1998
PubMed
Summary
This summary is machine-generated.

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Implementing a Picture Archiving and Communications System (PACS) is complex, requiring careful planning for workflow integration and user acceptance. This guide offers insights for a successful transition to filmless radiology.

Area of Science:

  • Radiology Informatics
  • Medical Imaging Technology
  • Health Information Systems

Background:

  • The transition to filmless radiology, utilizing Picture Archiving and Communications Systems (PACS), presents significant challenges beyond initial procurement.
  • Pioneering efforts by the Department of Defense and Veterans Administration highlight the growing trend towards electronic medical imaging.
  • Widespread adoption of large-scale PACS is anticipated in civilian healthcare settings within the next decade.

Purpose of the Study:

  • To share empirical insights from a large-scale PACS implementation in an operational radiology department.
  • To address impediments to user acceptance and discuss critical components for successful PACS integration.
  • To provide effective strategies for a seamless transition to filmless radiology.

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Main Methods:

  • Phased implementation approach focusing on minimal workflow disruption.
  • Integration of DICOM (digital imaging and communications in medicine) standards for device interoperability.
  • Establishing robust Hospital Information System (HIS)/Radiology Information System (RIS) interfaces and networking infrastructure.
  • Addressing user approval, workstation deployment, backup procedures, and quality control (QC).
  • Identifying and adapting to specific functional area requirements (e.g., operating rooms, trauma rooms).
  • Integrating teleradiology and remote clinics, exploring web-based image access.

Main Results:

  • Successful integration of PACS into a fully operational department with minimal impact on existing workflows.
  • Identification of key factors for user acceptance, including training, education, and clear operating instructions.
  • Strategies for managing specific clinical requirements and potential limitations of PACS capabilities.
  • Demonstrated benefits of web-based servers for image and report access, reducing reliance on dedicated workstations.

Conclusions:

  • A successful PACS implementation hinges on a team approach, integrating institutional directives, user expectations, and available technologies.
  • Maintaining strong vendor relationships, cultivating personnel readiness, and establishing well-defined support systems are crucial.
  • Careful planning, phased rollout, and attention to user needs are essential for transitioning to an all-digital radiology environment.