Helse Sør-Øst Health Services Research Centre, Akershus University Hospital, Mail Drawer 95, NO-1478, Lørenskog, Norway.
J Digit Imaging. 2010 Feb;23(1):87-94. doi: 10.1007/s10278-008-9160-x. Epub 2008 Nov 1.
The purpose of this study was to study whether the benefits from introducing a picture archiving and communication systems (PACS) reported by innovators and early adopters also can be achieved by a hospital belonging to the "late majority" and to see whether such benefits are sustained, using report turnaround time (RTAT) as an indicator. Activity-related data was retrieved from the radiology information system (RIS) over a 2-year period. The median RTAT for preliminary reports was initially reduced from 12 to 2 h then increased to 3 h. For final reports, the median RTAT was initially reduced from 23 to 13 h then gradually reverted back to 22 h. Innovators and early adopters demonstrate not only that positive results can be achieved but also the importance of involving key personnel. We believe that such involvement and the focus on wider organizational concerns are important when introducing PACS to the late majority, both for achieving and sustaining positive results.
本研究旨在探讨引进影像归档与通讯系统(PACS)是否能为属于“晚期多数派”的医院带来创新者和早期采用者所报告的收益,并通过报告周转时间(RTAT)作为指标,观察这些收益是否可持续。在两年的时间里,从放射信息系统(RIS)中检索与活动相关的数据。初步报告的中位数 RTAT 最初从 12 小时缩短到 2 小时,然后增加到 3 小时。对于最终报告,中位数 RTAT 最初从 23 小时减少到 13 小时,然后逐渐恢复到 22 小时。创新者和早期采用者不仅证明了可以取得积极的成果,还证明了让关键人员参与的重要性。我们认为,在向晚期多数派引入 PACS 时,这种参与和关注更广泛的组织问题非常重要,无论是在实现还是维持积极成果方面。