Cammisa Mario, Guglielmi Giuseppe, Zarrelli Nicola, Pennelli Orazio, Borello Elisabetta, Piuri Daniela, Conti Pietro
Dipartimento Diagnostica per Immagini, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo.
Radiol Med. 2004 Jan-Feb;107(1-2):102-12.
To develop an integrated information system to support the administrative and healthcare work processes in a highly specialised research-oriented healthcare institution composed of one hospital and a separate outpatient centre. The project, developed within the context of an ongoing process of technological innovation, aimed to improve the efficacy and efficiency of the services provided. In particular, over the past year our efforts focused on developing and implementing a RIS-PACS system to support the management of clinical data and radiological reports and images.
The RIS-PACS system was implemented in four phases to meet the technical-functional needs of the Units of the Department of Diagnostic Imaging. The plan was developed considering the work flow between the Department, the outpatient centre and the hospital wards with the aim of creating a filmless and paperless organisational model for the Radiology Units. The four implementation phases were characterised by defining and developing protocols that would integrate the systems (HIS, RIS, PACS and modalities) to guarantee correct and complete management of the work flow.
Phases I and II have already been completed and have led to efficient, safe and complete interaction between the hospital wards, the outpatient centre and the Radiology Units. Overall performance of the hospital has improved and the outpatient centre is now completely managed in digital mode. Phases III and IV will extend these positive results by enabling the routine distribution of radiological reports and images to all hospital wards and clinics and associated facilities. As a result, the use of film and printing and developing materials will gradually be reduced, enabling all the required clinical and diagnostic information to be immediately and securely shared.
This project is one of the first examples in Italy of the routine implementation of a single virtual radiology department distributed across physically remote locations. In particular, the project was successfully completed thanks to the approach used in planning and defining the clinical and functional specifications, and in the implementation phase. We conclude that setting up an information system truly capable of supporting the routine clinical activity of a Diagnostic Imaging Department requires a detailed operational project and careful planning of each implementation phase.
开发一个综合信息系统，以支持一家由一所医院和一个独立门诊中心组成的高度专业化的研究型医疗机构的行政和医疗工作流程。该项目是在持续的技术创新过程中开展的，旨在提高所提供服务的效力和效率。特别是在过去一年里，我们致力于开发和实施一个放射信息系统（RIS）- 图像存档与通信系统（PACS），以支持临床数据以及放射学报告和图像的管理。
RIS - PACS系统分四个阶段实施，以满足诊断影像科各科室的技术功能需求。制定该计划时考虑了科室、门诊中心和医院病房之间的工作流程，旨在为放射科创建一个无胶片和无纸的组织模式。四个实施阶段的特点是定义和制定将系统（医院信息系统（HIS）、RIS、PACS和设备）集成的协议，以确保工作流程得到正确且完整的管理。
第一阶段和第二阶段已经完成，实现了医院病房、门诊中心和放射科之间高效、安全且完整的交互。医院的整体绩效得到了提升，门诊中心现在完全以数字模式进行管理。第三阶段和第四阶段将通过实现向所有医院病房、诊所及相关设施常规分发放射学报告和图像来扩展这些积极成果。因此，胶片以及冲印和显影材料的使用将逐渐减少，从而能够即时且安全地共享所有所需的临床和诊断信息。
该项目是意大利首个在物理位置分散的地点常规实施单一虚拟放射科的实例之一。特别是，由于在规划和定义临床及功能规范以及实施阶段所采用的方法，该项目得以成功完成。我们得出结论，建立一个真正能够支持诊断影像科日常临床活动的信息系统需要一个详细的运营项目以及对每个实施阶段进行精心规划。
