Department of Radiology and Biomedical Imaging, San Francisco General Hospital, University of California, San Francisco, 1001 Potrero Ave Rm 1x57, San Francisco, CA 94110, USA.
J Digit Imaging. 2011 Oct;24(5):890-6. doi: 10.1007/s10278-010-9351-0.
A web-based system for rapid multidirectional communication has been created in the Radiology department at San Francisco General Hospital. The system allows messaging among radiology attendings, residents, and technologists, as well as other members of the hospital community, such as Emergency Department physicians and nurses. Instead of being tied to a particular workflow, this system provides a flexible communication infrastructure which can be easily adapted for different functions and user roles. The system has so far been configured to successfully support the standard "wet reading" workflow, to support marking and tracking of critical results, as well as multiple educational and quality improvement workflows. In the 19 months of operation, the system has gained over 1,800 users (virtually all providers at our institution), it has been accessed by radiologists over 39,000 times and by non-radiologists over 34,000 times. It has become an integral part of the radiology department operations and non-radiology clinical workflows. Unlike most existing softwares, our system is not a task-specific application, but a multipurpose communication system. It is able to effectively accommodate multiple workflows and user roles through configuration (without additional programming). This flexibility has helped this system to be rapidly and widely adopted within our enterprise. The extended reach of the system enables improved monitoring and documentation of workflows, helping with management decision making, and quality assurance. We report a successful radiology communication system based on the principles of flexibility and inclusiveness of users inside and outside the radiology department.
旧金山总医院放射科创建了一个基于网络的快速多向通信系统。该系统允许放射科主治医生、住院医生和技术人员以及医院其他成员（如急诊部医生和护士）之间进行消息传递。与特定工作流程无关，该系统提供了一个灵活的通信基础设施，可以轻松适应不同的功能和用户角色。到目前为止，该系统已成功配置为支持标准的“湿式读片”工作流程，支持关键结果的标记和跟踪，以及多个教育和质量改进工作流程。在 19 个月的运行中，该系统已拥有超过 1800 名用户（实际上是我们机构的所有提供者），放射科医生访问该系统超过 39000 次，非放射科医生访问超过 34000 次。它已成为放射科运营和非放射科临床工作流程的不可或缺的一部分。与大多数现有软件不同，我们的系统不是特定于任务的应用程序，而是一个多用途的通信系统。它能够通过配置（无需额外编程）有效地适应多种工作流程和用户角色。这种灵活性有助于该系统在我们的企业中快速广泛采用。系统的扩展范围使工作流程的监控和文档记录得到改善，有助于管理决策和质量保证。我们报告了一个基于放射科内外用户灵活性和包容性原则的成功的放射科通信系统。
