Comparison of a PACS workstation with laser hard copies for detecting scaphoid fractures in the emergency department.

Picture archiving and communication systems (PACS) for imaging studies is rapidly being adopted in hospitals throughout the UK. However, very little comparison has been made between PACS and laser hard copies for assessing the diagnostic accuracy of detecting fractures by emergency physicians. A pro...

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Publicado en:Journal of Digital Imaging Vol. 23; no. 1; pp. 100 - 104
Autores principales: Khaliq W, Blakeley CJ, Maheshwaran S, Hashemi K, Redman P
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Comparison of a PACS workstation with laser hard copies for detecting scaphoid fractures in the emergency department.
      aug:
        au:
          Khaliq W
          Blakeley CJ
          Maheshwaran S
          Hashemi K
          Redman P
        affil: Mayday University Hospital, Croydon, UK
      sug:
        subj:
          Emergency Care
          Picture Archiving and Communication Systems
          Wrist Fractures Diagnosis
          Comparative Studies
          Diagnostic Errors
          Human
          Medical Staff, Hospital
          Physicians, Emergency
          Prospective Studies
          Radiologists
          Random Sample
          Sensitivity and Specificity
          X-Rays
      ab: Picture archiving and communication systems (PACS) for imaging studies is rapidly being adopted in hospitals throughout the UK. However, very little comparison has been made between PACS and laser hard copies for assessing the diagnostic accuracy of detecting fractures by emergency physicians. A prospective paired comparison study was undertaken looking at correct reporting of scaphoid X-rays on PACS and conventional film by emergency department medical staff. A total of 34 imaging studies were reported by 38 physicians using both PACS workstations and laser-printed films. The percentage of emergency physicians correctly reporting imaging studies was similar when comparing PACS images to laser film copies (80.7% versus 81.0%). The sensitivity and specificity of PACS for diagnosing scaphoid fractures was 79.5% and 81.6%, versus 78.1% and 83.8% for conventional films. There is no significant difference in accuracy of diagnosis between PACS and laser film copies when scaphoid X-rays are reported by emergency physicians.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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