van de Wetering Rogier, Batenburg Ronald, Versendaal Johan, Lederman Reeva, Firth Lucy
Department of Information and Computing Sciences, Utrecht University, Centrumgebouw Noord, Padualaan 14, De Uithof, 3584 CH, Utrecht, The Netherlands.
J Digit Imaging. 2006;19 Suppl 1(Suppl 1):10-7. doi: 10.1007/s10278-006-0628-2.
Around the world, hospitals are faced with both budget and regulatory pressures, forcing them to re-examine the way clinical practice is carried out. Proposed technologies that provide workflow enhancements include Picture Archiving and Communications Systems (PACS); however, is PACS really effective in improving hospital workflow and the flow onto patient care, and how should this be evaluated? An acknowledged and successful approach for organizational evaluation is the Balanced Scorecard (BSC), providing the fundamental features for assessing organizations from various perspectives. In this research, the impact of PACS on the workflow of a large public hospital in Melbourne, Australia, is examined using an adapted version of the BSC. Empirically, this model was applied as an evaluation instrument through a series of in-depth interviews with PACS users. Results show that PACS did improve hospital workflow considerably and that the organizational alignment of PACS in hospitals is an important critical success factor.
在全球范围内，医院面临着预算和监管压力，这迫使它们重新审视临床实践的开展方式。能够提升工作流程的新兴技术包括图像存档与通信系统（PACS）；然而，PACS在改善医院工作流程以及对患者护理的流程方面真的有效吗？又该如何对此进行评估呢？一种公认且成功的组织评估方法是平衡计分卡（BSC），它提供了从各个角度评估组织的基本要素。在本研究中，采用平衡计分卡的一个改编版本来考察PACS对澳大利亚墨尔本一家大型公立医院工作流程的影响。从实证角度来看，该模型通过对PACS用户进行一系列深度访谈，被用作一种评估工具。结果表明，PACS确实极大地改善了医院工作流程，并表明PACS在医院中的组织协调是一个重要的关键成功因素。
