Gregg William Bill, Randolph Mark, Brown Denise H, Lyles Tommy, Smith Sharrow Dinnia, D'Agostino Horacio
Department of Radiology, LSUHSC-S, 1501 Kings Highway, Rm 1-349, Shreveport, LA 71103-3932, USA.
J Digit Imaging. 2010 Dec;23(6):674-80. doi: 10.1007/s10278-009-9272-y.
Today, all types of data are used in various ways to provide useful information. PACS Audit data have not been typically used as a data source although it includes information that can be used for various purposes such as process improvement (PI). In a typical radiology workflow, examinations do not show up on a radiologist's unread worklist until the examination has been verified. An issue with clinical access to radiology reports was determined to be partly due to delays in the verification step. A PI goal was created to reduce this wait time. PACS audit data were mined using an in-house application to provide workflow time span information, and the particular span from arrived to verified was measured. The report also allowed specific examinations and users to be identified, and these data were used as a PI educational tool. The end result was a dramatic reduction in examinations taking longer than 1 h to be verified which reduced the time for report production and enhanced patient care.
如今，各类数据都以各种方式被用于提供有用信息。尽管PACS审计数据包含可用于诸如流程改进（PI）等各种目的的信息，但它通常并未被用作数据源。在典型的放射科工作流程中，检查在被核实之前不会出现在放射科医生的未读工作列表上。经确定，临床获取放射学报告存在的一个问题部分归因于核实步骤的延迟。制定了一个流程改进目标以减少这种等待时间。使用内部应用程序挖掘PACS审计数据以提供工作流程时间跨度信息，并测量从到达至核实的特定时间段。该报告还能识别特定的检查和用户，这些数据被用作流程改进的教育工具。最终结果是，需要超过1小时才能核实的检查显著减少，这缩短了报告生成时间并改善了患者护理。
