Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
J Digit Imaging. 2011 Aug;24(4):694-9. doi: 10.1007/s10278-011-9364-3.
The purpose of this article is to describe a system we developed for importing images on compact discs (CDs) from external imaging departments into our clinical image viewing system, and to report on key metrics regarding veracity of information seen on the CDs. We recommend careful attention to the process of CD importation because of the error rate we have seen. We developed a system and process for importing images on CD into our EMR. The importation system scans the CD for digital imaging and communications in medicine (DICOM) images, and collects all patient information seen. That information is presented to the patient for verification. Once validated, the image data is copied into our clinical viewing system. The importation system includes facilities for collecting instances of incorrect data. About 90% of images are now exchanged between our healthcare enterprise and other entities via CD. Data for the wrong patient (e.g., the wrong CD) is seen in about 0.1% of cases, and a similar number of CDs have data for more than one patient on the CD(s) the patient bring to our facility. Most data are now exchanged via DICOM files. DICOM images burned onto CD media are now commonly used for image exchange. However, applications to import DICOM images are not enough. One must implement a process to assure high confidence that the data imported belongs to the patient you are importing.
本文旨在描述我们为将外部影像部门的光盘（CD）中的图像导入临床影像查看系统而开发的系统，并报告关于 CD 上所见信息准确性的关键指标。我们建议对 CD 导入过程给予仔细关注，因为我们已经看到了错误率。我们开发了一种将 CD 上的图像导入到我们的电子病历（EMR）中的系统和流程。该导入系统会扫描 CD 上的数字成像和通信医学（DICOM）图像，并收集所有可见的患者信息。该信息将呈现给患者进行验证。验证后，图像数据将被复制到我们的临床查看系统中。导入系统包括收集错误数据的实例的设施。现在，我们的医疗保健企业与其他实体之间约有 90%的图像通过 CD 进行交换。大约 0.1%的情况下会看到错误患者（例如，错误的 CD）的数据，并且类似数量的 CD 上的数据是多个患者的，而这些患者是将他们的 CD 带到我们机构的。现在大多数数据都是通过 DICOM 文件进行交换的。DICOM 图像刻录到 CD 媒体上现在常用于图像交换。然而，仅仅应用导入 DICOM 图像的应用程序是不够的。必须实施一个流程，以确保导入的数据确实属于您要导入的患者。
