Worthy Susan, Rounds Karla C, Soloway Connie B
eMed Technologies, Burlington, Mass., USA.
Radiol Manage. 2003 Mar-Apr;25(2):18-22.
Many imaging centers are turning to technology solutions to increase refering physician satisfaction, implementing such enhancements as automated report distribution, picture archiving and communications system (PACS), radiology information systems (RIS), and web-based results access. However, without seamless integration, these technology investments don't address the challenge at its core: convenient and reliable, two-way communication and interaction with referring physicians. In an integrated RIS/PACS solution, patient tracking in the RIS and PACS study status are logged and available to users. The time of the patient's registration at the imaging center, the exam start and completion time, the patient's departure time from the imaging center, and results status are all tracked and logged. An integrated RIS/PACS solution provides additional support to the radiologist, a critical factor that can improve the turnaround time of results to referring physicians. The RIS/PACS enhances the interpretation by providing the patient's history, which gives the radiologist additional insight and decreases the likelihood of missing a diagnostic element. In a tightly integrated RIS/PACS solution, results information is more complete. Physicians can view reports with associated images selected by the radiologist. They will also have full order information and complete imaging history including prior reports and images. Referring physicians can access and view images and exam notes at the same time that the radiologist is interpreting the exam. Without the benefit of an integrated RIS/PACS system, the referring physician would have to wait for the signed transcription to be released. In a seamlessly integrated solution, film-tracking modules within the RIS are fused with digital imaging workflow in the PACS. Users can see at a glance if a historical exam is available on film and benefit when a complete study history--both film-based and digital--is presented with the current case. It is up to the imaging center to market the benefits of reduced errors, reduced turnaround times, and a higher level of service to referring physician community, and encourage them to take advantage of the convenience it provides. The savvy imaging center will also regard the integrated RIS/PACS as a valuable marketing tool for use in attracting radiologists.
许多影像中心都在寻求技术解决方案,以提高转诊医生的满意度,实施了诸如自动报告分发、图像存档与通信系统(PACS)、放射学信息系统(RIS)以及基于网络的结果查询等改进措施。然而,如果没有无缝集成,这些技术投资并不能从根本上解决挑战:与转诊医生进行便捷、可靠的双向沟通与互动。在集成的RIS/PACS解决方案中,RIS中的患者跟踪和PACS研究状态会被记录下来并可供用户使用。患者在影像中心的登记时间、检查开始和完成时间、患者离开影像中心的时间以及结果状态都会被跟踪和记录。集成的RIS/PACS解决方案为放射科医生提供了额外支持,这是缩短向转诊医生反馈结果时间的关键因素。RIS/PACS通过提供患者病史来增强解读效果,这能让放射科医生获得更多信息,降低遗漏诊断要素的可能性。在紧密集成的RIS/PACS解决方案中,结果信息更完整。医生可以查看带有放射科医生所选相关图像的报告。他们还将拥有完整的订单信息和完整的影像病史,包括之前的报告和图像。转诊医生可以在放射科医生解读检查的同时访问和查看图像及检查记录。如果没有集成的RIS/PACS系统,转诊医生就得等待签署的转录报告发布。在无缝集成的解决方案中,RIS中的胶片跟踪模块与PACS中的数字成像工作流程相融合。用户可以一眼看出是否有历史检查的胶片可用,并且当基于胶片和数字的完整研究病史与当前病例一同呈现时会从中受益。影像中心有责任向转诊医生群体宣传减少错误、缩短周转时间和提高服务水平的好处,并鼓励他们利用所提供的便利。精明的影像中心还会将集成的RIS/PACS视为吸引放射科医生的有价值营销工具。