Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
Acad Radiol. 2012 Feb;19(2):229-35. doi: 10.1016/j.acra.2011.11.009.
The availability of the Picture Archiving and Communication System (PACS) has revolutionized the practice of radiology in the past two decades and has shown to eventually increase productivity in radiology and medicine. PACS implementation and integration may bring along numerous unexpected issues, particularly in a large-scale enterprise. To achieve a successful PACS implementation, identifying the critical success and failure factors is essential. This article provides an overview of the process of implementing and integrating PACS in a comprehensive health system comprising an academic core hospital and numerous community hospitals. Important issues are addressed, touching all stages from planning to operation and training. The impact of an enterprise-wide radiology information system and PACS at the academic medical center (four specialty hospitals), in six additional community hospitals, and in all associated outpatient clinics as well as the implications on the productivity and efficiency of the entire enterprise are presented.
在过去的二十年中，影像归档与通信系统（PACS）的出现彻底改变了放射科的实践模式，并最终显示出提高放射科和医学生产力的效果。PACS 的实施和集成可能会带来许多意想不到的问题，尤其是在大规模企业中。为了实现成功的 PACS 实施，确定关键的成功和失败因素至关重要。本文概述了在一个由学术核心医院和众多社区医院组成的综合卫生系统中实施和集成 PACS 的过程。涉及到从规划到运营和培训的所有阶段，都涉及到重要问题。展示了在学术医疗中心（四家专科医院）、六家额外的社区医院以及所有相关的门诊诊所中，企业范围的放射信息系统和 PACS 的影响，以及对整个企业的生产力和效率的影响。
