Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Journal of Imaging Informatics in Medicine
Published in: Journal of Digital Imaging 3/2020

01-06-2020

Effect of Implementation of Picture Archiving and Communication System on Radiologist Reporting Time and Utilization of Radiology Services: A Case Study in Iran

Authors: Najmeh Hasani, AghaFatemeh Hosseini, Abbas Sheikhtaheri

Published in: Journal of Imaging Informatics in Medicine | Issue 3/2020

Login to get access

Abstract

We aimed to determine the effect of PACS implementation on the radiologist reporting time and utilization of radiology services in a hospital in Iran. This study was conducted in three 6-month periods (before PACS implementation, immediately after the implementation, and 1 year after implementation). Data related to reporting time of CT examinations were collected from 5074 patients with 6613 examinations and compared using the Friedman test. The utilization rate of radiology services was conducted about CT scans and radiographies. Therefore, 17,862 patients with 36,321 radiographies and 7155 patients with 10,571 CT scans were evaluated, and the ratio of the number of examinations to the number of patients and patient days was compared in three periods. The mean of reporting time on CT scan examinations in the period of immediately after PACS was changed compared to the period of before PACS from 13.05 to 24.18 days and compared to 1 year after PACS implementation, to 4.14 days (P value < 0.05). The utilization rate in CT scans, 1 year after PACS increased at least 10% to 25% compared to the immediately after PACS and before implementing PACS. The utilization rate in radiographies, 1 year after PACS, increased at least 16% to 78% compared to the immediately after PACS and before PACS implementation. In conclusion, the mean of the radiologist reporting time for CT scans is significantly decreased by PACS in the long-term. Additionally, the utilization rate of radiology services is increased in the short- and long-term after PACS implementation in most examinations of CT scan and radiography examinations.
Appendix
Available only for authorised users
Literature
1.
European Society of Radiology (ESR), European Federation of Radiographer Societies (EFRS): Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Radiography 25(2):e26–e38, 2019CrossRef
2.
Cranfield S, Hendy J, Reeves B, Hutchings A, Collin S, Fulop N: Investigating healthcare IT innovations: a "conceptual blending" approach. J Health Organ Manag 29(7):1131–1148, 2015PubMedCrossRef
3.
Campbell SS, Morton D, Grobler AD: Transitioning from analogue to digital imaging: challenges of South African analogue-trained radiographers. Radiography 25(2):e39–e44, 2019PubMedCrossRef
4.
Ebrahimi M, Sharifian R, Bahador F, Asadi F, Farmani A, Afrazandeh S: The challenges of picture archiving and communication system from the users’ perspective in the teaching hospitals equipped with the system. Journal of Health and Biomedical Informatics 3(2):76–84, 2016
5.
AlFalah FM, Harrison D, Charissis V, Evans D: An investigation of a healthcare management system with the use of multimodal interaction and 3D simulation. Enterprise Information Management 26(1/2):183–197, 2013CrossRef
6.
7.
Aldosari H, Saddik B, Al Kadi K: Impact of picture archiving and communication system (PACS) on radiology staff. Informatics in Medicine Unlocked 10:1–16, 2018CrossRef
8.
Dreyer KJ, Hirschorn DS, Thrall JH, Mehta A: PACS: A Guide to The Digital Revolution. NewYork: Science & Business Media, 2006CrossRef
9.
Bruno MA: Advanced practice quality improvement: beyond the radiology department. J Am Coll Radiol 11(12, Part A):1150–1154, 2014PubMedCrossRef
10.
Bendová M, Benda K: Psychological aspects in communication with patients on departments of medical radiology. Procedia - Social and Behavioral Sciences 84:679–681, 2013CrossRef
11.
Noori F, Tabibi J, Aeenparast A, Salehi M: Outpatient flow analysis and waiting time in a radiology department. Journal of the Iranian Institute for Health Sciences Research 12(2):195–204, 2013
12.
Parsamoein S, Nasiripour A: The effect of outsourcing on satisfaction and observance of patients' rights referring to radiology departments of selected hospitals in Tehran. Journal of Healthcare Management 6(1):51–58, 2015
13.
Nitrosi A, Borasi G, Nicoli F, Modigliani G, Botti A, Bertolini M, Notari P: A filmless radiology department in a full digital regional hospital: quantitative evaluation of the increased quality and efficiency. J Digit Imaging 20(2):140–148, 2007PubMedPubMedCentralCrossRef
14.
Mackinnon AD, Billington RA, Adam EJ, Dundas DD, Patel U: Picture archiving and communication systems lead to sustained improvements inreporting times and productivity: results of a 5-year audit. Clin Radiol 63(7):796–804, 2008PubMedCrossRef
15.
Ozcete E, Boydak B, Ersel M, Kiyan S, Uz I, Cevrim O: Comparison of conventional radiography and digital computerized radiography in patients presenting to emergency department. Turk J Emerg Med 15(1):8–12, 2015PubMedCrossRef
16.
Fleishon HB, Bhargavan M, Meghea C: Radiologists' reading times using PACS and using films: one practice's experience. Acad Radiol 13(4):453–460, 2006PubMedCrossRef
17.
18.
Lepanto L, Paré G, Gauvin A: Impact of PACS deployment strategy on dictation turnaround time of chest radiographs. Acad Radio 13(4):447–452, 2006CrossRef
19.
Reiner BI, Seigel EL: Technologists’ productivity when using PACS: comparison of film-based versus filmless radiography. Am J Roentgenol 179(1):33–37, 2002CrossRef
20.
Reiner BI, Siegel EL, Flagle C, Hooper FJ, Cox RE, Scanlon M: Effect of filmless imaging on the utilization of radiologic services. Radiology 215(1):163–167, 2000PubMedCrossRef
21.
Hwang IC, Lee KW, Park SS, Chanthanoulay S, Sisavanh M, Rajpho V et al.: The first picture archiving and communication system in Lao People's Democratic Republic: changes in the utilization rate of imaging tests in the first year after implementation. Int J Med Inform 94:31–38, 2016PubMedCrossRef
22.
Garavand A, Ghanbari S, Ebrahimi S, Kafashi M, Ahmadzadeh F: The effective factors in adopting picture archiving and communication system in Shiraz educational hospitals based on technology acceptance model. Journal of Health and Biomedical Informatics 1(2):76–82, 2015
23.
Heidari M, Saghafi F, Khansari M: Effective factors for implementing PACS in X regard to future technology trends. Journal of Iran Medical Council 31(3):201–210, 2013
24.
Nematolahi M, Kafashi M, Sharifian R, Monem H: Evaluation of the users’ continuous intention to use PACS based on the expectation confirmation model in teaching hospitals of Shiraz University of Medical Sciences. Journal of Health Management and Informatics 4(1):13, 2017
25.
Nematolahi M, Amuzgar M, Sharifian R, Monem H, Zare S: Modeling of the success of picture archiving and communication systems in medicine using structural equation modeling approach. Journal of Health Information Management 14(1):3–8, 2017
26.
Saghafi F, Nourzad Moghaddam E, Seyedin SM: A model for the acceptance of emerging technology “PACS” in Iran hospitals. Iranian Journal of Information Processing and Management 32(2): 491–517, 2017
27.
Tabatabaie M: Development of a protocol for assessing configuration of picture archiving and communication system [MS.C thesis]. Iran university of medical science, 2014
28.
Hurlen P, Østbye T, Borthne A, Gulbrandsen P: Introducing PACS to the late majority. a longitudinal study. J Digit Imaging 23(1):87–94, 2010PubMedCrossRef
29.
30.
Mariani C, Tronchi A, Oncini L, Pirani O, Murri R: Analysis of the X-ray work flow in two diagnostic imaging departments with and without a RIS/PACS system. J Digit Imaging 19(Suppl 1):18–28, 2006PubMedPubMedCentralCrossRef
31.
Mehta A, Dreyer K, Boland G, Frank M: Do picture archiving and communication systems improve report turnaround times? J Digit Imaging 13(1):105–107, 2000PubMedPubMedCentralCrossRef
32.
Metadata
Title
Effect of Implementation of Picture Archiving and Communication System on Radiologist Reporting Time and Utilization of Radiology Services: A Case Study in Iran
Authors
Najmeh Hasani
AghaFatemeh Hosseini
Abbas Sheikhtaheri
Publication date
01-06-2020
Publisher
Springer International Publishing
Published in
Journal of Imaging Informatics in Medicine / Issue 3/2020
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-019-00314-z

Other articles of this Issue 3/2020

Journal of Digital Imaging 3/2020 Go to the issue

OriginalPaper

Mobile MIM: a Portable Solution in Imaging

OriginalPaper

Ontology-Based Radiology Teaching File Summarization, Coverage, and Integration

OriginalPaper

Automated Cardiovascular Pathology Assessment Using Semantic Segmentation and Ensemble Learning

OriginalPaper

Predicting Unnecessary Nodule Biopsies from a Small, Unbalanced, and Pathologically Proven Dataset by Transfer Learning

ReviewPaper

Radiology, Mobile Devices, and Internet of Things (IoT)

OriginalPaper

Conventional Machine Learning and Deep Learning Approach for Multi-Classification of Breast Cancer Histopathology Images—a Comparative Insight