Impact of PACS on Dictation Turnaround Time and Productivity.

This study was conducted to measure the impact of PACS on dictation turnaround time and productivity. The radiology information system (RIS) database was interrogated to calculate the time interval between image production and dictation for every exam performed during three 90-day periods (the 3 mon...

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Publicado en:Journal of Digital Imaging Vol. 19; no. 1; pp. 92 - 98
Autores principales: Lepanto L, Paré G, Aubry D, Robillard P, Lesage J
Formato: research tables/charts Journal Article
Publicado: Springer Nature Mar2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2006
      vid: 19
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-005-9245-8
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        atl: Impact of PACS on Dictation Turnaround Time and Productivity.
      aug:
        au:
          Lepanto L
          Paré G
          Aubry D
          Robillard P
          Lesage J
      sug:
        subj:
          Organizational Efficiency
          Patient Record Systems
          Picture Archiving and Communication Systems
          Radiology Service Administration
          Task Performance and Analysis
          Analysis of Variance
          Magnetic Resonance Imaging
          Prospective Studies
          Radiography, Abdominal
          Radiography, Thoracic
          Radiology Information Systems
          Spine Pathology
          Tomography, X-Ray Computed
          Human
      ab: This study was conducted to measure the impact of PACS on dictation turnaround time and productivity. The radiology information system (RIS) database was interrogated to calculate the time interval between image production and dictation for every exam performed during three 90-day periods (the 3 months preceding PACS implementation, the 3 months immediately following PACS deployment, and a 3-month period 1 year after PACS implementation). Data were obtained for three exam types: chest radiographs, abdominal CT, and spine MRI. The mean dictation turnaround times obtained during the different pre- and post-PACS periods were compared using analysis of variance (ANOVA). Productivity was also determined for each period and for each exam type, and was expressed as the number of studies interpreted per full-time equivalent (FTE) radiologist. In the immediate post-PACS period, dictation turnaround time decreased 20% (p < 0.001) for radiography, but increased 13% (ns) for CT and 28% (p < 0.001) for MRI. One year after PACS was implemented, dictation turnaround time decreased 45% (p < 0.001) for radiography and 36% (p < 0.001) for MRI. For CT, 1 year post-PACS, turnaround times returned to pre-PACS levels. Productivity in the immediate post-PACS period increased 3% and 38% for radiography and CT, respectively, whereas a 6% decrease was observed for MRI. One year after implementation, productivity increased 27%, 98%, and 19% in radiography, CT, and MRI, respectively. PACS benefits, namely, shortened dictation turnaround time and increased productivity, are evident 1 year after PACS implementation. In the immediate post-PACS period, results vary with the different imaging modalities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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